123,717 results match your criteria Clinics in Sports Medicine [Journal]


Tracking Arteriovenous Fistula Maturation: A Novel Approach.

Blood Purif 2018 Dec 6:1-6. Epub 2018 Dec 6.

Renal Research Institute, New York, New York, USA.

Background: The time between the creation of an arteriovenous fistula (AVF) and its successful use is significantly longer in hemodialysis (HD) patients in the United States compared to those in other countries, and there is an urgent need to reduce the residence time of central-venous catheters (CVC).

Methods: Successful AVF creation and maturation results in typical hemodynamic changes, such as an increase in cardiac output and upper body blood flow (UBBF). In patients with CVC as vascular access, we measured once per minute intradialytic central-venous oxygen saturation (ScvO2) and hemoglobin levels simultaneously using the Crit-Line Monitor. Read More

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December 2018
1 Read

Association of Central Venous Oxygen Saturation Variability and Mortality in Hemodialysis Patients.

Blood Purif 2018 Dec 6:1-8. Epub 2018 Dec 6.

Renal Research Institute, New York, New York,

Background: Central venous oxygen saturation (ScvO2) is correlated with cardiac output. In most patients, ScvO2 declines during hemodialysis (HD) due to factors such as reduced preload, myocardial stunning, and intermittent arrhythmias. Previous research has shown that low ScvO2 is associated with higher mortality in chronic HD patients. Read More

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December 2018

Non-GVHD ocular complications after hematopoietic cell transplantation: expert review from the Late Effects and Quality of Life Working Committee of the CIBMTR and Transplant Complications Working Party of the EBMT.

Biol Blood Marrow Transplant 2018 Dec 3. Epub 2018 Dec 3.

Department of Ophthalmology, Hospital Universitario Puerta de Hierro, Madrid, Spain.

Non-graft-versus-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation. Complications discussed in this review include cataracts, glaucoma, ocular infections, ocular involvement with malignancy, ischemic microvascular retinopathy, central retinal vein occlusion, retinal hemorrhage, retinal detachment and ocular toxicities associated with medications. Read More

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December 2018
1 Read

The X Factor.

Surv Ophthalmol 2018 Dec 3. Epub 2018 Dec 3.

Associate Professor, Departments of Clinical Neurosciences and Surgery, University of Calgary.

A 45-year-old Caucasian woman presented with chronic bilateral, painless, progressive, peripheral vision loss. She was found to have bilateral optic atrophy and non-enhancing multifocal white matter lesions on magnetic resonance imaging of the brain. Cerebrospinal fluid analysis showed elevated myelin basic protein. Read More

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December 2018

A Single-Step Gold Nanoparticle-Blood Serum Interaction Assay Reveals Humoral Immunity Development and Immune Status of Animals from Neonates to Adults.

ACS Infect Dis 2018 Dec 6. Epub 2018 Dec 6.

A well-developed, functional immune system is paramount to combat harmful attack from pathogenic organisms and prevent infectious diseases. Newborn animals and humans have only limited immunity upon birth, but their immune functions are expected to develop within weeks to months and eventually to reach a maturity that will provide full protection. Despite the importance of immune activity in animal and human health management, there is no convenient test available that allows for rapid assessment of the state of immune function in non-laboratory settings. Read More

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December 2018

Teledermatology for diagnosing skin cancer in adults.

Cochrane Database Syst Rev 2018 Dec 3;12:CD013193. Epub 2018 Dec 3.

Institute of Applied Health Research, University of Birmingham, Birmingham, UK, B15 2TT.

Background: Early accurate detection of all skin cancer types is essential to guide appropriate management and to improve morbidity and survival. Melanoma and squamous cell carcinoma (SCC) are high-risk skin cancers which have the potential to metastasise and ultimately lead to death, whereas basal cell carcinoma (BCC) is usually localised with potential to infiltrate and damage surrounding tissue. Anxiety around missing early curable cases needs to be balanced against inappropriate referral and unnecessary excision of benign lesions. Read More

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December 2018
5 Reads

Secular trend in interobserver agreement of VIA diagnosis for cervical cancer screening in Nigeria.

PLoS One 2018 6;13(12):e0208531. Epub 2018 Dec 6.

Department of Strategic Information and Research, Institute of Human Virology Nigeria, Abuja, Nigeria.

