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Depression and associated risk factors among hypertensive patients in primary health care centers in Dammam, Kingdom of Saudi Arabia.

Pan Afr Med J 2021 17;38:278. Epub 2021 Mar 17.

Department of Family and Community Medicine, College of Medicine, University of Hail, Hail, Saudi Arabia.

Introduction: depression is a common mental illness and Hypertension is a chronic disease and due to the negligence depression is co-morbidity with hypertension. The aim of this study was to determine the prevalence of depression and its associated factor among hypertensive patients in Dammam.

Methods: it was a cross-sectional study and 342 hypertensive patients were selected from primary health care centers in Dammam, KSA. Read More

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Prediction of delivery after 40 weeks by antepartum ultrasound in singleton multiparous women: a prospective cohort study.

J Matern Fetal Neonatal Med 2021 Jun 13:1-7. Epub 2021 Jun 13.

Department of Obstetrics and Gynecology, University of Chieti, Chieti, Italy.

Objective: Universal elective induction of labor (IOL) in singleton parous pregnancies has been advocated to reduce the rate of cesarean section (CD), without impacting on maternal outcome. However, about 50% of women deliver after 40 weeks; therefore, an accurate estimation of the time of delivery might avoid unnecessary early IOL. The aim of this study was to test the diagnostic accuracy of ultrasound in predicting delivery ≥40 weeks of gestation in singleton parous women. Read More

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[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

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Clinical and morphologic features of posterior staphyloma edges by ultra-widefield imaging in pathologic myopia.

Retina 2021 Jun 8. Epub 2021 Jun 8.

Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan Faculty of Medicine, Imperial College London, London, United Kingdom Beijing Tongren Eye Center, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Purpose: To investigate morphologic features along posterior staphyloma edges in eyes with pathologic myopia using ultra-widefield optical coherence tomography (UWF-OCT) imaging.

Methods: Highly myopic patients (refractive error < 8.0 diopters or axial length ≥ 26. Read More

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Mini-review: Childhood-onset Craniopharyngioma.

J Clin Endocrinol Metab 2021 Jun 4. Epub 2021 Jun 4.

Department of Pediatrics and Pediatric Hematology/Oncology, University Children´s Hospital, Carl von Ossietzky University Oldenburg, Klinikum Oldenburg AöR, Rahel-Straus-Strasse, Oldenburg, Germany.

Craniopharyngiomas are rare embryonic malformational tumors of the sellar/parasellar region, classified by the WHO as tumors with low-grade malignancy (WHO I°). The childhood adamantinomatous subtype of craniopharyngioma is usually cystic with calcified areas. At the time of diagnosis, hypothalamic/pituitary deficits, visual disturbances and increased intracranial pressure are major symptoms. Read More

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Factors Driving the Acquisition of University Postgraduate Degrees among Resident Doctors in Nigeria.

Hosp Top 2021 May 20:1-7. Epub 2021 May 20.

Department of Psychiatry, Lagos State University, Lagos, Nigeria.

The study examined the characteristics and factors driving the acquisition of postgraduate academic degrees among resident doctors in Nigeria. About 10% of the respondents had a form of university postgraduate degree with majority being master's degree. Having more than seven years of professional practice was the only factor predicting the acquisition of postgraduate academic degrees amongst the respondents [AOR: 0. Read More

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LSD use in the United States: Trends, correlates, and a typology of us.

Drug Alcohol Depend 2021 Jun 20;223:108715. Epub 2021 Apr 20.

School of Social Work, Boston College, Chestnut Hill, MA, 02467, United States.

Background: Recent years have witnessed an increased interest in LSD. This study investigates current information on the trends and correlates of LSD use from years 2002-2018 and seeks to develop an initial typology of use and misuse.

