2,442,414 results match your criteria Use of Cardiac Markers in the Emergency Department


Patient preference for a maintenance inhaler in chronic obstructive pulmonary disease: a comparison of Breezhaler and Respimat.

J Thorac Dis 2018 Oct;10(10):5727-5735

GfK Switzerland AG, Basel, Switzerland.

Background: Good compliance in chronic obstructive pulmonary disease (COPD) is of 'paramount importance' in reducing the occurrence of acute exacerbations, hospitalisation and mortality and in improving quality of life. However, a number of studies have confirmed that long-term compliance is low and often associated with difficulties in handling maintenance inhalers. Therefore, the easier an inhaler is to use, the more likely the patient will comply with handling instructions and so, optimise control of the condition. Read More

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October 2018

'Codeine is my companion': misuse and dependence on codeine containing medicines in Ireland.

Ir J Psychol Med 2018 Dec;35(4):275-288

1School of Health Sciences,Waterford Institute of Technology,Waterford,Ireland.

Objectives: Global concern around over the counter availability of codeine containing products and risk of misuse, dependence and related harms are evident. A phenomenological study of lived experiences of codeine misuse and dependence was undertaken in Ireland, following the Pharmaceutical Society of Ireland's 2010 guidelines for restricted supply of non-prescription codeine containing products.

Methods: In-depth interviews were conducted with a purposive sample of adult codeine misusers and dependents (n=21), both actively using, in treatment and in recovery. Read More

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December 2018

Experimentally derived and computationally optimized backbone conformational statistics for blocked amino acids.

J Chem Theory Comput 2018 Dec 5. Epub 2018 Dec 5.

Experimentally derived, amino acid specific backbone dihedral angle distributions are invaluable for modeling data-driven conformational equilibria of proteins and for enabling quantitative assessments of the accuracies of molecular mechanics forcefields. The protein coil library that is extracted from analysis of high-resolution structures of proteins, has served as a useful proxy for quantifying intrinsic and context-dependent conformational distributions of amino acids. However, data that go into coil libraries will have hidden biases, and ad hoc procedures must be used to remove these biases. Read More

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December 2018

Are the Patients Ready for the Change?: An Empirical Study to Evaluate the Impact of Change in Formulation of Buprenorphine-Naloxone on Prescription Pattern, Treatment Adherence, and Patient Satisfaction.

Subst Use Misuse 2018 Dec 4:1-8. Epub 2018 Dec 4.

a Behavioral Addictions Clinic (BAC), Department of Psychiatry, National Drug Dependence Treatment Center , All India Institute of Medical Sciences (AIIMS) , New Delhi , India.

Background: Therapeutic adherence is one of the most important determinants of the outcome with OST. There are no published studies that have explored the impact of change in tablet formulation of buprenorphine-naloxone from one brand to another among patients receiving OST.

Objectives: The current study is aimed at evaluation of the impact of change in buprenorphine-naloxone formulation on prescription pattern, treatment adherence, and patient satisfaction with OST. Read More

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December 2018
7 Reads

The use of social media among Saudi residents for medicines related information.

Saudi Pharm J 2018 Dec 31;26(8):1106-1111. Epub 2018 May 31.

Faculty of Pharmacy, Taif Univeristy, P.O. Box 888, Taif 21974, Saudi Arabia.

This study aimed to measure the use of social media applications for health information among residents in Saudi Arabia. A cross sectional study was adopted in this study between 20th of September to 1st of December 2017. A pre-validated questionnaire was either distributed through face to face to respondents in public areas or through online survey which was posted to main social media groups in Saudi Arabia. Read More

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December 2018
1 Read

The Association Between Ethnic Identity and Non-Medical Prescription Drug Use Among A Sample of College Students: Does a Sense of Ethnic Belonging Matter?

Subst Use Misuse 2018 Nov 29:1-11. Epub 2018 Nov 29.

a Buchtel College of Arts and Sciences, Sociology, University of Akron , Akron , Ohio , USA.