Objective: In low resource settings, visual inspection with acetic acid (VIA) by allied health workers, has been suggested as an alternative for cervical cancer screening. However, there are concerns about the objectivity and time to diagnostic concordance with specialists. We evaluated the secular trend in interobserver agreement between nurse providers and a gynecologist/colposcopist over a five-year period. Read More

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December 2018

The Added Value of a Vasculitis Clinic in a Tertiary Referral Hospital.

Acta Med Port 2018 Nov 30;31(11):614-617. Epub 2018 Nov 30.

Rheumatology Department. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisbon Academic Medical Centre. Lisbon. Portugal.

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November 2018
1 Read

Effects of weight loss on dynamic hyperinflation in women obese asthmatics.

J Appl Physiol (1985) 2018 Dec 6. Epub 2018 Dec 6.

Physical Therapy, School of Medicine, Brazil.

Obese adults with asthma are more likely to develop dynamic hyperinflation (DH) and expiratory flow limitation (EFL) than non-obese asthmatics, and weight-loss seems to improve the breathing mechanics during exercise. However, studies evaluating the effect of weight-loss on DH in obese adults with asthma have not been performed.

Objective: To evaluate the effect of a weight-loss program on DH in obese adults with asthma. Read More

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December 2018

Addressing social isolation in lower-limb management.

Br J Community Nurs 2018 Dec;23(Sup12):S38-S39

Consultant Venous Surgeon, Consultant Phlebologist, Whiteley Clinics, London.

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December 2018

A novel transnational fresh oocyte donation (TOD) program based on transport of frozen sperm and embryos.

Hum Reprod 2018 Dec 6. Epub 2018 Dec 6.

Clínica EUGIN, Barcelona, Spain.

Study Question: What is the clinical efficacy of an oocyte donation program based on the transportation of frozen semen and embryos between two countries?

Summary Answer: The transnational oocyte donation program is efficient and reliable and it could provide a first-line strategy to overcome the lack of donors in some countries.

What Is Known Already: While there is increasing need for donated oocytes, in many countries the availability of donors is still insufficient to cover the therapeutic demands, and patients are referred abroad for treatment. Since embryo cryopreservation is reliable and efficient, we propose a strategy based on frozen embryos instead of frozen oocytes to satisfy the increasing demand for cross border oocyte donation. Read More

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December 2018

Value-based Health Care: Lessons for the Anesthesiologist.

Int Anesthesiol Clin 2019 ;57(1):63-80

Harvard Business School, Boston, Massachusetts.

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January 2019

Development of an oral anticoagulant-use attitude scale, and assessment of its validity and reliability.

Saudi Med J 2018 Dec;39(12):1242-1248

Department of Fundamentals, Sakarya University, Sakarya, Turkey. E-mail.

Objectives: To develop a reliable scale that can measure the attitudes of individuals using oral anticoagulant drugs (OACs). Methods: This methodological study was conducted with 296 followed-up individuals using OACs for at least 6 months and visiting the cardiology and neurology clinics of a hospital in Turkey during 2017. A 20-item pool was used to construct the scale and all items were found suitable after content validity analysis and preliminary testing. Read More

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December 2018

ERBB2 mutation frequency in lobular breast cancer with pleomorphic histology or high-risk characteristics by molecular expression profiling.

Genes Chromosomes Cancer 2018 Dec 5. Epub 2018 Dec 5.

Institute of Pathology, Hannover Medical School, Hannover, Germany.

HER2-positive breast cancer is defined by amplification or overexpression of the HER2/ERBB2 oncogene and accounts for about 15% of breast cancer (BC) cases. Somatic mutation of ERBB2 is an alternative mechanism, by which activation of HER2 signaling can occur. ERBB2 mutation has been associated with invasive lobular breast cancer (ILBC). Read More

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December 2018
1 Read

Anaphylaxis to intravenous gelatin-based solutions: a case series examining clinical features and severity.

Anaesthesia 2018 Dec 5. Epub 2018 Dec 5.

Department of Anaesthesia and Peri-operative Medicine, Monash University, Melbourne, Vic., Australia.

The proportion of patients receiving intravenous gelatin-based colloids has increased in the last decade due to safety concerns about starch-based products. Recent research suggests hypersensitivity reactions to intravenous gelatin-based solutions occur at similar rates per administration as non-depolarising neuromuscular blocking agents such as rocuronium (6.2/100,000 administrations). Read More

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December 2018
2 Reads

HIV Physicians and Chronic Opioid Therapy: It's Time to Raise the Bar.

