30,382 results match your criteria aor


Self-reported reductions in tobacco and nicotine use following medical cannabis initiation: Results from a cross-sectional survey of authorized medical cannabis patients in Canada.

J Subst Abuse Treat 2021 May 14;130:108481. Epub 2021 May 14.

Faculty of Medicine, University of British Columbia, St. Paul's Hospital 806-1081, Burrard St., Vancouver, BC, Canada; British Columbia Centre on Substance Use, 400-1045 Howe St., Vancouver, BC V6Z 2A9, Canada. Electronic address:

Background: Despite decades of campaigns aimed at reducing tobacco/nicotine (T/N) use and the development of many different T/N reduction and cessation strategies, the impacts on international public health remain significant. Some studies have found an association between medical and non-medical cannabis use and T/N use, although the evidence on whether cannabis/cannabinoids increase or decrease the odds of reducing or ceasing T/N use remain contradictory. This paper explores the self-reported use of cannabis and associated changes in T/N use among a Canadian medical cannabis patient population. Read More

View Article and Full-Text PDF

Cross-sectional associations of leisure and transport related physical activity with depression and anxiety.

J Psychiatr Res 2021 Jun 4;140:228-234. Epub 2021 Jun 4.

Departmento de Clínica Médica, Faculdade de Medicina da USP & Hospital Universitário, Universidade de São Paulo, São Paulo, Brazil; Laboratory of Neurosciences (LIM-27), Institute of Psychiatry, Hospital das Clínicas da Faculdade de Medicina da USP, Brazil.

Background: Previous evidence supports the notion that the physical activity (PA) domain (leisure-time or transport), and the amount of time spent in PA, influence the association of PA with depressive and anxiety symptoms. However, no study evaluated the associations of different volumes of leisure-time PA (LTPA) and transport PA (TPA) with prevalent depression, anxiety, and co-occurring depression and anxiety (D&A) disorders.

Aim: To investigate the associations between different volumes of LTPA and TPA with prevalent depression, anxiety, and D&A. Read More

View Article and Full-Text PDF

CONTRACEPTIVE PRIORITIES AMONG WOMEN SEEKING FAMILY PLANNING SERVICES IN FINLAND IN 2017-2019.

Contraception 2021 Jun 9. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Objective: To assess how women's reproductive history, contraceptive experience and need of abortion care are associated with priorities for contraception.

Study: Design In this cross-sectional survey study, we gathered information on women's history of births and abortions, previous use and satisfaction with contraceptive methods, and features of contraceptive methods they value most. Women were recruited at public family planning and outpatient abortion clinics in the capital region of Helsinki, Finland. Read More

View Article and Full-Text PDF

Changes in Levels and Determinants of Maternal Health Service Utilization in Ethiopia: Comparative Analysis of Two Rounds Ethiopian Demographic and Health Surveys.

Matern Child Health J 2021 Jun 12. Epub 2021 Jun 12.

Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M Health Science Center, Texas A&M University, College Station, TX, 77843-1266, USA.

Background: Antenatal care (ANC), delivery by skilled birth attendants, and postnatal care (PNC) are critical components of maternal health services for reducing maternal mortality. The study aimed to compare the utilization of maternal health services in the two most recent rounds of Ethiopia Demographic and Health Surveys (EDHS) and identify the factors influencing the utilization of these services using the 2016 EDHS.

Methods: Two rounds of EDHS data in 2011 and 2016 were used to estimate the proportion of women who had ANC, delivered by skilled birth attendants, and had a postnatal checkup and other characteristics of the surveyed population. Read More

View Article and Full-Text PDF

Association of Sickle Cell Trait on Career and Operational Outcomes in the United States Air Force.

Mil Med 2021 Jun 12. Epub 2021 Jun 12.

Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.

Introduction: Sickle cell trait (SCT) is a heterozygotic state defined by having one normal hemoglobin gene and one sickle hemoglobin gene. Individuals with SCT are at increased risk for negative health outcomes during intense physical exertion, especially in hot climates and high-elevation locations, or when dehydrated. The U. Read More

View Article and Full-Text PDF

Association of Symptoms of Sleep-Related Breathing Disorders with Asthma Control in Indian Children.

Indian J Pediatr 2021 Jun 11. Epub 2021 Jun 11.

Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.

Objective: To explore the association of symptoms of sleep-related breathing disorders (SRBD) with asthma control in Indian children.

Methods: This study was carried out in the pediatric chest clinic of a tertiary care center in western India. Children from 6 to 18 y of age with a physician-diagnosed case of asthma were included in the study. Read More

View Article and Full-Text PDF

Association between discharges against medical advice and readmission in patients treated for drug injection-related skin and soft tissue infections.

