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Are survivors of cardiac arrest provided with standard cardiac rehabilitation? - Results from a national survey of hospitals and municipalities in Denmark.

Eur J Cardiovasc Nurs 2021 Apr;20(2):115-123

Danish Knowledge Centre for Rehabilitation and Palliative Care, Odense University Hospital and University of Southern Denmark, Odense, Denmark.

Aim: To quantify the provision of standard cardiac rehabilitation to Danish survivors of cardiac arrest at a programme level, and to analyse whether organizational factors influenced the provision.

Method: We mapped the provision of cardiac rehabilitation core components to survivors of cardiac arrest and compared this with a reference group of patients after acute myocardial infarction using data from a cross-sectional programme-level survey among all hospitals (n = 34) and municipalities (n = 98) in Denmark. Organizational factors of potential importance to service provision were considered: health care region, size of catchment area/population, type of department/municipality and socioeconomic index. Read More

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Sense of effort is distorted in people with chronic low back pain.

Musculoskelet Sci Pract 2021 Apr 2;53:102376. Epub 2021 Apr 2.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.

Background: Proprioceptive deficits in people with low back pain (LBP) have traditionally been attributed to altered paraspinal muscle spindle afference and its central processing. Studies conducted in the upper limb demonstrated that sense of effort is also an important source of kinaesthetic information.

Objectives: To better understand proprioceptive deficits in people with chronic LBP (cLBP), this study aimed to test whether sense of effort is affected in people with cLBP. Read More

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Examining the acceptance of an integrated Electronic Health Records system: Insights from a repeated cross-sectional design.

Int J Med Inform 2021 Mar 31;150:104450. Epub 2021 Mar 31.

Faculty of Business Economics, Hasselt University, Martelarenlaan 42, 3500, Hasselt, Belgium. Electronic address:

Background And Purpose: Hospital staff's acceptance of an integrated Electronic Health Records system (EHR) is a critical success factor to exploit the benefits EHRs can offer. This study employs a repeated cross-sectional design to differentiate between the enablers and barriers of EHR acceptance prior to EHR implementation and those that arise over time by testing a theoretical model specifically tailored to the EHR context.

Methods: A repeated cross-sectional design, consisting of one measurement of staff's acceptance before and two after EHR implementation, was employed in a Belgian hospital. Read More

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Paediatric long term continuous positive airway pressure and noninvasive ventilation in France: A cross-sectional study.

Respir Med 2021 Apr 3;181:106388. Epub 2021 Apr 3.

Pediatric Pulmonology and Allergology Unit, Hospices Civils de Lyon, 69677, Bron, France; Sorbonne Université, INSERM UMR-S 938, Centre de Recherche Saint-Antoine (CRSA), F-75014, Paris, France; Centre de Pneumologie de l'enfant, Ramsay Générale de Santé, 92100, Boulogne-Billancourt, France.

Objective: To describe the characteristics of children treated with long term continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV) in France.

Design: Cross-sectional national survey.

Setting: Paediatric CPAP/NIV teams of 28 tertiary university hospitals in France. Read More

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Dietary behaviors and patterns of centenarians in Hainan: A cross-sectional study.

Nutrition 2021 Mar 4;89:111228. Epub 2021 Mar 4.

Institute of Geriatrics, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, the 2nd Clinical Center, Chinese PLA General Hospital, Beijing, China. Electronic address:

Objectives: The aim of this study was to understand the diet-related behaviors of Hainan centenarians and to analyze dietary factors that affect their nutritional status.

Methods: Data were collected from the China Hainan Centenarian Cohort Study, a full sample survey including questionnaires, physical examinations, and physiologic indices of the centenarian population. The study included 1002 centenarians. Read More

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Use of cannabis in patients with multiple sclerosis from Argentina.

Mult Scler Relat Disord 2021 Apr 6;51:102932. Epub 2021 Apr 6.

Neurology Department, Hospital J.M. Ramos Mejía, Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.

