123,908 results match your criteria Clinics in Geriatric Medicine[Journal]


Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics?

J Anxiety Disord 2018 Nov 20;62:53-60. Epub 2018 Nov 20.

Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417, USA; Department of Medicine, University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA; Department of Psychiatry, University of Minnesota, 2450 Riverside Ave, Minneapolis, MN 55454, USA; Department of Psychology, University of Minnesota, 75 E River Rd, Minneapolis, MN 55455, USA. Electronic address:

The United States Department of Veterans Affairs (VA) provides Cognitive Processing Therapy (CPT) and Prolonged Exposure therapy (PE) for PTSD at all of its facilities, but little is known about systematic differences between patients who do and do not initiate these treatments. VA administrative data were analyzed for 6,251 veterans receiving psychotherapy over one year in posttraumatic stress disorder (PTSD) specialty clinics at nine VA medical centers. CPT and PE were initiated by 2,173 (35%) patients. Read More

View Article
November 2018

Clinical and aetiological study of hand, foot and mouth disease in southern Vietnam, 2013-2015: inpatients and outpatients.

Int J Infect Dis 2018 Dec 11. Epub 2018 Dec 11.

Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Background: Hand, foot and mouth disease (HFMD) has been associated with large outbreaks among young children, including severe illness and fatality, in the Asia-Pacific Region since 1997. Severe illness is often associated with enterovirus A71 (EV-A71). Vietnam experienced a large sustained outbreak of 200. Read More

View Article
December 2018
1 Read

Access to Dermatology Services at Free Medical Clinics, A Nationwide Cross-sectional Survey.

J Am Acad Dermatol 2018 Dec 11. Epub 2018 Dec 11.

Institute of Public and Preventative Health, Augusta University. Electronic address:

View Article
December 2018
2 Reads

Enhancing smoking cessation in Mexico using an e-Health tool in primary healthcare.

Salud Publica Mex 2018 Sep-Oct;60(5):549-558

Department of Biomedical Research, Medical Center, Hackensack University. Hackensack, NJ, US.

Objective: To evaluate an e-Health tool designed to enhance smoking cessation in Mexico in primary healthcare.

Materials And Methods: Smokers 18 years of age and older were recruited in the waiting room of two primary healthcare clinics in Mexico City. Participants used an eHealth smoking cessation tool that included smoking-related assessments, education on pharmacotherapy, and motivational videos. Read More

View Article
December 2017

High prevalence of binge drinking among people living with HIV in four African countries.

J Int AIDS Soc 2018 Dec;21(12):e25202

Service de maladies infectieuses et tropicales, CRCF, CHU de Fann, Dakar, Sénégal.

Introduction: Excessive alcohol consumption leads to unfavourable outcomes in people living with HIV (PLHIV), including reduced adherence to antiretroviral therapy (ART) and engagement into care. However, there is limited information on alcohol consumption patterns among PLHIV in sub-Saharan Africa.

Methods: Using a cross-sectional approach, the Alcohol Use Disorders Identification Test (AUDIT-C) was administered to PLHIV attending HIV clinics in Côte d'Ivoire, Togo, Senegal and Zambia (2013 to 2015). Read More

View Article
December 2018
2 Reads

Dual Therapy Coating on Micro/Nanoscale Porous Polyetheretherketone to Eradicate Biofilms and Accelerate Bone Tissue Repair.

Macromol Biosci 2018 Dec 14:e1800376. Epub 2018 Dec 14.

School of Chemical Engineering, Sichuan University, Chengdu, 610065, China.

Defective osteogenesis and latent infections continue to be two major issues in the therapy of bone tissue regeneration. In this study, a unique hierarchically micro/nanoscale-architecture is first proposed and produced on polyetheretherketone (PEEK). Besides, a "simvastatin-PLLA film-tobramycin microspheres" delivery system is subsequently fabricated to endow the PEEK implant with osteogenic and antibacterial capabilities. Read More

View Article
December 2018

Validation of CollaboRATE and SURE - two short questionnaires to measure shared decision making during CPAP initiation.