Methods: Data is taken from the NSDUH (National Survey on Drug Use and Health) collected between 2002 and 2018 and trends and correlates of LSD use were analyzed with a survey adjusted logistic regression. Read More

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Awareness of and Preferences for Preexposure Prophylaxis (PrEP) among MSM at High Risk of HIV Infection in Southern China: Findings from the T2T Study.

Biomed Res Int 2021 2;2021:6682932. Epub 2021 Apr 2.

Department of Medical Statistics, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 510080, China.

This study is aimed at investigating the awareness of and preferences for oral and long-acting injectable HIV preexposure prophylaxis (PrEP) and their associated factors among men who have sex with men (MSM) at high risk of HIV infection in southern China. A cross-sectional survey was conducted among 603 MSM who were recruited through a cohort study called the T2T Study at three sexual health clinics in Guangzhou, Shenzhen, and Wuxi, China, from 2017 to 2018. We collected information on HIV-negative participants' awareness of and willingness to use PrEP and its potential correlations. Read More

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Rotational Position of the Aortic Root is Associated with Increased Aortic Dimensions in Marfan and Loeys-Dietz Syndrome.

Pediatr Cardiol 2021 Jun 13;42(5):1157-1161. Epub 2021 Apr 13.

The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.

Progressive aortic dilation is common in Marfan syndrome (MFS) and Loeys-Dietz syndrome (LDS). Risk factors for progression are poorly understood. Normal variation in the aortic root (AoR) rotational position relative to the left ventricular base may impact this risk. Read More

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High Frequency of Infecting Infants Points to A Potential Anthroponotic Transmission in Maputo, Mozambique.

Pathogens 2021 Mar 4;10(3). Epub 2021 Mar 4.

Instituto Nacional de Saúde (INS), EN1, Bairro da Vila-Parcela n° 3943, Distrito de Marracuene, Maputo 264, Mozambique.

is one of the most important causes of diarrhea in children less than 2 years of age. In this study, we report the frequency, risk factors and species of detected by molecular diagnostic methods in children admitted to two public hospitals in Maputo City, Mozambique. We studied 319 patients under the age of five years who were admitted due to diarrhea between April 2015 and February 2016. Read More

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Severity of Airway Obstruction May Not Correlate With Weight Gain or Failure to Thrive in Infants With Robin Sequence: A Pilot Study.

J Craniofac Surg 2021 Mar 22. Epub 2021 Mar 22.

Division of Plastic and Reconstructive Surgery, Children's National Hospital Joseph E. Robert, Jr., Center for Surgical Care, Children's National Hospital, Washington, DC.

Objective: Patients with Robin sequence (RS) can present with varying degrees of upper airway obstruction, difficulty maintaining adequate weight gain, and failure to thrive (FTT). Although inductive reasoning would suggest that these issues should be interrelated, the relationships between these factors have not been formally studied. This investigation explores the correlation between polysomnographic (PSG) findings, weight gain, and FTT in patients with RS. Read More

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Multiresistant Bacterial Pathogens Causing Bacterial Pneumonia and Analyses of Potential Risk Factors from Northeast Ethiopia.

Int J Microbiol 2021 8;2021:6680343. Epub 2021 Mar 8.

University of Gondar, College of Medicine and Health Sciences, School of Biomedical and Laboratory Sciences, Department of Medical Microbiology, P.O. Box 196, Gondar, Ethiopia.

Background: Pneumonia is the most common cause of morbidity and mortality in developing countries, mostly caused by different species of bacterial pathogens. Hence, patient management needs awareness of the pathogens and antimicrobial susceptibility testing (AST). This study was aimed to assess the type of bacterial isolates and their antimicrobial susceptibility patterns among pneumonia suspected patients at Dessie Referral Hospital, Northeast Ethiopia. Read More

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Neonatal mortality and its associated factors among neonates admitted at public hospitals, pastoral region, Ethiopia: A health facility based study.

PLoS One 2021 17;16(3):e0242481. Epub 2021 Mar 17.