Background: National data demonstrate significant differences in non-medical prescription drug (NMPD) use, with Whites seeming to be more likely to use compared to non-Whites. College students also appear to be at an increased risk for NMPD use.

Objectives: This study examines NMPD use using a component of social identity theory. Read More

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November 2018

Polydrug use trajectories and differences in impulsivity among adolescents.

Int J Clin Health Psychol 2018 Sep-Dec;18(3):235-244. Epub 2018 Aug 22.

Department of Psychology, Universidad Loyola Andalucía, Spain.

: Although alcohol, tobacco and cannabis are the most widely consumed drugs, sparse data exist regarding polydrug use in adolescents and its relationship with impulsivity. This study aims to identify trajectories of polydrug use and analyze differences in impulsivity between them. : A total of 1,565 adolescents (54. Read More

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Semi-sparse PCA.

Psychometrika 2018 Nov 27. Epub 2018 Nov 27.

School of Mathematics and Statistics, The Open University, Milton Keynes, UK.

It is well known that the classical exploratory factor analysis (EFA) of data with more observations than variables has several types of indeterminacy. We study the factor indeterminacy and show some new aspects of this problem by considering EFA as a specific data matrix decomposition. We adopt a new approach to the EFA estimation and achieve a new characterization of the factor indeterminacy problem. Read More

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November 2018

Influence of peer-led wheelchair training on wheelchair skills and participation in older adults: Clinical outcomes of a randomized controlled feasibility trial.

Arch Phys Med Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Department of Rehabilitation, Université Laval, Quebec City, QC, Canada; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Centre integré de santé et de services sociaux de la Capitale-Nationale, Institut de réadaptation en déficience physique de Québec, Quebec City, QC, Canada.

Objectives: To estimate treatment effect size of a peer-led 'Wheelchair training self-efficacy enhanced for use' (WheelSeeU) program on objective wheelchair skills (primary); and on perceived wheelchair skills capacity and performance, wheelchair use-self-efficacy, satisfaction with participation, life-space mobility, and participation frequency (secondary); and to evaluate retention six months later (secondary).

Design: Randomized controlled trial.

Setting: Rehabilitation centres, communities. Read More

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November 2018

Integrate multiple traits to detect novel trait-gene association using GWAS summary data with an adaptive test approach.

Authors:
Bin Guo Baolin Wu

Bioinformatics 2018 Nov 23. Epub 2018 Nov 23.

Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Motivation: Genetics hold great promise to precision medicine by tailoring treatment to the individual patient based on their genetic profiles. Toward this goal, many large-scale genome-wide association studies (GWAS) have been performed in the last decade to identify genetic variants associated with various traits and diseases. They have successfully identified tens of thousands of disease-related variants. Read More

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November 2018
2 Reads

Reconstruction-Aware Imaging System Ranking by use of a Sparsity-Driven Numerical Observer Enabled by Variational Bayesian Inference.

IEEE Trans Med Imaging 2018 Nov 21. Epub 2018 Nov 21.

It is widely accepted that optimization of imaging system performance should be guided by task-based measures of image quality (IQ). It has been advocated that imaging hardware or data-acquisition designs should be optimized by use of an ideal observer (IO) that exploits full statistical knowledge of the measurement noise and class of objects to be imaged, without consideration of the reconstruction method. In practice, accurate and tractable models of the complete object statistics are often difficult to determine. Read More

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November 2018

Comparing Injecting Risk Behaviors of Long-Term Injectors with New Injectors in Tehran, Iran.

Subst Use Misuse 2018 Nov 26:1-6. Epub 2018 Nov 26.

h Social Determinants of Health Research Center , Saveh University of Medical Sciences , Saveh , Iran.

Background: Global estimates suggest there are 15.6 million people who inject drugs (PWID) of whom 17.8% are living with HIV. Read More

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November 2018
2 Reads

Use of Alcohol Protective Behavioral Strategies as a Moderator of the Alcohol Use-Consequences Relationship: Evidence from Multiple Replications.