J Sleep Res 2018 Dec 13:e12808. Epub 2018 Dec 13.

Department of Clinical Neurophysiology, Linköping University Hospital, Linköping, Sweden.

Adherence to continuous positive airway pressure (CPAP) treatment tends to be low. Brief validated instruments focusing on shared decision making have not been used in a CPAP context. The aim was to investigate factorial structure, categorical functioning of the response scale and differential item functioning across sub-populations of the CollaboRATE and Sure questionnaires among patients with obstructive sleep apnea (OSA) before CPAP treatment is initiated. Read More

View Article
December 2018

Primary signet-ring stromal tumour of the testis: case report with literature review.

APMIS 2019 Jan;127(1):45-49

Institute of Pathology, University of Göttingen, Göttingen, Germany.

Primary signet-ring stromal tumour of the testis (PSRSTT) is a very rare type of primary testicular tumour, which is not actually mentioned in the current WHO categorization of tumours of the male genital organs. In this case we report about histologically and immunohistochemically features of this rare tumour. In the present case, PSRTT was found in the orchiectomy preparation of a 69-year-old man with painless swelling of his left testicle. Read More

View Article
January 2019

Ornithine aminotransferase promoted the proliferation and metastasis of non-small cell lung cancer via upregulation of miR-21.

J Cell Physiol 2018 Dec 13. Epub 2018 Dec 13.

Department of Respiratory Medicine, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

The incidence and mortality of lung cancer ranked the first among all types of cancer in China, and non-small cell lung cancer (NSCLC) is the most common type of lung cancer accounting for 85% of all lung cancers. Given that the survival rate of patients with advanced NSCLC is still poor nowadays, identification of novel therapeutic targets and the development of effective therapies are desired for the treatment of NSCLC in clinics. In this study, we reported the upregulation of ornithine aminotransferase (OAT) in NSCLC cells and clinical tumor samples as well as its association with the advanced TNM stage, metastasis, and poor tumor differentiation of lung cancer. Read More

View Article
December 2018

Applicability of telemedicine in the screening of diabetic retinopathy (DR): The first multicentre study in Italy. The No Blind Study.

Diabetes Metab Res Rev 2018 Dec 13:e3113. Epub 2018 Dec 13.

Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.

Aims: Diabetic retinopathy (DR) represents the main cause of blindness among adults in the industrialized Countries. Use of telemedicine could offer an easy, smart specialist fundus oculi examination, as well as putting in a screening program many patients who otherwise would be excluded.

Materials And Methods: The NO Blind is a transversal, multicentre, observational study. Read More

View Article
December 2018

Mortality and losses to follow-up among adolescents living with HIV in the IeDEA global cohort collaboration.

J Int AIDS Soc 2018 Dec;21(12):e25215

TREAT Asia/amfAR, The Foundation for AIDS Research, Bangkok, Thailand.

Introduction: We assessed mortality and losses to follow-up (LTFU) during adolescence in routine care settings in the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium.

Methods: Cohorts in the Asia-Pacific, the Caribbean, Central, and South America, and sub-Saharan Africa (Central, East, Southern, West) contributed data, and included adolescents living with HIV (ALHIV) enrolled from January 2003 and aged 10 to 19 years (period of adolescence) while under care up to database closure (June 2016). Follow-up started at age 10 years or the first clinic visit, whichever was later. Read More

View Article
December 2018

Epidemiology of Facial Fractures among Older Adults: A Retrospective Analysis of a Nationwide Emergency Department Database.

Dent Traumatol 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthodontics, The University of Illinois in Chicago, Chicago, Illinois.

Background/aims: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.

Material And Methods: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2014 was used for the present study. Read More

View Article
December 2018

Comparison of Health-Related Quality of Life Between Adjuvant Breast Cancer Treatment Groups.

Oncol Nurs Forum 2019 Jan;46(1):59-70

Bastyr University.

Objectives: To compare the health-related quality of life (HRQOL) of women who did (receivers, n = 372) and did not (intentional nonreceivers, n = 46) receive all recommended adjuvant treatments for breast cancer.