AIDS Behav 2018 Dec 5. Epub 2018 Dec 5.

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.

Clinical practice that utilizes chronic opioid therapy has been recognized as one major cause of the opioid crisis. Among patients living with HIV, the risks associated with chronic opioid therapy may be complicated by factors such as co-occurring mental health diagnoses, substance use, and economic marginalization. Improving opioid prescribing practices in HIV clinics requires attention to these and other characteristics common to HIV care. Read More

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December 2018
1 Read

Patient Satisfaction and Healthcare Utilization Using Telemedicine in Liver Transplant Recipients.

Dig Dis Sci 2018 Dec 5. Epub 2018 Dec 5.

Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.

Background: Post-liver transplantation care is limited to tertiary care centers. Concentration at expert centers leads to high-volume clinics with long wait times and decreased accessibility.

Aim: To assess whether telemedicine can be utilized to overcome barriers to care while sustaining strong patient-physician relationships. Read More

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December 2018

Is Awareness Enough to Bring Patients to Colorectal Screening?

Open Med (Wars) 2018 25;13:528-533. Epub 2018 Nov 25.

Department of Hygiene, University of Medicine and Pharmacy of Tirgu Mures, Tirgu Mures 540139, Romania.

Background: The aim of the study was to assess the awareness of colorectal cancer (CRC) patients about CRC screening methods and to investigate the relationship between awareness, socio-demographic characteristics and the stage in which patients with CRC are diagnosed.

Methods: The observational cross-sectional study included 275 CRC patients admitted between 2014 and 2016 to two surgical clinics from Tîrgu Mureş, Romania. Study variables were collected via face-to-face interview and from patients' observation sheets. Read More

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November 2018
3 Reads

Correlation of Optical Coherence Tomography and Retinal Histology in Normal and Pro23His Retinal Degeneration Pig.

Transl Vis Sci Technol 2018 Nov 30;7(6):18. Epub 2018 Nov 30.

Carver College of Medicine, Department of Ophthalmology and Visual Sciences, Institute for Vision Research, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Purpose: We correlate optical coherence tomography (OCT) retinal layer thickness measurements with histology in wild-type and retinal degenerative pigs.

Methods: OCT scans were obtained using the Bioptigen Envisu R2200. In normal pigs, three eyes were imaged in vivo, and three eyes were imaged after enucleation. Read More

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November 2018
1 Read

Young key affected population in Myanmar: are there any challenges in seeking information and care for HIV/sexually transmitted infections and reproductive health?

F1000Res 2018 21;7:1515. Epub 2018 Sep 21.

Department of Medical Research, Ministry of Health and Sports, Yangon, 11191, Myanmar.

Unmet needs and barriers in seeking HIV/STI and RH information and care are present especially among young key affected population (YKAP). Therefore, the study was conducted to determine the health seeking behaviors of YKAP regarding HIV/STI and RH, and challenges in seeking health information and care. A cross-sectional, mixed-methods study was conducted at two large cities in Myanmar. Read More

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September 2018

Cortisol Impacted on Explicit Learning Encoding, but Not on Storage and Retrieval, and Was Not Associated With Sleep Patterns-Results From the Trier Social Stress Test for Children (TSST-C) Among 9-Years Old Children.

Front Psychol 2018 21;9:2240. Epub 2018 Nov 21.

Psychiatric Services Solothurn, Solothurn, Switzerland.

Learning is the relatively permanent change of behavior as a result of experience and tightly related to memory and cognition. Learning is particularly important for children. Further, restoring sleep is associated both with improved learning performance and lower cortisol levels as a proxy of the so-called hypothalamus-pituitary-adrenocortical axis activity (HPA-AA). Read More

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November 2018
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Among substance-abusing traffic offenders, poor sleep and poor general health predict lower driving skills but not slower reaction times.

Psychol Res Behav Manag 2018 9;11:557-566. Epub 2018 Nov 9.

Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran,

Background: Traffic accidents are a significant health issue in Iran. Explanations for such accidents have included single consideration of the role of poor sleep and negative psychological trait and state variables. In this study, we examined whether and to what extent sleep, general health, and aggression can concomitantly predict driving behavior. Read More

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November 2018

Dento-skeletal characteristics of cleft patients with missing teeth.

