176,278 results match your criteria difficult people


A new tool for the evaluation of the rehabilitation outcomes in older persons: a machine learning model to predict functional status 1 year ahead.

Eur Geriatr Med 2018 Oct 29;9(5):651-657. Epub 2018 Aug 29.

Division of Gerontology, Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences (SCReNAG), Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.

Purpose: To date, the assessment of disability in older people is obtained utilizing a Comprehensive Geriatric Assessment (CGA). However, it is often difficult to understand which areas of CGA are most predictive of the disability. The aim of this study is to evaluate the possibility to early predict-1 year ahead-the disability level of a patient using machine leaning models. Read More

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October 2018

Acoustic notch filtering earmuff utilizing Helmholtz resonator arrays.

PLoS One 2021 19;16(10):e0258842. Epub 2021 Oct 19.

Department of Mechanical Engineering, Faculty of Science and Technology, Keio University, Yokohama, Kanagawa, Japan.

In recent years, noisy bustling environments have created situations in which earmuffs must soundproof only specific noise while transmitting significant sounds, such as voices, for work safety and efficiency. Two sound insulation technologies have been utilized: passive noise control (PNC) and active noise control (ANC). However, PNC is incapable of insulating selective frequencies of noise, and ANC is limited to low-frequency sounds. Read More

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October 2021

SOLVER: Scene-Object Interrelated Visual Emotion Reasoning Network.

IEEE Trans Image Process 2021 Oct 19;PP. Epub 2021 Oct 19.

Visual Emotion Analysis (VEA) aims at finding out how people feel emotionally towards different visual stimuli, which has attracted great attention recently with the prevalence of sharing images on social networks. Since human emotion involves a highly complex and abstract cognitive process, it is difficult to infer visual emotions directly from holistic or regional features in affective images. It has been demonstrated in psychology that visual emotions are evoked by the interactions between objects as well as the interactions between objects and scenes within an image. Read More

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October 2021

A desmoplastic fibroblastoma that developed in the anterior mediastinum: a case report.

J Med Case Rep 2021 Oct 18;15(1):525. Epub 2021 Oct 18.

Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, Japan.

Background: Desmoplastic fibroblastoma (also known as collagenous fibroma) is a benign, slowly growing soft-tissue tumor. Most desmoplastic fibroblastomas develop in the limbs, neck, or trunk. A mediastinal origin is quite rare. Read More

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October 2021

Resilience of health systems in conflict affected governorates of Iraq, 2014-2018.

Confl Health 2021 Oct 18;15(1):76. Epub 2021 Oct 18.

Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD, 21210, USA.

Objectives: The objective of this study was to assess the resilience of health systems in four governorates affected by conflict from 2014 to 2018, and to convey recommendations.

Methods: Health managers from Al Anbar, Ninawa, Salah al-Din, and Kirkuk governorates discussed resilience factors of Primary Health Care services affected by the 2014-2017 ISIS insurgency in focus groups, and general discussions. Additional information was gathered from key informants and a UNICEF health facility survey. Read More

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October 2021

Oral health issues of young adults with severe intellectual and developmental disabilities and caregiver burdens: a qualitative study.

BMC Oral Health 2021 Oct 18;21(1):538. Epub 2021 Oct 18.

National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, 101 Daehak-no, Jongno-gu, Seoul, 03080, South Korea.

Background: Oral health maintenance is difficult to be achieved alone by patients with special needs and insufficient self-care skills. This study aims to investigate how the oral health issues of young adults with severe intellectual and developmental disabilities (IDD) affect caregiver burdens.

Methods: A qualitative research method was employed with semi-structured interviews conducted with 14 maternal caregivers of patients with severe IDD. Read More

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October 2021

Colour Vision Disorder due to Conversion Disorders in Childhood.

Klin Monbl Augenheilkd 2021 Oct 18;238(10):1077-1083. Epub 2021 Oct 18.

Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Regensburg, Deutschland.

Background: Non-organic vision loss can manifest in various ways, most commonly in the form of reduced vision and visual field defects. Colour vision disorders in the context of a conversion disorder have only rarely been reported.

Materials And Methods: This review presents the case of a 9-year-old boy with a colour vision disorder as the isolated symptom of a conversion disorder. Read More

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October 2021

Adapted Bag-in-the-Lens Implantation Technique in Children with Congenital Ectopia Lentis.