Background: The use of cannabis to treat some symptoms of neurological diseases, including multiple sclerosis (MS), has increased worldwide. We aimed to assess the use of cannabis in patients with MS (PwMS) from Argentina, its reasons and patients' perceptions on the management of MS symptoms. Additionally, we assessed their association with socio-demographic and clinical aspects. Read More

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Role of non-face-to-face social contacts in moderating the association between living alone and mental health among community-dwelling older adults: a cross-sectional study.

Public Health 2021 Apr 10;194:25-28. Epub 2021 Apr 10.

Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan.

Objective: We examined the association between living alone and mental health and the moderating effects of face-to-face and non-face-to-face social contacts, among community-dwelling older adults.

Study Design: Cross-sectional study.

Methods: This cross-sectional study recruited Japanese adults older than 60 years, who attended health check-ups held in a suburban town hall in July and August of 2018 and 2019. Read More

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Usage of sit-stand workstations: Benefits and barriers from decision makers' perspective in Australia.

Appl Ergon 2021 Apr 10;94:103426. Epub 2021 Apr 10.

The University of Queensland, School of Public Health, Herston, Brisbane, QLD, 4006, Australia.

The aim of this cross-sectional mixed-method study was to understand the current use, and practices to support the implementation, of sit-stand workstations (SSWs) from the perspective of furniture purchasing decision makers in Australian organisations. An online survey, and in-depth interviews with a purposive sub-sample were conducted. A total of 216 eligible participants from 150 organisations across 18 sectors completed the survey with 17 interviews conducted. Read More

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Prevalence and predictors of new onset depression in the acute phase of stroke.

Asian J Psychiatr 2021 Apr 6;59:102636. Epub 2021 Apr 6.

Department of Medicine, University of Sri Lanka, Sri Lanka.

Introduction: Post-stroke depression (PSD) is known to be associated with poor functional outcome and high mortality. There is limited data on the prevalence and associated factors of depression in the acute phase after stroke.

Objectives: To determine the prevalence of PSD in the acute phase and its correlates among patients with stroke in a tertiary care hospital in Sri Lanka. Read More

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Prevalence and factors associated with behavioural problems in children with epilepsy attending Mulago hospital, Uganda: A cross-sectional study.

Seizure 2021 Apr 6;88:109-115. Epub 2021 Apr 6.

Senior lecturer, Department of Paediatrics and Child Health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.. Electronic address:

Purpose: To determine the prevalence of behavioural problems and the associated factors in children with epilepsy (CWE).

Methods: This was a cross-sectional study conducted at Mulago National Referral Hospital, Kampala, Uganda, from December 2019 to May 2020. A total of 300 CWE aged 6 to 17 years were consecutively enrolled and assessed for behavioural problems using the Strengths and Difficulties Questionnaire. Read More

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Depression mediates the relationship between smoking and pain: Evidence from a nationally representative study in a low- and middle-income country.

Addict Behav 2021 Mar 30;119:106937. Epub 2021 Mar 30.

Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, China. Electronic address:

Evidence from high-income countries suggests that depressive symptoms may mediate the relationship between smoking and pain. However, the relationship remains poorly understood for the population in low- and middle-income countries (LMICs), who account for 80% of the current tobacco consumers. Using cross-sectional data from a nationally representative longitudinal survey in China, this study conducted the mediation analysis within the structural equation model (SEM) framework. Read More

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Gender-specific prevalence and influencing factors of depression in elderly in rural China: A cross-sectional study.

J Affect Disord 2021 Apr 2;288:99-106. Epub 2021 Apr 2.

Tianjin Key Laboratory of Environment, Nutrition and Public Health, Tianjin, China; Department of Social Medicine and Health Administration, School of Public Health, Tianjin Medical University, Tianjin, China. Electronic address:

Background: With an aging population, late-life depression has been a major health problem in rural China. This study aims to explore the gender-specific prevalence of geriatric depression in rural Tianjin, its influencing factors, and to provide a scientific basis for the prevention and intervention of depression in the elderly.