Subst Use Misuse 2018 Nov 23:1-11. Epub 2018 Nov 23.

a Center on Alcoholism, Substance Abuse, & Addictions , University of New Mexico , Albuquerque , NM , USA.

Background: The use of protective behavioral strategies (PBS) has been found to attenuate the relationship between alcohol use and related consequences.

Objectives: The current study examined PBS use as a moderator of the association between alcohol use and consequences in multiple samples (N =  9) of college students with different sample sizes (e.g. Read More

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November 2018
1 Read

The role of intention and self-efficacy on the association between breastfeeding of first and second child, a Danish cohort study.

BMC Pregnancy Childbirth 2018 Nov 22;18(1):454. Epub 2018 Nov 22.

Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Background: The impact of parity on breastfeeding duration may be explained by physiological as well as psychosocial factors. The aim in the present study was to investigate the mediating influence of intention and self-efficacy on the association between the breastfeeding duration of the first and the following child.

Methods: A 5-year Danish cohort study with data from online questionnaires was used. Read More

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November 2018
1 Read

Brief Exposure to Pictures Depicting Poor Environments Leads to Increased Consumption of Beer in Adult Social Drinkers.

Subst Use Misuse 2018 Nov 22:1-11. Epub 2018 Nov 22.

c School of Psychology , The University of Liverpool , Liverpool , Liverpool , UK.

Previous studies have suggested a trait-like association between neighborhood deprivation and alcohol consumption. However, it is not known whether temporarily manipulating poverty and affluence states by exposure to stimuli signifying resource-scarcity or resource-wealth would influence alcohol-seeking behavior. Here, we aimed to investigate whether implicit exposure to affluence and poverty-related pictures would influence beer consumption. Read More

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November 2018
3 Reads

Edged weapons awareness.

Int J Legal Med 2018 Nov 21. Epub 2018 Nov 21.

Royal Centre for Defence Medicine, ICT Centre Research Park, Birmingham, B15 2SQ, UK.

Edged weapons (sometimes referred to as sharp weapons or blades) are an increasing threat to military personnel, the blue light community (police, ambulance, firefighters, other first responders) and the general public worldwide. The use of edged weapons in criminal and terrorist incidents internationally means the forensic community needs an awareness of the technology of edged weapons, how they are used, the damage (clothing and wounding) that might be caused and any other forensic implications. In this paper, the magnitude of the problem is presented, prior research summarised and implications for forensic investigations discussed. Read More

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November 2018

Perceived Unintended Consequences of Prescription Drug Monitoring Programs.

Subst Use Misuse 2018 Nov 21:1-5. Epub 2018 Nov 21.

f Department of Health Policy & Management , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.

Background: Opioid-related injuries and deaths continue to present challenges for public health practitioners. Prescription Drug Monitoring Programs (PDMPs) are a prevalent policy option intended to address problematic opioid pain reliever (OPR) prescribing, but previous research has not thoroughly characterized their unintended consequences.

Objectives: To examine state actors' perceptions of the unintended consequences of PDMPs. Read More

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November 2018
2 Reads

Early Adolescent Patterns of Alcohol and Tobacco Use in Eight Association of South-East Asian Nations (ASEAN) Member States.

Subst Use Misuse 2018 Nov 21:1-9. Epub 2018 Nov 21.

c Department of Research and Innovation, University of Limpopo , Turfloop , South Africa.

Background: Though alcohol and tobacco are the most commonly used substances among adolescents, little is known about the patterning of early adolescent substance use in Association of South-East Asian Nations (ASEAN) member states.

Objectives: This study examined past month patterns of substances use and its gender difference among adolescents.

Methods: Cross-sectional samples among adolescents aged 13-16 years who completed the Global School-based Student Health Survey (GSHS) from eight ASEAN countries were included in the analysis (n = 40,212). Read More

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November 2018

Lead in Spices, Herbal Remedies, and Ceremonial Powders Sampled from Home Investigations for Children with Elevated Blood Lead Levels - North Carolina, 2011-2018.