Clin Cosmet Investig Dent 2018 8;10:237-244. Epub 2018 Nov 8.

Advanced Education Program in Orthodontics and Dentofacial Orthopedics, UMKC School of Dentistry, Kansas City, MO, USA.

Objective: The objective of this study was to compare the cephalometric skeletal and dental characteristics of unilateral complete cleft lip and palate (UCCLP) subjects with and without missing teeth.

Design: A retrospective records review was conducted for patients who are being treated at the cleft lip and palate (CLP) clinics in the College of Dentistry.

Methods: Ninety-six consecutive records of non-syndromic UCCLP subjects were recruited (33 subjects without missing teeth, 50 subjects with only one missing tooth, and 13 subjects with two or more missing teeth). Read More

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November 2018

Rural and urban disparities in the care of Canadian patients with inflammatory bowel disease: a population-based study.

Clin Epidemiol 2018 8;10:1613-1626. Epub 2018 Nov 8.

Department of Medicine, University of Calgary, Calgary, Alberta, Canada.

Background And Aims: Canada's large geographic area and low population density pose challenges in access to specialized health care for remote and rural residents. We compared health services use, surgical rate, and specialist gastroenterologist care in rural and urban inflammatory bowel disease (IBD) patients in Canada.

Methods: We used validated algorithms that were applied to population-based health administrative data to identify all people living with the following three Canadian provinces: Alberta, Manitoba, and Ontario (ON). Read More

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November 2018

Diabetes and depression in Lebanon and association with glycemic control: a cross-sectional study.

Diabetes Metab Syndr Obes 2018 8;11:717-728. Epub 2018 Nov 8.

Department of Internal Medicine, Faculty of Medicine, Beirut Arab University, Beirut, Lebanon,

Background: Diabetes mellitus is a chronic noncommunicable disease characterized by hyperglycemia and is associated with chronic complications affecting the overall quality of life. As of 2017, the prevalence of diabetes in Lebanon is estimated to be 14.6%. Read More

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November 2018

The impact of fatwas on patients' acceptance of enamel matrix derivatives for periodontal regeneration in Saudi Arabia.

Patient Prefer Adherence 2018 12;12:2405-2411. Epub 2018 Nov 12.

Department of Periodontology, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia,

Background: Since the introduction of enamel matrix derivatives (EMD) (Emdogain), it has not been allowed to be used in Saudi Arabia due to the religious restriction on porcine products. This study was conducted to determine the impact of the fatwas permitting the use of EMD and to assess the general perception of using bone-grafting materials in Jeddah, Saudi Arabia.

Materials And Methods: This cross-sectional survey study included 213 patients seeking dental treatment at the Faculty of Dentistry Clinics of King Abdulaziz University, Jeddah, Saudi Arabia. Read More

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November 2018
1 Read

Impact of Hormone Therapy on Laboratory Values in Transgender Patients.

Clin Chem 2018 Dec 5. Epub 2018 Dec 5.

Department of Pathology, UT Southwestern Medical Center, Dallas, TX.

Background: For transgender individuals taking hormone therapy (HT), data on laboratory values are limited, and the effects on laboratory values cannot be easily predicted. We evaluated the impact on common laboratory analytes in transgender individuals before and after initiation of HT.

Methods: We conducted a retrospective chart review of transgender patients identified at transgender-specific clinics at an urban county hospital and community clinic. Read More

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December 2018
1 Read

Comparison of Commonly Used Questionnaires to Identify Obstructive Sleep Apnea in a High-Risk Population.

J Clin Sleep Med 2018 Nov 29. Epub 2018 Nov 29.

Study Objectives: Sleep apnea is associated with adverse health outcomes. Despite being an important comorbidity in obesity, type 2 diabetes, heart failure, and resistant hypertension, it is underdiagnosed in these patient groups. An inexpensive and readily accessible sleep apnea screening tool would help address this problem. Read More

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November 2018

The effect of depression management on diabetes and hypertension outcomes in low- and middle-income countries: a systematic review protocol.

Syst Rev 2018 Dec 5;7(1):223. Epub 2018 Dec 5.

College of Medicine, University of Malawi, P/Bag 360, Chichiri, Blantyre, 3, Malawi.