Sample & Setting: Women were recruited through integrative oncology clinics and the Cancer Surveillance System registry in western Washington.

Methods & Variables: A cross-sectional and correlational study using secondary data was conducted. Read More

View Article
January 2019

Cytoreductive prostatectomy: what is the evidence? A systematic review.

Minerva Urol Nefrol 2018 Dec 14. Epub 2018 Dec 14.

Urology Department, Sant'Andrea Hospital, Università degli Studi di Roma « La Sapienza », Rome, Italy.

Introduction: Cytreductive prostatectomy is an experimental surgical approach to metastatic prostate cancer (mPCa), with the scope of improving local symptoms and potentially ameliorate oncologic outcomes. Aim of the current systematic review is to analyze available evidence to support this approach and explore published data a future trial on cytoreductive prostatectomy.

Evidence Acquisition: A systematic review was conducted searching all relevant studies published in PubMed, EMBASE, Cochrane Library, CINAHL, Google Scholar and Ovid database until August 1, 2018. Read More

View Article
December 2018

A rare case of intracardiac fibrosarcoma with myxoid features inducing venous occlusion in a dog - a case report.

BMC Vet Res 2018 Dec 14;14(1):398. Epub 2018 Dec 14.

Department of Pathology, University of Agricultural Sciences and Veterinary Medicine "Ion Ionescu de la Brad", Iași, Romania.

Background: In both humans and animals, cardiac fibrosarcoma is rare among primary cardiac malignant neoplasia. The overall prevalence of cardiac neoplasia in dogs is low, reported to be between 0.17% and 0. Read More

View Article
December 2018
1 Read

Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan.

BMC Fam Pract 2018 Dec 14;19(1):198. Epub 2018 Dec 14.

South Tyneside District Hospital, South Shields, UK.

Background: Nocturnal enuresis (NE) is a common symptom in children worldwide. International Children's Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE with co-morbid conditions. The objectives of this study were to determine the frequencies and types of NE and associated symptoms and conditions in children aged 5 to 16 years based on ICCS criteria. Read More

View Article
December 2018

Unroofed coronary sinus detected by 2D/3D echocardiography in a patient referred to catheter ablation for atrial fibrillation.

J Cardiol Cases 2016 Oct 8;14(4):111-114. Epub 2016 Aug 8.

Miyazaki Medical Association Hospital Cardiovascular Center, Miyazaki, Japan.

A 67-year-old female visited our echo lab for a preoperative screening exam before radiofrequency catheter ablation for atrial fibrillation. Transthoracic echocardiography revealed abnormal color flow signal in the right atrium, and following 2D/3D transesophageal echocardiography proved partial type of unroofed coronary sinus. Absence of associated congenital abnormalities was ruled out by Doppler and contrast echo examinations. Read More

View Article
October 2016

Infertility patients' need and preferences for online peer support.

Reprod Biomed Soc Online 2018 Aug 15;6:80-89. Epub 2018 Nov 15.

Jewish General Hospital, Department of Psychiatry, Montreal, Quebec, Canada.

This study sought to determine the level of interest in online peer support among infertility patients, factors associated with such interest, and preferences for features of an online peer support network. A sample of 236 men and 283 women ( = 519) seeking fertility treatment were recruited from four clinics in Ontario and Quebec, Canada. Participants completed an anonymous online questionnaire assessing demographics, perceived stress and fertility characteristics, in addition to interest in and preferences for online infertility peer support. Read More

View Article
August 2018
2 Reads

Providers' Involvement of Parents, Families, and Family Dynamics in Youth Weight Management Programs.

Glob Pediatr Health 2018 4;5:2333794X18817134. Epub 2018 Dec 4.

East Carolina University, Greenville, NC, USA.

Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada. Read More

View Article
December 2018

Risk Factors for Short- and Long-Term Outcomes in Children With STEC-HUS/D HUS: A Single-Center Experience.

Glob Pediatr Health 2018 4;5:2333794X18816920. Epub 2018 Dec 4.

The Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.