Methods: A cross-sectional study of 4,933 elderly individuals in rural Tianjin was conducted using the cluster sampling method. Read More

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Dietary intake of B vitamins and their association with depression, anxiety, and stress symptoms: A cross-sectional, population-based survey.

J Affect Disord 2021 Mar 26;288:92-98. Epub 2021 Mar 26.

Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: B vitamins have vital roles in the development, maintenance, and functioning of the brain, while severe deficiencies have been linked to increased psychological disorders. However, no published studies have examined the association between dietary intake of vitamin B and depression, anxiety, and stress symptoms in a general population.

Methods: This cross-sectional study was done on 7387 Iranian adults aged 20-70 years within the population-based cohort study framework. Read More

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Cross-sectional analysis of vaccine intention, perceptions and hesitancy across Latin America and the Caribbean.

Travel Med Infect Dis 2021 Apr 10:102059. Epub 2021 Apr 10.

Red Internacional en Salud Colectiva y Salud Intercultural, México, México; Unidad para La Generación y Síntesis de Evidencias en Salud, Universidad San Ignacio de Loyola (USIL), Lima, Peru. Electronic address:

Background: Determinants of vaccine acceptance are multifactorial, complex, and in most cases, context-dependent. We determined the prevalence of COVID-19 vaccination intention (VI) and fear of its adverse effects (FAE) as well as their associated factors in Latin America and the Caribbean (LAC).

Methods: We conducted a secondary cross-sectional analysis of a database collected by the University of Maryland and Facebook. Read More

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Care Associated with Satisfaction of Bereaved Family Members of Terminally Ill Cancer Patients with Dyspnea: A Cross-sectional Nationwide Survey.

J Pain Symptom Manage 2021 Apr 10. Epub 2021 Apr 10.

Department of Palliative Nursing, Health Sciences (K.M., M.M.), Tohoku University Graduate School of Medicine, Sendai, Japan.

Context: Terminal dyspnea in dying cancer patients is frequent and distressing, and the impact extends to their families. Families are often involved in providing care for terminal dyspnea.

Objectives: This study aimed to describe various care strategies for terminal dyspnea in cancer patients hospitalized in palliative care units (PCUs), evaluate families' satisfaction with care for terminal dyspnea, and explore determinants contributing to families' satisfaction. Read More

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Association of circulating C-reactive protein and high-sensitivity C-reactive protein with components of sarcopenia: A systematic review and meta-analysis of observational studies.

Exp Gerontol 2021 Apr 10:111330. Epub 2021 Apr 10.

Department of Computer Sciences, Faculty of Mathematics and Natural Sciences, Heinrich Heine Universität, Düsseldorf, Germany.

Background: Sarcopenia, a multi-faceted skeletal muscle disorder in the older population, has poor health outcomes. Some previous observational studies investigated the association between circulating inflammatory markers and sarcopenia components to evaluate chronic inflammation as a risk factor for sarcopenia in the elderly population. Nevertheless, the association between circulating C-reactive protein (CRP) and hs-CRP, as the recognized markers of systemic inflammation and components of sarcopenia, is unclear. Read More

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Current Prescribing Practices and Guideline Concordance for the Treatment of Uncomplicated Urinary Tract Infections in Women.

Am J Obstet Gynecol 2021 Apr 10. Epub 2021 Apr 10.

Stanford University School of Medicine, Department of Medicine. Stanford, CA, USA.

Background: Uncomplicated urinary tract infections are one of the most common bacterial infections in the United States. Clinical practice guidelines from the Infectious Diseases Society of America recommend nitrofurantoin, trimethoprim-sulfamethoxazole and fosfomycin as first-line antibiotic treatments, and discourage the use of fluoroquinolone antibiotics. The United States Food and Drug Administration released several black box warnings about fluoroquinolones over the past decade due to antibiotic resistance and a high burden of adverse events. Read More

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Geographic access disparities of clinical trials in neovascular age-related macular degeneration in the United States.