Background: Depression and non-communicable diseases (NCDs) account for a growing burden on health systems in low- and middle-income countries (LMICs). Depression is generally associated with the outcomes of NCDs and is an important barrier to consistent NCD care management. There is great need to understand the efficacy of interventions to treat depression for people with NCDs, but there is a paucity of evidence of the efficacy of the interventions in LMICs. Read More

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December 2018

Giant prolactinoma, germline BRCA1 mutation, and depression: a case report.

J Med Case Rep 2018 Dec 6;12(1):360. Epub 2018 Dec 6.

Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar Universitário de São João, E.P.E., Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.

Background: Giant prolactinomas are very rare pituitary tumors that may exhibit an aggressive behavior and present with a life-threatening condition.

Case Presentation: A 25-year-old white woman was admitted to our hospital with a headache, psychomotor retardation, reduced vision, and loss of autonomy in daily activities. Her past medical history was significant for having oligomenorrhea and a depressive syndrome since her mother's death. Read More

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December 2018
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Development and use of an index for measuring implementation of a weight management program in children in primary care clinics in Texas.

BMC Fam Pract 2018 Dec 5;19(1):191. Epub 2018 Dec 5.

Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston (UTHealth) School of Public Health in Austin, Austin, TX, USA.

Background: The Texas Childhood Obesity Research Demonstration study was an integrated, systems-oriented intervention that incorporated primary and secondary obesity prevention approaches targeting multiple sectors, including primary care clinics, to address childhood obesity. The primary care clinic component included the American Academy of Pediatrics' Next Steps weight management counseling materials that support brief healthy lifestyle-focused visits. The current study describes the methodology and assesses the implementation of the Next Steps program in the participating primary care clinics, as well as the association of implementation with enrollment of children with overweight and obesity in the secondary prevention intervention. Read More

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December 2018

Epidemiology and microbiology of skin and soft tissue infections: preliminary results of a National registry.

J Chemother 2018 Dec 3:1-6. Epub 2018 Dec 3.

y UOC Medicina Interna , Ospedale Umberto I , Enna , Italy.

Skin and soft tissue infections (SSTIs) represent a wide range of clinical conditions characterized by a considerable variety of clinical presentations and severity. Their aetiology can also vary, with numerous possible causative pathogens. While other authors previously published analyses on several types of SSTI and on restricted types of patients, we conducted a large nationwide surveillance programme on behalf of the Italian Society of Infectious and Tropical Diseases to assess the clinical and microbiological characteristics of the whole SSTI spectrum, from mild to severe life-threatening infections, in both inpatients and outpatients. Read More

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December 2018

Low-Cost Animal Rabies Vaccination Clinics in Maryland Facilitate Access to Rabies Vaccination for Pets.

Vector Borne Zoonotic Dis 2018 Dec 1. Epub 2018 Dec 1.

Center for Zoonotic and Vectorborne Diseases, Maryland Department of Health, Baltimore, Maryland.

Rabies is a zoonotic disease that poses a serious public health risk. To facilitate pet owner compliance with statewide mandatory animal rabies immunization requirements, Maryland statute requires Maryland's local health departments to conduct low-cost animal rabies vaccination clinics at least twice per year. We describe the outputs of these public low-cost clinics by documenting the number of animals vaccinated, number of clinics held annually, and cost per vaccine to pet owners for the years 2015-2016. Read More

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December 2018

Indications for and efficacy of postmastectomy radiotherapy for patients with a favorable response to neoadjuvant chemotherapy.

Cancer 2018 Dec 3. Epub 2018 Dec 3.

Department of Human Oncology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.

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December 2018

Factors associated with healthcare utilization among community-dwelling elderly in Shanghai, China.

PLoS One 2018 3;13(12):e0207646. Epub 2018 Dec 3.

School of Public Health/Key Lab of Health Technology Assessment, National Health and Family Planning Commission of the People's Republic of China, Fudan University, Shanghai, China.

Objective: The objective of this study was to evaluate the factors associated with the health status of older Chinese people living in the community, in order to inform strategies to expand access to healthcare.

Methods: Two-phase stratified cluster sampling was applied; 2000 older people participated in this study. Face-to-face interviews were conducted in Shanghai between June and August, 2011. Read More

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December 2018

The Role of Elbow Tender Point Examination in the Diagnosis of Lateral Epicondylitis.

J Occup Environ Med 2018 Nov 29. Epub 2018 Nov 29.