. Hemolytic uremic syndrome (HUS) is one of the common causes for acute kidney injury in childhood. . Read More

View Article
December 2018

An AI-Based Heart Failure Treatment Adviser System.

IEEE J Transl Eng Health Med 2018 23;6:2800810. Epub 2018 Nov 23.

Computer Science DepartmentThe University of Texas at DallasRichardsonTX75080USA.

Management of heart failure is a major health care challenge. Healthcare providers are expected to use best practices described in clinical practice guidelines, which typically consist of a long series of complex rules. For heart failure management, the relevant guidelines are nearly 80 pages long. Read More

View Article
November 2018

Improvements in self-care among patients with diabetes in a remote island in Japan: a pilot study.

J Rural Med 2018 Nov 29;13(2):134-140. Epub 2018 Nov 29.

Minamidaito Village Office, Japan.

The traits of the inhabitants of rural areas could affect clinical improvements. In the rural areas of Japan, a feeling of competitiveness often exists between the members of a community; this competitiveness could prompt patients to exert efforts in improving their health. This study aimed to assess the effects of competitiveness on the clinical outcomes of patients with diabetes. Read More

View Article
November 2018

Light intensity output of visible light communication units and clinicians' knowledge and attitude among Riyadh private clinics.

J Conserv Dent 2018 Nov-Dec;21(6):667-670

Department of Restorative, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia.

Background: With the evolution of bonded restorations, visible light-curing units became inseparable from the practice of dentistry. This study was designed to evaluate light intensity output of light-emitting diode (LED) units used in private clinics in Riyadh, Saudi Arabia, and to investigate dentists' knowledge and attitude regarding the usage of light-curing units.

Methodology: Two hundred randomly selected LED units' light intensity output was evaluated using Demetron LED Radiometer-Kerr among evenly distributed private clinics in Riyadh, Saudi Arabia. Read More

View Article
December 2018

Captive to the Clinic: Phase I Clinical Trials as Temporal Total Institutions.

Sociol Inq 2018 Nov 20;88(4):724-748. Epub 2018 Apr 20.

This article develops the concept of to describe how and why individuals voluntarily submit to highly-controlled and often dehumanizing environments. We focus empirically on Phase I clinical trials, which offer compensation to healthy people in exchange for testing investigational pharmaceuticals. Analyzing the experiences of 67 U. Read More

View Article
November 2018

Meta-Analysis Comparing the Incidence of Infective Endocarditis Following Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement.

Am J Cardiol 2018 Dec 3. Epub 2018 Dec 3.

Department of Medicine Division of Cardiovascular Medicine, University of Iowa Hospitals and Clinics, Iowa, Iowa.

Infective endocarditis (IE) after transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) is a rare but life-threatening complication. Paravalvular regurgitation, compression of native leaflets, and space between transcatheter valve prosthesis and native valves could dispose TAVI recipients at increased risk of IE compared with SAVR. To assess the comparative risk of IE between TAVI and SAVR, we performed a systematic review and meta-analysis. Read More

View Article
December 2018

Advancing pharmacological treatments for opioid use disorder (ADaPT-OUD): protocol for testing a novel strategy to improve implementation of medication-assisted treatment for veterans with opioid use disorders in low-performing facilities.

Addict Sci Clin Pract 2018 Dec 13;13(1):25. Epub 2018 Dec 13.

Center for Innovation to Implementation, Palo Alto Health Care System, 795 Willow Rd, MC152, Palo Alto, CA, 94304, USA.

Background: In the US, emergency room visits and overdoses related to prescription opioids have soared and the rates of illicit opioid use, including heroin and fentanyl, are increasing. Opioid use disorder (OUD) is associated with higher morbidity and mortality, higher HIV and HCV infection rates, and criminal behavior. Opioid agonist therapy (OAT; methadone and buprenorphine) is proven to be effective in treating OUD and decreasing its negative consequences. Read More

View Article
December 2018

The evaluation of nocturia in patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia and the analysis of the curative effect after medical or placebo therapy for nocturia: a randomized placebo-controlled study.

BMC Urol 2018 Dec 13;18(1):115. Epub 2018 Dec 13.