Am J Ophthalmol 2021 Apr 10. Epub 2021 Apr 10.

Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: To identify geographic and socioeconomic variables predictive of residential proximity to neovascular age-related macular degeneration (nAMD) clinical trial locations.

Design: Retrospective, cross-sectional study.

Methods: Census-tract level data from public datasets and trial-level data from ClinicalTrials. Read More

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Decline in IGF1 in the bone marrow microenvironment initiates hematopoietic stem cell aging.

Cell Stem Cell 2021 Apr 7. Epub 2021 Apr 7.

The Jackson Laboratory, Bar Harbor, ME, USA. Electronic address:

Decline in hematopoietic stem cell (HSC) function with age underlies limited health span of our blood and immune systems. In order to preserve health into older age, it is necessary to understand the nature and timing of initiating events that cause HSC aging. By performing a cross-sectional study in mice, we discover that hallmarks of aging in HSCs and hematopoiesis begin to accumulate by middle age and that the bone marrow (BM) microenvironment at middle age induces and is indispensable for hematopoietic aging. Read More

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The influence of age, sex and cardiorespiratory fitness on maximal fat oxidation rate.

Appl Physiol Nutr Metab 2021 Apr 13. Epub 2021 Apr 13.

University of Copenhagen, 4321, Department of biomedical sciences, Kobenhavn, Denmark;

Fat oxidation decreases age, yet, no studies have previously investigated if aging affects the maximal fat oxidation rate (MFO) during exercise in men and women differently. We hypothesized that increased age would be associated with a decline in MFO and this would be more pronounced in women due to the menopause, compared to men. In this cross-sectional study design, 435 (247/188, male /female) subjects of varying ages performed a DXA-scan, a submaximal graded exercise test and a V̇O2max test, to measure MFO and cardiorespiratory fitness (CRF) by indirect calorimetry. Read More

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Adverse Events Associated With Corticosteroid-Eluting Sinus Stents: A MAUDE Database Analysis.

Otolaryngol Head Neck Surg 2021 Apr 13:1945998211006930. Epub 2021 Apr 13.

Division of Otolaryngology, Department of Surgery, School of Medicine, Yale University, New Haven, Connecticut, USA.

Objective: Corticosteroid-eluting stents (CESs) are increasingly used after endoscopic sinus surgery to reduce the need for revision surgery, but their use is not without risks. The objective of this study is to describe adverse events related to CESs.

Study Design: Retrospective cross-sectional study. Read More

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Risk factors for developmental defects of enamel in children from southeastern Brazil.

Community Dent Health 2021 Apr 9. Epub 2021 Apr 9.

Department of Clinic and Surgery, School of Dentistry, Federal University of Alfenas, Brazil.

Introduction: Developmental Defects of Enamel (DDEs) comprise qualitative and/or quantitative changes to the enamel during amelogenesis. The aetiology of DDE remains inconclusive.

Aim: To determine the association of pre, peri, and postnatal factors with the presence of DDE. Read More

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Is all activity equal? Associations between different domains of physical activity and depressive symptom severity among 261,121 European adults.

Depress Anxiety 2021 Apr 13. Epub 2021 Apr 13.

Physically Active Lifestyles Research Group (USQ-PALs), Institute for Resilient Regions, Center for Health Research, University of Southern Queensland, Toowoomba, Australia.

Background: Physical activity is often associated with better mental health. However, there is evidence that the domain of physical activity influences the strength and direction of this association. Therefore, this study aimed to examine the associations between different domains of physical activity and depression among a large sample of adults living in the European Union. Read More

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Remote support by multidisciplinary teams: a crucial means to cope with the psychological impact of SARS-COV-2 pandemic on patients with cystic fibrosis and inflammatory bowel disease in Lombardia.

Int J Clin Pract 2021 Apr 13:e14220. Epub 2021 Apr 13.