Klin Monbl Augenheilkd 2021 Oct 18;238(10):1058-1064. Epub 2021 Oct 18.

Ophthalmology, University Hospital Antwerp, Edegem, Belgium.

Background: Subluxation of the crystalline lens in childhood confronts the surgeon with a dilemma: to operate or to wait and see. Surgery is usually not performed when the subluxation is still limited. However, postponing the surgery increases the surgical difficulty as the capsular bag becomes more difficult to use as a means of support for the intraocular lens (IOL). Read More

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October 2021

Candida Pathogenicity and Interplay with the Immune System.

Adv Exp Med Biol 2021 ;1313:241-272

Leicester School of Allied Health and Life sciences, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.

Candida species are opportunistic fungal pathogens that are part of the normal skin and mucosal microflora. Overgrowth of Candida can cause infections such as thrush or life-threatening invasive candidiasis in immunocompromised patients. Though Candida albicans is highly prevalent, several non-albicans species are also isolated from nosocomial infections. Read More

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October 2021

Effective prediction of heart disease using hybrid ensemble deep learning and tunicate swarm algorithm.

J Biomol Struct Dyn 2021 Oct 18:1-12. Epub 2021 Oct 18.

Department of CSE, Saveetha School of Engineering SIMATS, Chennai, Tamil Nadu, India.

Heart disease (HD) is the major reason for the rampant cause of death around the world. It is deemed as a crucial illness among the middle and old age people which tends to high mortality rates. Recently, Effects of HD is presenting a shocking rise in India. Read More

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October 2021

Image Classification in HTP Test Based on Convolutional Neural Network Model.

Authors:
Lin Liu

Comput Intell Neurosci 2021 8;2021:6370509. Epub 2021 Oct 8.

School of Art and Design, Wuhan University of Technology, Wuhan, Hubei 430070, China.

HTP test in psychometrics is a widely studied and applied psychological assessment technique. HTP test is a kind of projection test, which refers to the free expression of painting itself and its creativity. Therefore, the form of group psychological counselling is widely used in mental health education. Read More

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October 2021

Repetitive Refractory Renal Cyst Infection in Autosomal Dominant Polycystic Kidney Disease for which Renal Transcatheter Arterial Embolization Was Effective in Preventing Recurrence.

Intern Med 2021 15;60(20):3261-3265. Epub 2021 Oct 15.

Department of Nephrology, Toranomon Hospital Kajigaya, Japan.

Renal cyst infection is a frequent and serious complication of autosomal dominant polycystic kidney disease (ADPKD) that is often difficult to treat and can be fatal. While nephrectomy is the standard therapy for severe refractory renal cyst infection, it can be associated with severe adverse events. We experienced a case of repetitive renal cyst infection in a 58-year-old Japanese man with ADPKD on dialysis. Read More

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October 2021

[Barriers to breast cancer screening for people with disabilities].

Bull Cancer 2021 Oct 14. Epub 2021 Oct 14.

Institut de cancérologie Strasbourg Europe, service de chirurgie, 17, rue Albert-Calmette, 67200 Strasbourg, France.

A significant increase in breast cancer is expected in the coming decades among people with disabilities. However, their participation rate in screening programs is significantly lower than women without disabilities. Our objective was therefore to analyse the barriers to breast cancer screening in people with disabilities based on a recent review of the international literature. Read More

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October 2021

How nurses support family caregivers in the complex context of end-of-life home care: a qualitative study.

BMC Palliat Care 2021 Oct 18;20(1):162. Epub 2021 Oct 18.

Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rochussenstraat 198, P.O. Box 25035, 3001, HA, Rotterdam, the Netherlands.

Background: Family caregivers are crucial in providing end-of-life care at home. Without their care, it would be difficult for many patients to die at home. In addition to providing care, family caregivers also need support for themselves. Read More

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October 2021

Bioactive Substances in the Stratum Corneum of the Epidermis Found as Indicators of Skin Damage Due to Sun Exposure.

Photodermatol Photoimmunol Photomed 2021 Oct 17. Epub 2021 Oct 17.

Division of Dermatology, Department of Internal Related, Graduate School of Medicine, Kobe University, Kobe, 650-0017, Japan.