MMWR Morb Mortal Wkly Rep 2018 Nov 23;67(46):1290-1294. Epub 2018 Nov 23.

The number of pediatric cases of elevated blood lead levels (BLLs) are decreasing in North Carolina. However, one county reported an increase in the number of children with confirmed BLLs ≥5 μg/dL (CDC reference value, https://www.cdc. Read More

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November 2018
12 Reads

Prevalence of Amyotrophic Lateral Sclerosis - United States, 2015.

MMWR Morb Mortal Wkly Rep 2018 Nov 23;67(46):1285-1289. Epub 2018 Nov 23.

Division of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry, CDC.

Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease, is a progressive and fatal neuromuscular disease; the majority of ALS patients die within 2-5 years of receiving a diagnosis (1). Familial ALS, a hereditary form of the disease, accounts for 5%-10% of cases, whereas the remaining cases have no clearly defined etiology (1). ALS affects persons of all races and ethnicities; however, whites, males, non-Hispanics, persons aged ≥60 years, and those with a family history of ALS are more likely to develop the disease (2). Read More

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November 2018
4 Reads

Mass shootings: A call for nursing awareness and action.

Nursing 2018 Dec;48(12):50-55

Amy Glasofer is a nurse researcher at Virtua Center for Learning in Mt. Laurel, N.J. Linda Laskowski-Jones is the vice president of Emergency and Trauma Services at Christiana Care Health System in Wilmington, Del., and the Editor-in-Chief of Nursing2018.

Nurses everywhere may someday encounter the victims of a mass shooting, whether on the job or in their civilian lives. This article provides US mass shooting statistics, best practice recommendations for nurses, and lessons learned from the experiences of hospitals that have navigated this type of catastrophe. Read More

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December 2018
3 Reads

Understanding the role of speech language pathologists in managing dysphagia.

Nursing 2018 Dec;48(12):42-46

Sarah Clark is a senior speech language pathologist at Jeanes Hospital in Philadelphia, Pa. Barbara Ebersole is director of speech pathology services at Jeanes Hospital, head and neck cancer program administrator at Temple University's Fox Chase Cancer Center, assistant director at the Temple Head and Neck Institute, and clinical instructor in the department of otolaryngology-head and neck surgery in the Lewis Katz School of Medicine at Temple University; all in Philadelphia, Pa.

Collaboration between nurses and speech language pathologists is vital to the screening and management of dysphagia in acute care settings. This article examines each discipline's role in caring for patients with dysphagia. Read More

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December 2018
1 Read

Efficacy and safety of alfacalcidol in Chinese postmenopausal women aged over 65 with osteoporosis or osteopenia: An open label, non-comparative, post marketing observational study.

Medicine (Baltimore) 2018 Nov;97(47):e13159

Department of Endocrinology, Key Laboratory of Endocrinology, Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Science.

This study aimed to explore the therapeutic efficacy and safety of alfacalcidol among Chinese postmenopausal women (age >65 years) with osteoporosis or osteopenia.A total of 62 postmenopausal women with osteoporosis or osteopenia (>65 years) were recruited from urban residential community of Beijing. The patients daily took oral calcium and alfacalcidol (Alpha D3, 1 μg) for 9 months. Read More

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November 2018
7 Reads

Comorbidities, risk, and socioeconomic factors of uninsured cancer survivors.

Medicine (Baltimore) 2018 Nov;97(47):e13121

Department of Family Medicine, University of South Florida, FL.

Cancer patients can be well-connected to resources during treatment but become lost to follow-up and subsequently may receive treatment in free clinics for chronic morbidities. Few studies have examined outcomes for uninsured patients with cancer histories in free clinics, but research examining socioeconomic determinants emphasizes poor cancer outcomes for patients with lower socioeconomic statuses (SES).Demographic data and chronic disease measures were extracted from medical charts of patients treated in 8 free clinics in 2016 in Tampa Bay. Read More

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November 2018
2 Reads

A meta-analysis and systematic review of percutaneous catheter drainage in treating infected pancreatitis necrosis.