Department of Urology, Beijing Huairou Hospital, Beijing, 101400, China.

Background: To study nocturia in patients with lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) after medical or placebo treatment.

Methods: Patients with LUTS suggestive of BPH from several community clinics were included. Patients completed the International Prostate Symptom Score (I-PSS) questionnaire and a 3-day voiding diary. Read More

View Article
December 2018

[Possibilities of doctor-patient communication - understanding patients' expectations].

Orv Hetil 2018 Dec;159(50):2136-2143

Népegészségtani Intézet, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Dóm tér 10., 6720.

Introduction: Nowadays doctor-patient consultation is not limited to personal appointments, there are new technical possibilities to keep contact.

Aim: The aim of our study was to examine the way in which the doctor and patient interact with each other between two personal consultations and how the patients would like to reach their physicians when needed.

Method: Questionnaire survey was done among waiting patients in an outpatient clinic in Budapest. Read More

View Article
December 2018

Future Implications of Using Registered Dietitians in Multidisciplinary Polycystic Ovary Syndrome Treatment.

Healthcare (Basel) 2018 Dec 8;6(4). Epub 2018 Dec 8.

Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV 26506, USA.

Polycystic ovary syndrome (PCOS) is the most common reproductive endocrine disorder in females with insulin resistance playing a key role in pathogenesis. The objective of this study was to investigate current trends and future implications of multidisciplinary PCOS clinics with inclusion of dietitians. A two-phase, formative investigation on practitioners was conducted through an anonymous survey followed by focus groups. Read More

View Article
December 2018

Einschränkungen in der Gehfähigkeit und der Sprunggelenksdorsalflexion bei Kindern nach intensiver Krebsbehandlung.

Klin Padiatr 2018 Dec 13. Epub 2018 Dec 13.

Department of Molecular and Cellular Sports Medicine, Institute of Cardiovascular Research and Sports Medicine, German Sport University Cologne, Cologne, Germany.

Background: With improved survival rates in pediatric oncology, the detection of adverse side- and late-effects is gaining increased interest. This cross-sectional study investigated walking abilities and ankle dorsiflexion function in children with cancer.

Patients: Study participants included 16 children with various cancers (4-20 years, patient group) after completion of the intense treatment and 16 age- and gender-matched healthy peers (comparison group). Read More

View Article
December 2018

GRIN2A-related disorders: genotype and functional consequence predict phenotype.

Brain 2018 Dec 12. Epub 2018 Dec 12.

Institute of Human Genetics, University of Leipzig Hospitals and Clinics, Leipzig, Germany.

Alterations of the N-methyl-d-aspartate receptor (NMDAR) subunit GluN2A, encoded by GRIN2A, have been associated with a spectrum of neurodevelopmental disorders with prominent speech-related features, and epilepsy. We performed a comprehensive assessment of phenotypes with a standardized questionnaire in 92 previously unreported individuals with GRIN2A-related disorders. Applying the criteria of the American College of Medical Genetics and Genomics to all published variants yielded 156 additional cases with pathogenic or likely pathogenic variants in GRIN2A, resulting in a total of 248 individuals. Read More

View Article
December 2018

In-silico pelvis and sacroiliac joint motion-A review on published research using numerical analyses.

Clin Biomech (Bristol, Avon) 2018 Dec 6;61:95-104. Epub 2018 Dec 6.

Department of Anatomy, University of Otago, Dunedin, New Zealand; Department of Trauma, Orthopedic and Plastic Surgery, University Hospital of Leipzig, Germany; Orthopaedicus Clinics, Leipzig, Germany.

Background: Computational models of the human pelvis have become highly useful tools to assess mechanisms of injury, diagnostics and treatment options. The purpose of this systematic literature review was to summarize existing pelvic computer models, to assess their comparability and the measures taken for experimental validation.

Methods: Research on virtual simulations of the posterior pelvis and sacroiliac joint available from the ISI Web of Knowledge, PubMed and Scopus databases available until January 2018 were included. Read More

View Article
December 2018
1 Read

The association between perceived injunctive norms toward corporal punishment, parenting support, and risk for child physical abuse.