J Subst Abuse Treat 2021 Jul 7;126:108465. Epub 2021 May 7.

Division of Substance Use Prevention and Harm Reduction, Philadelphia Department of Public Health, 123 South Broad Street, Philadelphia, PA 19109, USA. Electronic address:

Background: The prevalence of injection drug use (IDU)-related skin and soft tissue infections (SSTI) in Philadelphia has been steadily increasing since 2013. Patients seeking treatment for these infections are more likely to be discharged against medical advice (AMA), increasing the likelihood that they will end antibiotic treatment prematurely and require additional medical interventions.

Methods: The research team performed a nested case-control study using the Pennsylvania Health Care Cost Containment Council database for Philadelphia residents hospitalized for SSTI and substance use-related diagnoses between 2013 and 2018. Read More

View Article and Full-Text PDF

Identification and resolution of drug-related problems among diabetic patients attending a referral hospital: a prospective observational study.

J Pharm Policy Pract 2021 Jun 11;14(1):50. Epub 2021 Jun 11.

Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.

Background: People living with diabetes are more vulnerable to drug-related problems due to the presence of multiple diseases. This study aimed to identify drug-related problems and contributing factors among diabetic patients.

Methods: This study used a prospective observational study design. Read More

View Article and Full-Text PDF

Experiencing Bullying Is Associated With Firearm Access, Weapon Carriage, Depression, Marijuana Use, and Justice Involvement in Adolescents.

Pediatr Emerg Care 2021 Jun 11. Epub 2021 Jun 11.

From the Department of Emergency Medicine, Children's National Hospital, Washington, DC.

Objectives: The aims of this study were to assess whether bullying experience among youths is associated with firearm access and to evaluate assault perpetration risk factors between bullied and nonbullied adolescents.

Methods: This was a secondary analysis of a cross-sectional survey designed to measure self-reported social determinants of health and behavioral health risks among adolescents (13-21 years) in a pediatric emergency department between July 2017 and August 2019. Participants were included in this subanalysis if they responded to a survey item that assessed bullying. Read More

View Article and Full-Text PDF

Medical contraindications to combined hormonal contraceptive use among women using methods prescribed by a pharmacist.

Contraception 2021 Jun 8. Epub 2021 Jun 8.

Center for Health Systems Effectiveness, Oregon Health & Science University.

Objective: To determine whether pharmacist prescription of combined hormonal contraception is associated with inappropriate prescription to women with medical contraindications.

Study Design: We conducted a retrosopective cohort study of all short-acting, hormonal contraceptive users (pill, patch, ring, injectable) in Oregon's All Payer All Claims database from January 1, 2016 to December 31, 2018. Our primary outcome was the proportion of women receiving a combined hormonal method who had a Medical Eligibility Category (MEC) 3 or 4 condition. Read More

View Article and Full-Text PDF

Early postnatal exposure to traffic-related air pollution and asthma in adolescents: Vulnerability factors in the PARIS birth cohort.

Environ Res 2021 Jun 8:111473. Epub 2021 Jun 8.

Health Environmental Risk Assessment (HERA) Team, CRESS, Université de Paris, Inserm, INRAE, Paris, France; Université de Paris, Faculté de Pharmacie de Paris, Paris, France; Cellule Cohorte, Direction de l'Action Sociale de l'Enfance et de la Santé, Mairie de Paris, Paris, France.

Background: Associations between early traffic-related air pollution (TRAP) exposure and respiratory and allergic morbidity in adolescents are inconsistent. However, sub-groups might be more vulnerable to the health effects of this exposure.

Objectives: We investigated associations between early exposure to TRAP and respiratory and allergic morbidity at age 13 years in the PARIS birth cohort, and potential modifying effects of sex, parental allergy, stressful family event and lower respiratory tract infections (LRTI). Read More

View Article and Full-Text PDF

Causes of in-hospital death in patients with type 2 diabetes with micro- and macrovascular complications in Taiwan.

Int J Clin Pract 2021 Jun 11:e14491. Epub 2021 Jun 11.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Aims: Diabetes mellitus is a major cause of death worldwide, including Taiwan. The mortality data of the subsets of patients who suffered from micro- or macrovascular complications is limited. The aim of this study was to investigate the causes of in-hospital death of patients with type 2 diabetes, especially the patients with microvascular, macrovascular and, both micro-macrovascular complications. Read More

View Article and Full-Text PDF

Severe recalled labor pain and elective cesarean section in a subsequent delivery: a cohort study of Norwegian parous women.

Acta Obstet Gynecol Scand 2021 Jun 11. Epub 2021 Jun 11.

Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.

Introduction: Some women keep on recalling intense labor pain experienced at childbirth to a degree that it may negatively affect their life during the postpartum period or lead them to request a cesarean section (CS) in the subsequent delivery. This longitudinal study aimed to assess the impact of severe recalled labor pain from the previous birth on the preference of and delivery by an elective CS in the subsequent delivery. Further, we investigated if co-occurring maternal demographic, somatic, and mental health factors related to the previous and subsequent delivery explain parts of a potential association. Read More

View Article and Full-Text PDF

Compassionate and respectful care among outpatient clients at public health facilities in Northwest Ethiopia: A mixed-methods study.

PLoS One 2021 11;16(6):e0252444. Epub 2021 Jun 11.

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Introduction: Compassionate and respectful care is a pillar for improving health-seeking behaviour. It has given much attention globally, following the concerns that healthcare often falls significantly; however, less research emphasis was paid in the last decade. Therefore, this study aims to assess compassionate and respectful care and associated factors among outpatient clients at public health facilities in Northwest Ethiopia, 2020. Read More

View Article and Full-Text PDF

In-hospital mortality among consecutive patients with ST-Elevation myocardial infarction in modern primary percutaneous intervention era ~ Insights from 15-year data of single-center hospital-based registry ~.

PLoS One 2021 11;16(6):e0252503. Epub 2021 Jun 11.

Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Objective: To clarify the association of detailed angiographic findings with in-hospital outcome after primary percutaneous coronary intervention (p-PCI) for ST-elevation myocardial infarction (STEMI) in Japan.

Background: Data regarding the association of detailed angiographic findings with in-hospital outcome after STEMI are limited in the p-PCI era.

Methods: Between January-2004 and December-2018, 1735 patients with STEMI (mean age, 68. Read More

View Article and Full-Text PDF

Older Adult Patients Use More Aminosalicylate Monotherapy Compared With Younger Patients With Inflammatory Bowel Disease: TARGET-IBD.

J Clin Gastroenterol 2021 Jun 11. Epub 2021 Jun 11.

Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill Atrium Health Gastroenterology and Hepatology, Charlotte Target RWE, Health Evidence Solutions, Durham, NC Department of Gastroenterology, Hepatology & Nutrition, Cleveland Clinic, Cleveland, OH Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, Madison, WI Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai Division of Pediatric Gastroenterology, The Susan & Leonard Feinstein IBD Clinical Center at Icahn School of Medicine at Mount Sinai, New York, NY IBD Center, The University of Chicago Medicine, Chicago, IL Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH.

Goal: The goal of this study was to describe medication utilization patterns in older inflammatory bowel disease (IBD) patients.

Background: Despite a growing population of older patients with Crohn's disease (CD) and ulcerative colitis (UC), questions remain regarding medication utilization patterns in comparison to younger populations.

Materials And Methods: We collected data from the 34 sites in TARGET-IBD, a multicenter, observational cohort. Read More

View Article and Full-Text PDF

Microfinance, retention in care, and mortality among patients enrolled in HIV 2 Care in East Africa.

AIDS 2021 Jun 10. Epub 2021 Jun 10.

Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, 615 N. 12 Wolfe Street, Baltimore, MD 21205 USA Brown University School of Public Health, Department of Epidemiology, 121 South Main 15 Street, Providence, RI 02912 USA Academic Model Providing Access to Healthcare, P.O. Box 4606-30100, Eldoret, Kenya Brown University School of Public Health, Department of Biostatistics, 121 South Main Street, 20 Providence, RI 02912 USA Moi University College of Health Sciences, School of Medicine, Department of Behavioral 23 Science, P.O. Box 4606-30100, Eldoret, Kenya Purdue University College of Pharmacy, Center for Health Equity and Innovation, 640 26 Eskenazi Ave, Indianapolis, IN 46202 USA Temple University School of Pharmacy, Department of Pharmacy Practice, 3307 N Broad St, 28 Philadelphia, PA 19140 USA Boston University School of Public Health, Department of Global Health, Crosstown Center, 31 801 Massachusetts Avenue, Boston, MA 02118 USA Indiana University School of Medicine, Department of Medicine, 702 Rotary Circle, RO 101, 34 Indianapolis, IN 46202 USA Indiana University School of Public Health, Department of Epidemiology and Biostatistics, 1025 E. 7th 37 St., Bloomington, IN 47405 USA Brown University School of Public Health, Department of Health Services, Policy and 40 Practice, 121 South Main Street, Providence, RI 02912 USA.

Objective: To measure associations between participation in community-based microfinance groups, retention in HIV care, and death among people living with HIV (PLHIV) in low-resource settings.