Medicine (Baltimore) 2018 Nov;97(47):e12999

Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

Background: In the current meta-analysis, we focus on the exploration of percutaneous catheter drainage (PCD) in terms of its overall safety as well as efficacy in the treatment of infected pancreatitis necrosis based on qualified studies.

Methods: The following electronic databases were searched to identify eligible studies through the use of index words updated to May 2018: PubMed, Cochrane, and Embase. Relative risk (RR) or mean difference (MD) along with 95% confidence interval (95% CI) were utilized for the main outcomes. Read More

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November 2018
2 Reads

AGMT3-D: A software for 3-D landmarks-based geometric morphometric shape analysis of archaeological artifacts.

PLoS One 2018 20;13(11):e0207890. Epub 2018 Nov 20.

Institute of Archaeology, Mount Scopus, The Hebrew University of Jerusalem, Jerusalem, Israel.

We present here a newly developed software package named Artifact GeoMorph Toolbox 3-D (AGMT3-D). It is intended to provide archaeologists with a simple and easy-to-use tool for performing 3-D landmarks-based geometric morphometric shape analysis on 3-D digital models of archaeological artifacts. It requires no prior knowledge of programming or proficiency in statistics. Read More

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November 2018
2 Reads

Dimensions of the Parent-Child Relationship: Effects on Substance Use in Adolescence and Adulthood.

Subst Use Misuse 2018 Nov 20:1-13. Epub 2018 Nov 20.

a Department of Sociology , University of Cambridge, Free School Lane , Cambridge , United Kingdom.

Background: Several studies have uncovered a relationship between parenting styles and the likelihood that adolescents use tobacco, alcohol or illegal drugs.

Objectives: This paper extends existing research in two ways. First, we consider a longer time-frame, investigating the relationship between parenting in adolescence and substance use in adulthood. Read More

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November 2018
1 Read

Weighted volume under the three-way receiver operating characteristic surface.

Stat Methods Med Res 2018 Nov 20:962280218812211. Epub 2018 Nov 20.

2 Duke University NUS Graduate Medical School, Singapore Eye Research Institute, National University of Singapore, Singapore, Singapore.

It is often necessary to differentiate subjects from multiple categories using medical tests. We may then adopt statistical measures to characterize the performance of these tests. The three-way ROC analysis has been proposed to evaluate the diagnostic accuracy of medical tests with three categories, reflecting the correct classification probabilities across all possible decision thresholds. Read More

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November 2018
2 Reads

[Management and pregnancy outcomes of heterotopic pregnancy].

Zhonghua Fu Chan Ke Za Zhi 2018 Nov;53(11):768-775

Department of Obstetrics, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310006, China.

To investigate the clinical features, diagnosis and treatments of heterotopic pregnancy (HP) and demonstrate the outcomes of HP after the surgical treatment of ectopic pregnancies. A retrospective analysis was performed on 144 cases of HP in Womens Hospital, School of Medicine, Zhejiang University from January 2003 to December 2016. (1) Clinical features of HP:the average age of patients was (30. Read More

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November 2018
2 Reads

[Survey of prevalence of iron deficiency and iron deficiency anemia in pregnant women in urban areas of China].

Zhonghua Fu Chan Ke Za Zhi 2018 Nov;53(11):761-767

Department of Obstetrics, West China Second University Hospital, Sichuan University, Chengdu 610041, China.

To investigate the prevalence of iron deficiency (ID) and iron deficiency anemia (IDA) in pregnant women in urban areas of China. The study was a national cross-sectional survey conducted from September 19th, 2016 to November 20th, 2016. According to the classification of the National Bureau of Statistics, all survey sites were set up in 6 regions of the country. Read More

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November 2018
5 Reads

Real-time Smartphone application for improving spatial awareness of Hearing Assistive Devices.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:433-436

In this paper, we present an improved version of a Speech source Iocalization method for Direction of Arrival (DOA) estimation using only two microphones. We also present a real-time Android application on a latest smartphone to help improve the spatial awareness of hearing impaired users. Unlike earlier methods, the proposed method is computationally more efficient and fully adaptive to dynamically changing background noise. Read More

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Progress Toward Global Eradication of Dracunculiasis - January 2017-June 2018.