Child Abuse Negl 2018 Dec 10;88:246-255. Epub 2018 Dec 10.

Tulane University, School of Public Health and Tropical Medicine, Department of Global Community Health and Behavioral Sciences, New Orleans, LA, 70112, USA.

The use of corporal punishment (CP) is a strong risk factor for many poor outcomes for children including child maltreatment. The use of CP occurs within social contexts which are important to understand. Although it is known that perceived social norms regarding CP are related to its use, the specific role that a mother's primary support person plays in influencing attitudes toward and use of CP remains unknown. Read More

View Article
December 2018

Exercise therapy in addition to an orthosis reduces pain more than an orthosis alone in patients with thumb base osteoarthritis: a propensity score matching study.

Arch Phys Med Rehabil 2018 Dec 10. Epub 2018 Dec 10.

Dept. of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center Rotterdam, the Netherlands; Dept. of Rehabilitation Medicine, Erasmus Medical Center Rotterdam, the Netherlands.

Objective: To compare the effect of exercises and orthotics with orthotics alone on pain and hand function in patients with thumb base (CMC-1) osteoarthritis (OA) and to predict outcomes on pain and hand function of exercises and orthotics.

Design: Prospective cohort study with propensity score matching SETTING: Data collection took place in thirteen outpatient clinics for hand surgery and hand therapy in the Netherlands.

Participants: A consecutive, population-based sample of 173 patients with CMC-1 OA was included in this study of which 84 were matched on baseline demographics and baseline primary outcomes. Read More

View Article
December 2018

The potential of reducing AST testing in hospital settings.

Clin Biochem 2018 Dec 10. Epub 2018 Dec 10.

Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada; McMaster University Medical Centre, Hamilton Health Sciences, Hamilton, Ontario, Canada.

Background: Aspartate aminotransferase (AST) is regularly ordered with alanine aminotransferase (ALT) to assess liver integrity. In many situations, AST testing provides little or no added clinical value, since ALT is more specific and the both enzyme activities highly correlate. The objective of this study is to determine the potential reduction in AST testing, if not performed when ALT results are within reference intervals (RI). Read More

View Article
December 2018

Enhancement of drug electrotransfer by extracellular plasmid DNA.

Arch Biochem Biophys 2018 Dec 10. Epub 2018 Dec 10.

Biophysical Research Group, Vytautas Magnus University, Kaunas, Lithuania. Electronic address:

Electroporation is a widely established method for molecular delivery across electric field perturbed plasma membrane. It can be used as a non-viral DNA transfection method, or as a way to achieve small molecule delivery to or extraction from cells. We examined the possibility of combining the DNA delivery to the cells with small molecule transport across electroporated plasma membrane. Read More

View Article
December 2018

The demographics of vaccine hesitancy in Shanghai, China.

PLoS One 2018 13;13(12):e0209117. Epub 2018 Dec 13.

Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, United States of America.

Background: Vaccine hesitancy has been little studied in low- and middle-income countries but is a potential concern because vaccine refusal may increase the burden of infectious diseases and impede control efforts. The aim of this study was to compare vaccine hesitancy between locals, long-time city residents, and non-locals, who have more recently moved to the city from either other urban or rural areas, in Shanghai, China.

Methods: Parents of infants ≤3 months of age were surveyed at immunization clinics in Shanghai, China. Read More

View Article
December 2018

Recognizing Congenital Pressure Injuries: A Case Series.

Authors:
Deanna E Johnson

J Wound Ostomy Continence Nurs 2018 Dec 10. Epub 2018 Dec 10.

Deanna E. Johnson, MA, APRN, NNP-BC, CWON, Children's Hospital and Clinics, Minneapolis, Minnesota.

Background: Soft tissue injuries recognized at birth are a common occurrence and well described in the medical literature. Despite this, there has been no discussion of congenital pressure injuries. In this Clinical Challenges article, I describe 3 cases in which congenital skin injuries have occurred, all of which meet the National Pressure Ulcer Advisory Panel definition for a pressure injury and are demonstrably not the result of other etiologies. Read More

View Article
December 2018

Evaluating the Impact of Prescribed Versus Nonprescribed Benzodiazepine Use in Methadone Maintenance Therapy: Results from a Population-based Retrospective Cohort Study.