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Cystic Fibrosis Centre, Via della Commenda 9, 20122, Milano, Italy.

Background: During Coronavirus Disease 2019 (COVID-19) outbreak in Lombardia, people were recommended to avoid visiting emergency departments and attending routine clinic visits. In this context it was necessary to understand the psychological reactions of patients with chronic diseases. We evaluated the psychological effects on patients with chronic respiratory conditions and inflammatory bowel disease (IBD) through the analysis of their spontaneous contacts with their referral centers. Read More

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Barriers to telehealth access among homebound older adults.

J Am Geriatr Soc 2021 Apr 13. Epub 2021 Apr 13.

Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Background/objectives: To identify major barriers to video-based telehealth use among homebound older adults.

Design: Cross-sectional survey.

Setting: A large home-based primary care (HBPC) program in New York City (NYC) serving 873 homebound patients living in the community. Read More

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Master swimmers with shoulder pain and disability have altered functional and structural measures.

J Athl Train 2021 Apr 13. Epub 2021 Apr 13.

Arcadia University, Glenside, PA.

Context: Supraspinatus tendinopathy and shoulder pain are common in competitive youth swimmers; however, no studies have investigated clinical and structural factors contributing to shoulder pain and disability in master level swimmers.

Objective: The objectives of this study were: 1) to determine the prevalence of shoulder pain and disability in master level swimmers, 2) to identify the most provocative special tests for shoulder pain, and 3) to determine if shoulder clinical and tissue specific measures, training variables and volume vary between those with and without shoulder pain, dissatisfaction and disability.

Design: Cross-sectional. Read More

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Junior and Collegiate Tennis Players Display Similar Bilateral Asymmetries of Humeral Retroversion.

J Athl Train 2021 Apr 13. Epub 2021 Apr 13.

dAssistant Professor, Palumbo Donahue School of Business, Duquesne University, Pittsburgh, PA, USA

Context: Overhead throwing athletes consistently display significant bilateral differences in humeral retroversion (HRV). However, there is limited evidence regarding HRV asymmetries in tennis players despite similarities between the overhead throw and tennis serve.

Objective: To determine if junior and collegiate tennis players demonstrate bilateral differences in HRV, and whether the magnitude of the side-to-side difference (HRVΔ) was similar across different age groups. Read More

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Mindfulness Matters: Utilization and Perceptions of Mindfulness Practices Among Athletic Trainers.

J Athl Train 2021 Apr 13. Epub 2021 Apr 13.

Appalachian State University, Boone, NC.

Context: Mindfulness practices are effective for injury/illness recovery, decreasing stress and anxiety, and strengthening emotional resilience. They are also beneficial for healthcare professionals' well-being and improved patient outcomes and safety. However, mindfulness has not been studied in athletic trainers. Read More

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Athletic Administrators' Reporting of Emergency Preparedness Regarding Policies and Procedures in [State] Secondary Schools.


J Athl Train 2021 Apr 13. Epub 2021 Apr 13.

Context: Secondary schools that offer school-sponsored athletic events should follow best-practice guidelines to provide policies that promote student health and safety.

Objective: To assess emergency preparedness from the perspective of athletic administrators (AAs) in [State] secondary schools.

Design: Cross-sectional study. Read More

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Antihypertensive prescribing patterns and hypertension control in females of childbearing age.

Am J Health Syst Pharm 2021 Apr 13. Epub 2021 Apr 13.

University of Colorado Skaggs School of Pharmacy & Pharmaceutical Sciences, Aurora, CO, USA.

Purpose: The use of angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) to treat hypertension (HTN) during pregnancy presents well-established risks to a developing fetus. A cross-sectional study was conducted to evaluate the current state of antihypertensive prescribing and contraceptive use in females of childbearing age within a large safety-net health system.

Methods: The retrospective cross-sectional study of females aged 18-49 years with a documented diagnosis of HTN. Read More

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