MMWR Morb Mortal Wkly Rep 2018 Nov 16;67(45):1265-1270. Epub 2018 Nov 16.

Dracunculiasis (Guinea worm disease), caused by the parasite Dracunculus medinensis, is acquired by drinking water containing copepods (water fleas) infected with its larvae. The worm typically emerges through the skin on a lower limb approximately 1 year after infection, causing pain and disability (1). The worldwide eradication campaign began at CDC in 1980. Read More

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November 2018
2 Reads

Global Routine Vaccination Coverage - 2017.

MMWR Morb Mortal Wkly Rep 2018 Nov 16;67(45):1261-1264. Epub 2018 Nov 16.

Endorsed by the World Health Assembly in 2012, the Global Vaccine Action Plan 2011-2020 (GVAP) (1) calls on all countries to reach ≥90% national coverage with all vaccines in the country's national immunization schedule by 2020. This report updates previous reports (2,3) and presents global, regional, and national vaccination coverage estimates and trends as of 2017. It also describes the number of infants surviving to age 1 year (surviving infants) who did not receive the third dose of diphtheria and tetanus toxoids and pertussis-containing vaccine (DTP3), a key indicator of immunization program performance (4,5), with a focus on the countries with the highest number of children who did not receive DTP3 in 2017. Read More

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November 2018
8 Reads

Increase in Acute Flaccid Myelitis - United States, 2018.

MMWR Morb Mortal Wkly Rep 2018 Nov 16;67(45):1273-1275. Epub 2018 Nov 16.

In August 2018, CDC noted an increased number of reports of patients having symptoms clinically compatible with acute flaccid myelitis (AFM), a rare condition characterized by rapid onset of flaccid weakness in one or more limbs and spinal cord gray matter lesions, compared with August 2017. Since 2014, CDC has conducted surveillance for AFM using a standardized case definition (1,2). An Epi-X* notice was issued on August 23, 2018, to increase clinician awareness and provide guidance for case reporting. Read More

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November 2018
1 Read

Prenatal diagnosis and pregnancy outcome analysis of thickened nuchal fold in the second trimester.

Medicine (Baltimore) 2018 Nov;97(46):e13334

To summarize the results of prenatal diagnoses and pregnancy outcomes of fetuses with thickened nuchal fold (TNF) in the second trimester.From 2009 to 2016, we studied 72 pregnant women with fetal nuchal fold (NF) measurements over 5 mm at 14 to 19 + 6 weeks or 6 mm at 20 to 28 weeks of gestation who received prenatal diagnosis. Karyotypes were first used to detect common chromosomal diseases, and then chromosome microarray analysis (CMA) was performed if karyotypes were normal. Read More

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November 2018

Prognostic and clinical value of Targeting protein for Xenopus kinesin-like protein 2 in patients with gastrointestinal tract cancers: A meta-analysis.

Medicine (Baltimore) 2018 11;97(46):e13303

Department of Hepatobiliary Surgery, Meizhou People’s Hospital (Huangtang Hospital), Huangtang Road 63, Meijiang District, Meizhou 514031, Guangdong Province, P. R. China.

Background: Accumulating studies have indicated that Targeting protein for Xenopus kinesin-like protein 2 (TPX2) was overexpressed in various types of human cancers. However, the prognostic and clinical value of TPX2 in gastrointestinal (GI) tract cancers was not well-understood. This study was aimed to comprehensively explore the prognostic and clinical significance of TPX2 in GI tract cancers. Read More

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November 2018

The associations among Helicobacter pylori infection, white blood cell count and nonalcoholic fatty liver disease in a large Chinese population.

Medicine (Baltimore) 2018 Nov;97(46):e13271

International Health Care Center, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou.