Rocky Mountain Center for Occupational and Environmental Health (RMCOEH) (Ms Yoon, Dr Thiese, Dr Ott, Dr Wood, Dr Hegmann); Center for Ergonomics, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (Dr Kapellusch, Dr Foster); Department of Mechanical Engineering (Dr Merryweather), University of Utah, Salt Lake City, Utah; Allina Health Clinics, Minneapolis, Minnesota (Dr Drury).

Objective: To quantify sensitivity and specificity of the tender points and demonstrate how variability in case definition impacts prevalence of lateral epicondylitis (LE).

Methods: Baseline data analyzed from 1216 workers from the WISTAH study, a multicenter prospective cohort study of upper extremity musculoskeletal disorders. All workers completed computerized questionnaires, structured interviews, and two independent physical examinations in accordance with an established protocol. Read More

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November 2018

Using Medicaid Data to Improve Childhood Lead Poisoning Prevention Program Outcomes and Blood Lead Surveillance.

J Public Health Manag Pract 2019 Jan/Feb;25 Suppl 1, Lead Poisoning Prevention:S51-S57

Division of Public Health, Department of Health Services, Madison, Wisconsin (Ms Bruce, Dr Meiman, and Ms Walsh); and Departments of Ophthalmology and Visual Sciences (Dr Christensen), Population Health Sciences (Ms Coons), and Surgery (Mr Havlena), School of Medicine and Public Health, University of Wisconsin, Madison.

Context: Wisconsin-specific data revealed that not all Medicaid providers were testing children appropriately for blood lead levels and not all blood lead tests were reported to the Department of Health Services, Childhood Lead Poisoning Prevention Program. The Medicaid program requires blood lead screening for all Medicaid-enrolled children at specific ages. Wisconsin state law requires reporting of all blood lead test results. Read More

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December 2018

Spinal cord perfusion protection for thoraco-abdominal aortic aneurysm surgery.

Curr Opin Anaesthesiol 2018 Nov 29. Epub 2018 Nov 29.

Department of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Purpose Of Review: Spinal cord ischemia (SCI) is a devastating complication after open or endovascular aortic repair for thoracoabdominal aortic disease. The underlying pathogenesis is not fully understood but appears multifactorial. Multiple spinal cord protection strategies and monitoring techniques are currently utilized with variable results seen. Read More

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November 2018

The development of a lifetime care model in comprehensive spina bifida care.

J Pediatr Rehabil Med 2018 Nov 20. Epub 2018 Nov 20.

Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Purpose: To describe the development and implementation of the Children's of Alabama (COA) Spina Bifida (SB) Lifetime-Care-Model, including standardized care protocols and transition plan.

Methods: In 2010, members of the pediatric team at COA began to evaluate limitations in access to care for patients with SB at various stages of life. Through clinic surveys, observations, and caregiver report, a Lifetime-Care-Model was developed and implemented. Read More

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November 2018

Squatting versus squatting with hip adduction in management of patellofemoral osteoarthritis: A randomized controlled trial.

J Back Musculoskelet Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Department of Physical Therapy, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.

Background: Patellofemoral osteoarthritis is a common presentation in the outpatients' physical therapy clinics. The muscle imbalance between the vastus medialis oblique and vastus lateralis muscles is one of the main factors that lead to the development of this condition.

Objective: To compare the effect of a squatting versus squatting with hip adduction in management of patellofemoral osteoarthritis. Read More

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November 2018
1 Read

How do neurologists diagnose transient ischemic attack: A systematic review.

Int J Stroke 2018 Dec 3:1747493018816430. Epub 2018 Dec 3.

1 Department of Medicine, Division of Neurology, The Ottawa Hospital, Ottawa, Canada.

Background: Identifying and treating patients with transient ischemic attack is an effective means of preventing stroke. However, making this diagnosis can be challenging, and over a third of patients referred to stroke prevention clinic are ultimately found to have alternate diagnoses.

Aims: We performed a systematic review to determine how neurologists diagnose transient ischemic attack. Read More

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December 2018
2 Reads

Low-Income Texas Women's Experiences Accessing Their Desired Contraceptive Method at the First Postpartum Visit.

Perspect Sex Reprod Health 2018 Dec 3. Epub 2018 Dec 3.

Professor, Population Research Center, University of Texas at Austin.

Context: Early access to contraception may increase postpartum contraceptive use. However, little is known about women's experiences receiving their desired method at the first postpartum visit or how access is associated with use.