Background/purpose: Although an inflammatory response upon acute injury caused by ultraviolet radiation (UV) can be observed immediately, the influence of long-term, repetitive low-dose UV exposure on the skin cannot be precisely perceived, making early detection of chronic damage difficult. This study investigated bioactive substances in the stratum corneum as a potential early and sensitive indicator of the influence of sun exposure on the skin using receiver operating characteristic (ROC) analysis.

Methods: ROC analysis was performed to assess the responsiveness of cytokines [interleukin (IL)-1α, IL-1 receptor antagonist (IL-1ra), IL-10, tumor necrosis factor (TNF)-α], BCL2-associated protein X (Bax), Toll-like receptor (TLR)3, and TLR4 in the stratum corneum of healthy people exposed (dorsum of the hand) and unexposed (inner arm) to UV. Read More

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October 2021

[A Case of Refractory Chylothorax after Surgery for Esophageal Cancer in Which Lymphangiography and Thoracic Duct Ligation Was Useful].

Gan To Kagaku Ryoho 2021 Oct;48(10):1296-1298

Dept. of Surgery, Yokohama Minami Kyousai Hospital.

Chylothorax after esophagectomy is a relatively rare complication that can be difficult to manage. Here, we report a case of refractory chylothorax after surgery for esophageal cancer treated with lymphatic duct lipiodol imaging by inguinal lymph node puncture to confirm patency of the thoracic duct and thoracic duct ligation. A 71-year-old female with esophageal cancer(cT3N0M0)underwent video-assisted thoracoscopic esophagectomy with 2-field lymph node dissection, intrathoracic gastric tube reconstruction, and an enterostomy. Read More

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October 2021

Video-assisted thoracic surgery sleeve resection and bronchoplasty using 3D imaging system: its safety and efficacy.

J Cardiothorac Surg 2021 Oct 16;16(1):302. Epub 2021 Oct 16.

Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seoul, Korea.

Background: Video-assisted thoracic surgery sleeve resection with bronchial anastomosis or bronchoplasty is a technically demanding procedure. Three-dimensional endoscopic surgery has been reported to be helpful in decreasing operation time and improving spatial perception with less surgical errors, but there have been rare reports about relatively difficult thoracoscopic procedures utilizing 3D thoracoscope. We performed this study to evaluate early clinical outcomes of thoracoscopic sleeve resection and bronchoplasty utilizing 3D thoracoscope. Read More

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October 2021

One Fictional Opioid Overdose in Eighteenth-century England and One Attempted Opioid Overdose in Nineteenth-century America.

J Addict Med 2021 Oct 13. Epub 2021 Oct 13.

Boston University School of Medicine, Bedford VA, Bedford MA.

In today's epidemic of opioid misuse, overdoses are not infrequent and can end in death. A fatal overdose is the culmination of a series of events that can be difficult to understand. Overdoses are not new, as is illustrated by two case reports from the past of overdoses on laudanum, a mixture of alcohol and opium. Read More

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October 2021

Real-world results of direct-acting antivirals use for the treatment of chronic hepatitis C in old patients.

Eur Geriatr Med 2019 Apr 24;10(2):295-302. Epub 2019 Jan 24.

Internal Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background And Aim: Old people with chronic hepatitis C (HCV) were considered a difficult-to-treat category with more frequent adverse events until recently. Interferon-free direct-acting antivirals (DAAs) improved treatment adherence and quality of life of old patients. In this study, we aimed at reporting the real-world efficacy and safety of DAAs, in addition to predictors of sustained virological response (SVR) in old chronic HCV population. Read More

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Prevalence of elder abuse and neglect: screening in Poland families.

Eur Geriatr Med 2019 Oct 19;10(5):817-825. Epub 2019 Aug 19.

Neurological and Neurosurgical Nursing Department, Faculty of Health Science, Collegium Medicum, Nicolaus Copernicus University, Łukasiewicza 1 Street, 85-821, Bydgoszcz, Toruń, Poland.

Purpose: Elder abuse and neglect is one of the most important problems of social and health policy among countries around the world. Making a real and reliable assessment of the occurrence of abuse is difficult to implement. The aim of this work is to show the frequency of physical, psychological, sexual abuse and financial exploitation among older adults. Read More

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October 2019

[Remotely operated underwater vehicles used in water rescue].