Reported relationships among Helicobacter pylori infection, white blood cell (WBC) count and nonalcoholic fatty liver disease (NAFLD) are inconsistent and controversial. We, therefore, conducted a cross-sectional study to investigate the associations among the presence of NAFLD, WBC count and H pylori infection, as diagnosed using the C-urea breath test (UBT).This study included 20,389 subjects enrolled at the International Health Care Center of the Second Affiliated Hospital of the Zhejiang University School of Medicine from January 2015 to December 2015. Read More

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November 2018
3 Reads

Effect of prophylactic palonosetron and sugammadex on postoperative nausea and vomiting in patients undergoing microvascular decompression under propofol-maintained anesthesia: A retrospective observational study.

Medicine (Baltimore) 2018 Nov;97(46):e13237

Department of Anesthesiology and Pain Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.

Microvascular decompression (MVD) is associated with a particularly high risk of postoperative nausea and vomiting (PONV) among craniotomy patients. However, there is no information regarding the effect of prophylactic palonosetron and sugammadex on PONV in patients undergoing MVD under propofol-maintained anesthesia.Medical records of 274 adults who had undergone MVD under propofol-maintained anesthesia were reviewed. Read More

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November 2018

Musculoskeletal ultrasonography for arthropathy assessment in patients with hemophilia: A single-center cross-sectional study from Shanxi Province, China.

Medicine (Baltimore) 2018 Nov;97(46):e13230

Department of Hematology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

Magnetic resonance imaging (MRI) is currently considered the gold standard for assessing hemophilic arthropathy (HA) severity; however, MRI is often costly, time-consuming, and difficult to perform in children. In the present study, we evaluated the joint status of hemophilic patients from Shanxi Province, China, using musculoskeletal ultrasonography (MSKUS) and identified the factors that most strongly correlated with disease severity.The study included 104 patients with hemophilia, who underwent MSKUS examination. Read More

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November 2018
5 Reads

Prognostic value role of radiofrequency lesion size by cardiac magnetic resonance imaging on outcomes of ablation in patients with ischemic scar-related ventricular tachycardia: A single center pilot study.

Medicine (Baltimore) 2018 Nov;97(46):e12955

Istanbul University, Istanbul Faculty of Medicine, Department of Cardiology, Istanbul, Turkey.

Inadequate ablation lesion formation may be responsible for post-ablation ventricular tachycardia (VT) recurrences.We aimed to evaluate whether visualisation of radiofrequency (RF) lesion size by cardiac magnetic resonance imaging (CMR) has any role in predicting adequacy of lesion and in estimating outcome.Retrospective pilot studyNine consecutive patients (8 male, age 60 ± 13 years) underwent ablation for sustained VT because of ischemic scar were evaluated for pre- and post-procedure scar tissue by CMR to characterize ablation lesions. Read More

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November 2018
3 Reads

A methodology to systematically analyze the hospital discharge of terminally ill patients.

Medicine (Baltimore) 2018 Nov;97(46):e12953

Department of Medical Oncology.

To provide an appropriate method to systematically analyze the hospital discharge of terminally ill patients especially the cooperation between hospital and community nurses and the quality of the discharge handovers. To evaluate the hospital discharge process of terminally ill patients in an academic hospital in the Netherlands using the proposed method.Data were collected from a prospective cohort of all terminally ill patients discharged from the University Medical Center Groningen, the Netherlands, between June and November 2014. Read More

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November 2018

Application of shaft method assisted biological mesh in laparoscopic inguinal hernia repair.

Medicine (Baltimore) 2018 Nov;97(46):e12923

Department of General Surgery, Dongguan People's Hospital, Southern Medical University, Dongguan, Guangdong, China.

To compare the feasibility and advantage of traditional tiling method and shaft method to place biological mesh following laparoscopic repair of inguinal hernia.Sixty cases from January 2013 to January 2014 treated with laparoscopic inguinal hernia neoplasty with biological patches were included. All the cases were randomly divided into control group and observation group. Read More

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November 2018
4 Reads

Comparison of dabigatran and warfarin used in patients with non-valvular atrial fibrillation: Meta-analysis of random control trial.