Design And Methods: We prospectively analyzed data from 3,609 patients enrolled in an HIV care program in western Kenya. HIV patients who were eligible and chose to participate in a Group Integrated Savings for Health Empowerment (GISHE) microfinance group were matched 1:2 on age, sex, year of enrollment in HIV care, and location of initial HIV clinic visit to patients not participating in GISHE. Read More

View Article and Full-Text PDF

Characterizing Hypertensive Disorders of Pregnancy Among Medicaid Recipients in a Nonexpansion State.

J Womens Health (Larchmt) 2021 Jun 10. Epub 2021 Jun 10.

Department of Health Care Organization and Policy, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, USA.

The incidence of hypertensive disorders of pregnancy (HDP) are on the rise in the United States, especially in the South, which has a heavy chronic disease burden and large number of Medicaid nonexpansion states. Sizeable disparities in HDP outcomes exist by race/ethnicity, geography, and health insurance coverage. Our objective is to explore HDP in the Alabama Medicaid maternity population, and the association of maternal sociodemographic, clinical, and care utilization characteristics with HDP diagnosis. Read More

View Article and Full-Text PDF

[Aluminium release of glitter particles in removable orthodontic appliances].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021 Jun 11. Epub 2021 Jun 11.

Oralmedizinische Technologie, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Medizinische Fakultät, Universitätsklinikum Bonn (AöR), Universität Bonn, Bonn, Deutschland.

Background And Aim: In order to support children's compliance with orthodontic treatment, glitter particles containing aluminium (Al) are often embedded in the acrylic of removable appliances. When worn for up to 16 h daily for 2-3 years, it can be assumed that Al ions diffuse into saliva over time. The aim of this study was to investigate the release of Al ions from the acrylic using different orthodontic wires. Read More

View Article and Full-Text PDF

Trends in Venous Thromboembolism Anticoagulation in Patients Hospitalized With COVID-19.

JAMA Netw Open 2021 Jun 1;4(6):e2111788. Epub 2021 Jun 1.

Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor.

Importance: Venous thromboembolism (VTE) is a common complication of COVID-19. It is not well understood how hospitals have managed VTE prevention and the effect of prevention strategies on mortality.

Objective: To characterize frequency, variation across hospitals, and change over time in VTE prophylaxis and treatment-dose anticoagulation in patients hospitalized for COVID-19, as well as the association of anticoagulation strategies with in-hospital and 60-day mortality. Read More

View Article and Full-Text PDF

Sociodemographic and clinical correlates of gabapentin receipt with and without opioids among a national cohort of patients with HIV.

AIDS Care 2021 Jun 11:1-11. Epub 2021 Jun 11.

Yale School of Medicine, New Haven, CT, USA.

Gabapentin is commonly prescribed for chronic pain, including to patients with HIV (PWH). There is growing concern regarding gabapentin's potential for harm, particularly in combination with opioids. Among PWH, we examined factors associated with higher doses of gabapentin receipt and determined if receipt varied by opioid use. Read More

View Article and Full-Text PDF

Potentially Inappropriate Medication Use in Older Adults with Alzheimer's Disease and Related Dementias Living in the Community: A Cross-Sectional Analysis.

Drugs Real World Outcomes 2021 Jun 10. Epub 2021 Jun 10.

University of Kentucky College of Pharmacy, Lexington, KY, USA.

Background: With the older adult population in the USA increasing, so is the population of those with Alzheimer's disease and related dementias (ADRD). Older adults are vulnerable to the effects of potentially inappropriate medications as established by the Beers Criteria; however, some medications continue to be prescribed against recommendations.

Objectives: Our objectives were to describe potentially inappropriate medication (PIM) use linked to cognitive impairment or decline (referred to as Cog-PIM) in older adults with and without ADRD and to investigate whether the odds of Cog-PIM report differ by ADRD status in ambulatory care (i. Read More

View Article and Full-Text PDF

Latent Tuberculosis Infection Status of Pregnant Women in Uganda Determined Using QuantiFERON TB Gold-Plus.

Open Forum Infect Dis 2021 Jun 11;8(6):ofab241. Epub 2021 May 11.

Department of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Background: The risk of progression of latent tuberculosis infection (LTBI) to active disease increases with pregnancy. This study determined the prevalence and risk factors associated with LTBI among pregnant women in Uganda.

Methods: We enrolled 261 pregnant women, irrespective of gestational age. Read More

View Article and Full-Text PDF

Cost of Illness of Epilepsy and Associated Factors in Patients Attending Adult Outpatient Department of University of Gondar Referral Hospital, Northwest Ethiopia.