Department of Public Health, College of Medical and Health Sciences, Samara University, Afar Region, Samara, Ethiopia.

Background: Neonatal mortality is a public health issue in, Ethiopia. Unfortunately, the issue is noticeably under-reported and underestimated, so the true gravity of the situation cannot be acknowledged in developing regions of the country. Regrettably, there is no single study to show the rates and predictors of neonatal mortality for Afar region. Read More

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Bacterial Meningitis Among Adult Patients at University of Gondar Comprehensive Specialized Referral Hospital.

Infect Drug Resist 2021 15;14:565-574. Epub 2021 Feb 15.

Department of Immunology and Molecular Biology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Bacterial meningitis is a bacterial infection that causes inflammation of the membranes that surround the brain and spinal cord. The most frequent causes of bacterial meningitis are , and . This study aimed to determine bacterial meningitis and their antibiotic susceptibility patterns among adult patients. Read More

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February 2021

Adverse outcomes in early term versus full-term deliveries among higher-order cesarean births.

J Matern Fetal Neonatal Med 2021 Feb 8:1-6. Epub 2021 Feb 8.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA.

Objective: In an attempt to avoid emergency deliveries of women with multiple prior scars, providers may choose to schedule those repeat cesarean births prior to 39 weeks. Our primary goal was to compare rates of assisted ventilation use between neonates with early term (37°-38 weeks) and full-term (39°-39 weeks) deliveries among women with three or more prior cesarean births.

Methods: A retrospective cohort study of women with three or more previous cesarean births. Read More

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February 2021

Magnitude and Associated Factors for Attitude and Practice Toward COVID-19 and Its Prevention Among the Residents of Gedeo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study.

Risk Manag Healthc Policy 2021 22;14:253-262. Epub 2021 Jan 22.

Dilla University, College of Medicine and Health Science, Dilla, Ethiopia.

Background: COVID-19 first broke out in China, Hubei province on December 29, 2019, since then it took hundreds of thousand lives worldwide. Although all countries are taking varying degrees of measures to curb the dissemination, the virus is still spreading rapidly in all parts of the world. Adherence of people for COVID-19 precaution measures is one of the most important factors which determine the effectiveness of curbing the spread. Read More

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January 2021

Temperature Measurement at Well-Child Visits in the United States.

J Pediatr 2021 May 25;232:237-242. Epub 2021 Jan 25.

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

Objective: To determine the frequency and predictors of temperature measurement at well-child visits in the US and report rates of interventions associated with visits at which temperature is measured and fever is detected.

Study Design: In this cross-sectional study, we analyzed 22 518 sampled well-child visits from the National Ambulatory Medical Care Survey between 2003 and 2015. We estimated the frequency of temperature measurement and performed multivariable regression to identify patient, provider/clinic, and seasonal factors associated with the practice. Read More

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Prevalence and Determinants of Stunting, Wasting, and Underweight Among School-Age Children Aged 6-12 Years in South Gondar Zone, Ethiopia.

Pediatric Health Med Ther 2021 18;12:23-33. Epub 2021 Jan 18.

Department of Pharmacy, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Background: Underweight, wasting, and stunting are the commonest nutritional disorders among children, especially in developing countries. The aim of this study was to assess the prevalence and determinant factors of underweight, wasting, and stunting among school-age children in 2019.

Methods: A cross-sectional study was conducted in the five special districts of South Gondar Zone, among 314 school-age children. Read More

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January 2021

Association Between Nausea and Vomiting During Pregnancy and Sleep Quality: Mediating Effect of Depressive Symptoms.

Int J Gen Med 2021 8;14:41-49. Epub 2021 Jan 8.

Department of Obstetrics, Affiliated Foshan Maternity & Child Healthcare Hospital, Southern Medical University, Foshan, People's Republic of China.

Purpose: Nausea and vomiting during pregnancy (NVP) of varying degrees of severity are commonly experienced by pregnant women. This paper explores the association between NVP and poor sleep quality.