J Addict Med 2018 Dec 12. Epub 2018 Dec 12.

Institute for Clinical and Evaluative Sciences, Toronto, Ontario, Canada (JKE, ASW, PK); Centre for Addiction and Mental Health, Toronto, Ontario, Canada (PK); Northern Ontario School of Medicine, Sudbury, Ontario, Canada (JKE, AMF, DCM).

Objectives: Benzodiazepine (BZD) use is common in patients who are engaged in methadone as a treatment for opioid use disorder. BZD prescribing is generally discouraged for this patient population due to the increased risk of BZD dependence and BZD use disorder, medication-assisted treatment (MAT) discontinuation, and opioid-overdose death. However, some patients have concurrent mental health disorders, where BZD use may be clinically indicated. Read More

View Article
December 2018

Anatomy of the pterygopalatine fossa: an innovative metrical assessment based on 3D segmentation on head CT-scan.

Surg Radiol Anat 2018 Dec 12. Epub 2018 Dec 12.

Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, V. Mangiagalli 31, Milan, Italy.

Purpose: The pterygopalatine fossa is an important anatomical structure for several surgical and anaesthesiologic procedures; yet, very few data are available about its size. This study aims at providing a metrical assessment of pterygopalatine fossa through an innovative 3D segmentation procedure on head CT-scans.

Methods: CT-scans from 100 patients (50 males and 50 females) aged between 18 and 85 years were chosen for the study. Read More

View Article
December 2018

Early Childhood Development in Children Born to HIV-Infected Mothers: Perspectives From Kenyan Clinical Providers and Caregivers.

Glob Pediatr Health 2018 14;5:2333794X18811795. Epub 2018 Nov 14.

Indiana University, Indianapolis, IN, USA.

. To understand the perspectives of clinical providers and caregivers regarding early childhood development (ECD) in children born to HIV-infected mothers in Kenya. . Read More

View Article
November 2018

[The associations between readmission within 30 days and the medical institute factors among older patients receiving home medical care].

Nihon Ronen Igakkai Zasshi 2018 ;55(4):612-623

Tokyo Metropolitan Institute of Gerontology.

Aim: To improve preventive strategies for readmission within 30 days after discharge among older patients receiving home medical care services, we examined the associations between readmission within 30 days and the medical institute factors among patients over 75 years of age.

Methods: All patients over 75 years of age receiving home medical care services and who had been admitted to hospital or clinic and discharged between September 2013 and July 2014 in Tokyo, Japan, were participants of this study (n=7,213). The primary outcome was readmission within 30 days after discharge. Read More

View Article
January 2018

Comparison of a Traditional and Novel Evoked Compound Action Potentials Recording Approach and Evoked Auditory Brainstem Responses in Pediatric Cochlear Implants Users.

J Int Adv Otol 2018 Dec 12. Epub 2018 Dec 12.

Department of ENT, La Fe University and Polytechnic Hospital, Valencia.

Objectives: Electrically evoked compound action potentials (eCAP) recordings are widely used in functional evaluation and fitting of cochlear implants (CI) in clinics. We compared the results from two eCAP recording approaches (StandardART and FineGrain, MED-EL, Austria). The FineGrain method is more advanced than the Auditory Nerve Response Telemetry (StandardART) method in terms of the stimulation and algorithm for the eCAP threshold detection. Read More

View Article
December 2018

Supporting breast cancer screening decisions for caregivers of older women with dementia: study protocol for a randomized controlled trial.

Trials 2018 Dec 12;19(1):678. Epub 2018 Dec 12.

Indiana University School of Medicine, 1101 West 10th Street, Indianapolis, IN, 46202, USA.