Methods: In a 2014-2016 prospective cohort study of low-income Texas women, data were collected from 685 individuals who desired a reversible contraceptive and discussed contraception with a provider at their first postpartum visit, usually within six weeks of birth. Read More

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December 2018

In-hospital outcomes of transcatheter mitral valve repair with Mitraclip in patients with pulmonary hypertension: Insights from the National Inpatient Sample.

Catheter Cardiovasc Interv 2018 Dec 2. Epub 2018 Dec 2.

Department of Cardiovascular Medicine, Wayne State University/Detroit Medical Center, Detroit, Michigan.

Background: Periprocedural outcomes of transcatheter mitral valve repair (TMVR) with Mitraclip in patients with pulmonary hypertension (PH) are not well studied.

Methods: Patients who underwent TMVR with Mitraclip between 2011 and 2015 were identified using the National Inpatient Sample (NIS). All missing variables were excluded from the analysis and therefore, complete case analysis was performed. Read More

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December 2018

Hidden morbidity: the results of a collaborative community Chronic Obstructive Pulmonary Disease screening initiative.

Clin Respir J 2018 Dec 2. Epub 2018 Dec 2.

Respiratory Medicine, Hull and East Yorkshire Hospitals NHS Trust.

Chronic obstructive pulmonary disease (COPD) often goes unrecognised resulting in people living with the disease without a diagnosis. Screening of asymptomatic individuals is not recommended but case-finding is encouraged to detect early disease. We investigated the characteristics, symptom burden and flow of participants taking part in a community-based COPD screening initiative in a city with high smoking prevalence. Read More

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December 2018

Making Function Part of the Conversation: Clinician Perspectives on Measuring Functional Status in Primary Care.

J Am Geriatr Soc 2018 Dec 2. Epub 2018 Dec 2.

San Francisco Veterans Affairs (VA) Medical Center, San Francisco, California.

Objectives: Although there is increasing interest in using functional status to guide clinical decision making, function is seldom routinely assessed in primary care. We explored clinician perspectives on barriers and facilitators to routine measurement of older adults' functional status in primary care settings.

Design: Qualitative study using semistructured interviews. Read More

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December 2018

Approaches to Identify Unknown HIV-Positive Men Who Have Sex with Men in Nairobi, Kenya.

AIDS Behav 2018 Dec 1. Epub 2018 Dec 1.

Graduate School of Public Health, Center for LGBT Health Research, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.

Kenya has been home to one of the most severe HIV/AIDS epidemics in Sub-Saharan Africa. This persistent epidemic requires interventions tailored to affected populations, particularly men who have sex with men (MSM). Given the resource constraints of many clinics and ecological challenges of Kenya, such as the illegality of sex among MSM, interventions to address HIV must strategically engage this population. Read More

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December 2018

Clinician offering is a key factor associated with HPV vaccine uptake among Mexican mothers in the USA and Mexico: a cross-sectional study.

Int J Public Health 2018 Dec 1. Epub 2018 Dec 1.

UCLA Department of Health Policy and Management and Kaiser Permanente Center for Health Equity, Fielding School of Public Health, Los Angeles, CA, USA.

Objective: To compare the knowledge, beliefs, and practices regarding HPV vaccination among mothers of vaccine-eligible girls in Mexico and the USA.

Methods: Similar samples of Mexican mothers with vaccine-eligible daughters were surveyed at two clinics in Cuernavaca, Morelos, from July to October 2012 (n = 200) and at two clinics in Oxnard, California, from August to November 2013 (n = 200).

Results: Although mothers in the USA had less knowledge and more negative attitudes toward the vaccine than their counterparts in Mexico, vaccine uptake rates were higher in the USA (49% vs. Read More

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December 2018

Styloid-stylohyoid syndrome: a rare cause of cranio-facial pain-a retrospective case series of 12 patients.

Oral Maxillofac Surg 2018 Nov 30. Epub 2018 Nov 30.

Command Military Dental Centre (WC), Chandimandir, India.

Purpose: Elongated styloid process results in severe cranio-facial/cervico-facial pain. The purpose of this study is to determine the efficacy of treatment outcomes using transcervical approach in the management of styloid-stylohyoid syndrome/styloid syndrome.

Study Design: This is a retrospective cohort study. Read More

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November 2018