Patients And Methods: A cross-sectional study was conducted in an obstetrics clinic. Read More

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January 2021

Early Life Health in Women with Provoked Vestibulodynia and/or Vaginismus.

J Womens Health (Larchmt) 2021 Jun 4;30(6):799-806. Epub 2021 Jan 4.

Division of Obstetrics and Gynecology, Department of Clinical Sciences, Karolinska Institutet Danderyd Hospital, Stockholm, Sweden.

The lifetime prevalence of prolonged vulvar pain ranges from 3% to 28% among premenopausal women. Provoked vestibulodynia (PVD), often accompanied with various degrees of vaginismus, is the predominant cause. We explored the association between birth-related events and the risk of developing PVD/vaginismus during adulthood. Read More

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Range of motion following percutaneous fixation of pediatric supracondylar humerus fracture is independent of anterior osseous fragment resorption.

J Pediatr Orthop B 2020 Dec 9. Epub 2020 Dec 9.

Department of Orthopaedic Surgery, Westchester Medical Center.

Objectives: To understand postoperative resorption of the anterior osseous fragment following closed reduction and percutaneous pinning (CRPP) of pediatric supracondylar humerus fractures and its effect on final range of motion (ROM).

Methods: Eighty-six patients that underwent CRPP had sagittal and or axial plane deformities resulting in an anterior fragment. Humerocapitellar angle (HCA), anterior humeral line (AHL) and angle of rotation (AoR) were measured. Read More

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December 2020

Whom Should We Test for COVID-19? Performance of a Symptom and Risk Factor Questionnaire on COVID-19 Test Results and Patient Outcomes in an Immediate Care Setting.

J Prim Care Community Health 2020 Jan-Dec;11:2150132720981297

NorthShore University HealthSystem, Evanston, IL, USA.

Introduction: The CDC and Illinois Department of Public Health disseminated risk factor criteria for COVID-19 testing early in the pandemic. The objective of this study is to assess the effectiveness of risk stratifying patients for COVID-19 testing and to identify which risk factors and which other clinical variables were associated with SARS-CoV-2 PCR test positivity.

Methods: We conducted an observational cohort study on a sample of symptomatic patients evaluated at an immediate care setting. Read More

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January 2021

Predicting hospital admission of patients with emergencies considered low priority according to assigned triage level.

Emergencias 2020 11;32(6):395-402

Departamento de Medicina, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, España. Servicio de Urgencias, Hospital Universitari Parc Taulí, Institut d'Investigació i Innovació Parc Taulí I3PT, Sabadell, Universitat Autònoma de Barcelona, Barcelona, España.

Objectives: To develop a model to predict hospital admission of patients in cases assessed as nonurgent or semiurgent on emergency department triage.

Material And Methods: Single-center observational study of a retrospective cohort. We included cases of patients older than 15 years whose emergency was classified as level IV-V according to the Andorran-Spanish triage model (MAT-SET, the Spanish acronym). Read More

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November 2020

Clinical Characteristics of the COVID-19 Patients with Pneumonia Detected by Computerized Tomography but Negative for Infiltration by X-ray.

Healthcare (Basel) 2020 Nov 29;8(4). Epub 2020 Nov 29.

Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea.

Coronavirus Disease 2019 (COVID-19) has rapidly spread to all corners of the globe. Different diagnostic tools, such as Chest X-ray (CXR), lung ultrasound (LUS), and computerized tomography (CT), have been used to detect active pneumonic lesions associated with COVID-19 with their varying degrees of sensitivity and specificity. This study was undertaken to investigate the clinical characteristics of COVID-19 patients with a pneumonic lung lesion detected by CT that is not detected by CXR. Read More

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November 2020

Care at critical care medical centers is associated with improved outcomes in patients with accidental hypothermia: a historical cohort study from the J-Point registry.