Medicine (Baltimore) 2018 Nov;97(46):e12841

Arrhythmia Center, Ningbo First Hospital, Ningbo, Zhejiang, China.

Background: Dabigatran is a kind of oral anticoagulant and there was little review only about dabigatran and warfarin used in patients with atrial fibrillation. This meta-analysis only assesses the dabigatran and warfarin used in patients with atrial fibrillation.

Design: Cochrane Library, PubMed, Clinical Trials. Read More

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November 2018

The Nurse Leader's Pivotal Role in Retaining Millennial Nurses.

Authors:
Kate Ulep

J Nurs Adm 2018 Dec;48(12):604-608

Author Affiliation: Professional Development Director Cardiovascular Center, Department of Patient Care Services, Tufts Medical Center, Boston; Graduate Student, Master's in Nursing Leadership/Nursing Administration program Regis College, Weston, Massachusetts.

With increasing patient acuity and a significant nursing shortage expected in the near future, understanding and gaining the commitment of the new generation of novice nurses are important for nursing leaders. This article provides a review of recent literature and presents innovative strategies that nurse leaders can use to improve the engagement and commitment of millennials. The benefit of expanding mentoring to 3 years, involvement in department committees, quality initiatives, or unit-based councils and opportunities for lateral movement are also discussed. Read More

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December 2018
8 Reads

Cracks in the Foundation of the Care Environment Undermine Nurse Resilience.

J Nurs Adm 2018 Dec;48(12):597-599

Author Affiliations: Managing Director (Dr Virkstis), Consultant (Ms Herleth), and Senior Analyst (Ms Langr), Nursing Executive Center, Advisory Board, Washington, DC.

To see a meaningful change in nurse burnout, leaders must address the factors in the care environment that undermine nurse resilience. In this article, the authors describe why leaders should focus on the care environment rather than individual resilience building. Read More

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December 2018
5 Reads

How Do Waterpipe Smoking Establishments Attract Smokers? Implications for Policy.

Subst Use Misuse 2018 Nov 15:1-12. Epub 2018 Nov 15.

c Syrian Center for Tobacco Studies , Memphis , Tennessee , USA.

Background: Given the unique social nature of waterpipe smoking, an important factor contributing to its popularity is the spread of waterpipe establishments.

Objectives: With a focus on implications for regulations, we conducted a qualitative assessment of customers' online reviews on Yelp.com to gain insight into their positive and negative perceptions about waterpipe establishments and products, and identify features that are most important to them. Read More

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November 2018
7 Reads

Causal inference accounting for unobserved confounding after outcome regression and doubly robust estimation.

Biometrics 2018 Nov 14. Epub 2018 Nov 14.

Department of Statistics, USBE, Umeå University, 901 87, Umeå, Sweden.

Causal inference with observational data can be performed under an assumption of no unobserved confounders (unconfoundedness assumption). There is, however, seldom clear subject-matter or empirical evidence for such an assumption. We therefore develop uncertainty intervals for average causal effects based on outcome regression estimators and doubly robust estimators, which provide inference taking into account both sampling variability and uncertainty due to unobserved confounders. Read More

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November 2018

Convex Clustering Analysis for Histogram-Valued Data.

Biometrics 2018 Nov 14. Epub 2018 Nov 14.

Dept. of Mathematics Education, Korea National U. of Education, Cheongju, Chungbuk, 28173, Korea.

In recent years, there has been increased interest in symbolic data analysis, including for exploratory analysis, supervised and unsupervised learning, time series analysis, etc. Traditional statistical approaches that are designed to analyze single-valued data are not suitable because they cannot incorporate the additional information on data structure available in symbolic data, and thus new techniques have been proposed for symbolic data to bridge this gap. In this paper, we develop a regularized convex clustering approach for grouping histogram-valued data. Read More

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November 2018
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