Risk Manag Healthc Policy 2021 4;14:2385-2394. Epub 2021 Jun 4.

Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Epilepsy has significant economic implications on health care needs, premature death, and lost work productivity. Therefore, this study aimed to assess the cost of illness of epilepsy and its associated factors in the Outpatient Department of University of Gondar Referral Hospital, Northwest Ethiopia.

Methods: We conducted an institution-based cross-sectional study from March 2018 to April 2018. Read More

View Article and Full-Text PDF

Persistent Discrimination of TB in Southeastern China: Results from Four Repeated Population-Based Surveys During the Period of 2006-2018.

Risk Manag Healthc Policy 2021 3;14:2333-2344. Epub 2021 Jun 3.

Department of Tuberculosis Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, People's Republic of China.

Objective: To analyze the changes in discriminatory attitudes and isolated behaviors of the public toward tuberculosis (TB) in the Zhejiang Province and to determine the associated factors with TB discrimination.

Methods: Data were obtained from four cross-sectional population-based investigations from 2006 to 2018. A total of 26,246 respondents were interviewed using unified questionnaires that measured knowledge, attitudes, and behaviors regarding TB. Read More

View Article and Full-Text PDF

Perception of COVID-19 Prevention Methods Efficacy and Intention to Use Among Patients with Chronic Disease in Dessie Town, Northeast Ethiopia: A Multicentered Cross-sectional Study.

J Multidiscip Healthc 2021 4;14:1325-1339. Epub 2021 Jun 4.

Department of Community and Mental Health, School of Nursing and Midwifery, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Background: In Ethiopia, people infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been increasing dramatically. COVID-19 precaution measures are essential for highly susceptible groups. However, it was not known previously to what extent chronic disease patients were perceived to know about the efficacy of prevention measures. Read More

View Article and Full-Text PDF

Association Between Blood Pressure Indicators and Stroke in Aged Population: A Community-Based Nested Case-Control Study.

Clin Interv Aging 2021 31;16:997-1005. Epub 2021 May 31.

Shanghai East Hospital, Key Laboratory of Arrhythmias, Ministry of Education, Tongji University School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.

Background And Aim: Any single discrete blood pressure (BP) measurement is not enough to estimate adverse cardiovascular events. We aim to comprehensively investigate the association between BP indicators and stroke.

Methods: An observational cohort study was conducted among 2888 Shanghai community-aged residents from 2014 to 2018, and a nested case-control study was designed to identify the association between BP indicators and stroke. Read More

View Article and Full-Text PDF

Maternal periconceptional folic acid supplementation reduced risks of non-syndromic oral clefts in offspring.

Sci Rep 2021 Jun 10;11(1):12316. Epub 2021 Jun 10.

National Center for Birth Defects Monitoring, West China Second University Hospital, Sichuan University, No.17 Section 3 Renminnanlu, Chengdu, 610041, Sichuan, China.

Maternal periconceptional folic acid supplementation (FAS) has been documented to be associated with decreased risk of nonsyndromic oral clefts (NsOC). However, the results remain inconclusive. In this population-based case-control study of 807 singletons affected by NsOC and 8070 healthy neonates who were born between October 2010 and September 2015 in Chengdu, China, we examined the association of maternal FAS with the risk of nonsyndromic cleft lip with or without cleft palate (NsCL/P), and cleft palate (NsCP). Read More

View Article and Full-Text PDF

Factors associated with the referral of children with severe illnesses at primary care level in Ethiopia: a cross-sectional study.

BMJ Open 2021 Jun 10;11(6):e047640. Epub 2021 Jun 10.

London School of Hygiene and Tropical Medicine, Faculty of Infectious and Tropical Diseases, London, UK.

Context And Objective: Ethiopia's primary care has a weak referral system for sick children. We aimed to identify health post and child factors associated with referrals of sick children 0-59 months of age and evaluate the healthcare providers' adherence to referral guidelines.

Design: A cross-sectional facility-based survey. Read More

View Article and Full-Text PDF

Geographic variation and associated factors of long-acting contraceptive use among reproductive-age women in Ethiopia: a multi-level and spatial analysis of Ethiopian Demographic and Health Survey 2016 data.

Reprod Health 2021 Jun 10;18(1):122. Epub 2021 Jun 10.

Department of Epidemiology and Biostatistics, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.

Background: High fertility rates and unintended pregnancies are public health concerns of lower and middle income countries such as Ethiopia. Long acting contraceptives (LACs) take the lion's share in reducing unintended pregnancies and high fertility rates. Despite their numerous advantages, the utilization of LACs remains low in Ethiopia. Read More

View Article and Full-Text PDF