Acute Med Surg 2020 Jan-Dec;7(1):e578. Epub 2020 Oct 27.

Department of Emergency Medicine Japanese Red Cross Kyoto Daiichi Hospital Kyoto Japan.

Aim: The recommendation that patients with accidental hypothermia should be transported to specialized centers that can provide extracorporeal life support has not been validated, and the efficacy remains unclear.

Methods: This was a multicenter retrospective cohort study of patients with a body temperature of ≤35°C presenting at the emergency department of 12 hospitals in Japan between April 2011 and March 2016. We divided the patients into two groups based on the point of care delivery: critical care medical center (CCMC) or non-CCMC. Read More

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October 2020

The Association Between Very Premature Infant Body Temperatures Over Time and Respiratory Care.

Biol Res Nurs 2021 Jul 30;23(3):331-340. Epub 2020 Oct 30.

School of Nursing, 3065Duke University, Durham, NC, USA.

Background: Due to global immaturity, very low birthweight (VLBW) infants (<1,500 g) require auxiliary thermal and respiratory care. However, the impact of respiratory care on infant thermal stability remains unclear.

Aims: Examine the association between VLBW infant body temperatures over time and respiratory support type (mechanical ventilation (MV), continuous positive airway pressure (CPAP), room air (RA)), respiratory care interventions, and nursing care. Read More

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Medicalization of female genital cutting in Malaysia: A mixed methods study.

PLoS Med 2020 10 27;17(10):e1003303. Epub 2020 Oct 27.

University Sains Malaysia, George Town, Penang, Malaysia.

Background: Despite the clear stand taken by the United Nations (UN) and other international bodies in ensuring that female genital cutting (FGC) is not performed by health professionals, the rate of medicalization has not reduced. The current study aimed to determine the extent of medicalization of FGC among doctors in Malaysia, who the doctors were who practiced it, how and what was practiced, and the motivations for the practice.

Methods And Findings: This mixed method (qualitative and quantitative) study was conducted from 2018 to 2019 using a self-administered questionnaire among Muslim medical doctors from 2 main medical associations with a large number of Muslim members from all over Malaysia who attended their annual conference. Read More

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October 2020

Association Between Incorrect Posture and Adolescent Idiopathic Scoliosis Among Chinese Adolescents: Findings From a Large-Scale Population-Based Study.

Front Pediatr 2020 15;8:548. Epub 2020 Sep 15.

The First Affiliated Hospital of Shenzhen University, Shenzhen, China.

Adolescent idiopathic scoliosis (AIS) affects between 1 and 4% of adolescents, and severe curvature may be related to their adverse long-term outcomes. However, whether the change in body appearance is related to AIS remains largely unclear. We aimed to explore the association between incorrect posture and AIS among Chinese adolescents. Read More

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September 2020

Gender and race trends in academic rank of dermatologists at top U.S. institutions: A cross-sectional study.

Int J Womens Dermatol 2020 Sep 30;6(4):283-285. Epub 2020 Apr 30.

Department of Dermatology, Weill Cornell Medicine, New York, NY, United States.

Background: Despite growth in the proportion of women and underrepresented minorities in the dermatology workforce, gender and racial differences persist.

Objective: This study sought to analyze the differences in academic rank between genders and races while controlling for achievement indicators.

Methods: Data from 15 institutions, selected based on residency program rankings, were analyzed. Read More

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September 2020

Neonatal Hypothermia and Associated Factors among Newborns Admitted in the Neonatal Intensive Care Unit of Dessie Referral Hospital, Amhara Region, Northeast Ethiopia.

Int J Pediatr 2020 14;2020:3013427. Epub 2020 Sep 14.

Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Wollo University, Ethiopia.

Introduction: Neonatal hypothermia is the reduction in the body temperature of the newborn (less than 36.5°C). It is a global problem in neonates born both at hospitals and homes, but it showed a higher prevalence in developing countries (>90%). Read More

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September 2020