Background: Alzheimer's disease and related dementias (ADRD) impact a woman's life expectancy and her ability to participate in medical decision-making about breast cancer screening, necessitating the involvement of family caregivers. Making decisions about mammography screening for women with ADRD is stressful. There are no data that suggest that breast cancer screening helps women with ADRD live longer or better. Read More

View Article
December 2018

Dengue fever in Dar es Salaam, Tanzania: clinical features and outcome in populations of black and non-black racial category.

BMC Infect Dis 2018 Dec 12;18(1):644. Epub 2018 Dec 12.

Swiss Tropical and Public Health Institute, Basel, Switzerland.

Background: Although the incidence of dengue across Africa is high, severe dengue is reported infrequently. We describe the clinical features and the outcome of dengue according to raceduring an outbreak in Dar es Salaam, Tanzania that occurred in both native and expatriate populations.

Methods: Adults with confirmed dengue (NS1 and/or IgM on rapid diagnostic test and/or PCR positive) were included between December 2013 and July 2014 in outpatient clinics. Read More

View Article
December 2018

Can Reproductive Life Plan-based counselling increase men's fertility awareness?

Ups J Med Sci 2018 Dec 13:1-9. Epub 2018 Dec 13.

a Department of Women's and Children's Health , Uppsala University , Uppsala , Sweden.

Background: Many men have limited knowledge about reproductive health and fertility. The aim of the study was to evaluate if Reproductive Life Plan (RLP)-based counselling during a sexual health visit could increase men's fertility awareness.

Material And Methods: The study was a randomized controlled trial including 201 men aged 18-50 who visited either of two participating sexual health clinics in Sweden for sexually transmitted infection testing during 2014-2016. Read More

View Article
December 2018

[Factors associated with non-disclosure of HIV status among women attending prenatal clinics in Bangui].

Sante Publique 2018 May June;30(3):397-403

Introduction: The failure of pregnant women to disclose their HIV serological status to the those around her, especially the father of the unborn child, can be a barrier to preventing mother-to-child transmission of HIV. In this context, the present study was designed to determine the proportion of women who failed to disclose their HIV status to their spouses and the factors associated with this non-disclosure.

Patients And Methods: This cross-sectional, descriptive and analytical study was conducted from 1 February to 30 May 2017. Read More

View Article
December 2018

Do the etiological factors in artificial urinary sphincter reimplantation cases affect success and complications?

Turk J Med Sci 2018 12 12;48(6):1263-1267. Epub 2018 Dec 12.

Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey

Background/aim: The artificial urinary sphincter (AUS) is still one of the best options for incontinence treatment. It may also have an advantage for revision or reimplantation in the management of complications. In this study we aimed to discuss the etiological factors for AUS reimplantation and effects of these etiological factors on success rates, patient satisfaction rates, time to reimplantation surgery, and complications

Materials And Methods: Data from 30 patients for whom AUS reimplantation was performed were analyzed retrospectively. Read More

View Article
December 2018

Patient symptoms and magnetic resonance imaging correlation in temporomandibular joint internal derangement

Turk J Med Sci 2018 12 12;48(6):1092-1095. Epub 2018 Dec 12.

Background/aim: Temporomandibular joint (TMJ) internal derangements consist of reduced and nonreduced disc dislocations and are often diagnosed by magnetic resonance imaging (MRI). The main symptom of these derangements is TMJ pain. This study aimed to evaluate whether there is a correlation between TMJ pain and disc dislocation. Read More

View Article
December 2018

Usage of NEWS for prediction of mortality and in-hospital cardiac arrest rates in a Turkish university hospital

Turk J Med Sci 2018 12 12;48(6):1087-1091. Epub 2018 Dec 12.

Background/aim: Early warning scores (EWS), widely used around the world but not yet in Turkey, are composed of physiological parameters designed to determine potentially worsening patients to perform necessary interventions in time. The aim is to determine the national EWS (NEWS) of the patients to assess the relation between this score and length of hospital stay (LOHS), transfer to the ICU, 24-h and 28-day mortality rates, and the frequency of in-hospital cardiac arrest (IHCA).

Materials And Methods: NEWS of all the patients in the internal medicine clinics were calculated via a point prevalence study. Read More

View Article
December 2018