Unfallchirurg 2021 Oct 15. Epub 2021 Oct 15.

DLRG Ortsverband Pöcking-Starnberg e. V., Pöcking, Deutschland.

Background: The search for and rescue of missing persons is always coupled with a high demand on human resources. In cases of suspected drowning it is often necessary to search huge expanses of water. For depths of more than 3-5 m the search and rescue procedure needs to be performed by specialist rescue divers. Read More

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October 2021

[Artificial intelligence assisted total hip arthroplasty for patients with Crowe type developmental dysplasia of the hip].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Oct;35(10):1265-1272

Department of Traumatology & Orthopedics, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing Jiangsu, 210029, P.R.China.

Objective: To investigate the early effectiveness of artificial intelligence (AI) assisted total hip arthroplasty (THA) system (AIHIP) in the treatment of patients with Crowe type Ⅳ developmental dysplasia of the hip (DDH).

Methods: The clinical data of 23 patients with Crowe type Ⅳ DDH who met the selection criteria between May 2019 and December 2020 were retrospectively analyzed. There were 3 males and 20 females, the age ranged from 44 to 74 years, with an average of 52. Read More

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October 2021

Negative Perception of the COVID-19 Pandemic Is Dropping: Evidence From Twitter Posts.

Front Psychol 2021 28;12:737882. Epub 2021 Sep 28.

Department of Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, PA, United States.

The COVID-19 pandemic hit hard society, strongly affecting the emotions of the people and wellbeing. It is difficult to measure how the pandemic has affected the sentiment of the people, not to mention how people responded to the dramatic events that took place during the pandemic. This study contributes to this discussion by showing that the negative perception of the people of the COVID-19 pandemic is dropping. Read More

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September 2021

[Clinical characteristics and prognosis of positive patients with acute myeloid leukemia].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Oct;53(5):915-920

Department of Hematology, Peking University International Hospital, Beijing 102206, China.

Objective: To investigate the clinical features and prognosis of acute myeloid leukemia (AML) patients with the mixed lineage leukemia () gene rearrangements () positive.

Methods: In the study, 11 patients who were newly diagnosed with positive AML were analyzed retrospectively, related literature was reviewed to clarify the clinical features and prognosis of positive patients.

Results: Among the 11 patients, there were 6 males and 5 females, with a median age of 36 years. Read More

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October 2021

YinQiSanHuang Jiedu decoction for the treatment of hepatitis B-related compensated liver cirrhosis: study protocol for a multi-center randomized controlled trial.

Trials 2021 Oct 14;22(1):701. Epub 2021 Oct 14.

China Academy of Traditional Chinese Medicine Guanganmen Hospital, Beijing, China.

Introduction: Hepatitis B-related compensated liver cirrhosis is related to a higher risk of hepatocellular carcinoma, and antiviral therapy is the preferred method. As the pathological mechanisms of liver fibrosis are complex, drugs developed for a single target are difficult to be effective in clinical practice, so there are no chemical drugs or biological drugs with clear efficacy available for clinical application at present. Traditional Chinese medicine is a kind of medical science that has been gradually formed during thousands of years and continuously enriched by the people of all ethnic groups in China. Read More

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October 2021

Embilica officinalis L. inhibits the growth and proliferation of Leishmania donovani through the induction of ultrastructural changes, mitochondrial dysfunction, oxidative stress and apoptosis-like cell death.

Biomed Pharmacother 2021 Nov 5;143:112156. Epub 2021 Oct 5.

Infection and Immunity Lab (414), Department of Biotechnology, Jamia Millia Islamia (A Central University), New Delhi 110025, India. Electronic address:

Visceral leishmaniasis (VL) is caused by a protozoan parasite, Leishmania donovani (L. donovani). It affects around 1-2 million people around the world annually. Read More

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November 2021

Greenspace programmes for mental health: A survey study to test what works, for whom, and in what circumstances.

Health Place 2021 Oct 11;72:102669. Epub 2021 Oct 11.

Salvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of Stirling, Stirling, FK9 4LA, Scotland, UK. Electronic address:

The health benefits of greenspace are widely acknowledged. Greenspace programmes, defined as health programmes undertaken in outside green areas such as parks, gardens, hills, and forests, are becoming more commonplace. However, there is still limited understanding of the mechanisms by which greenspace programmes are effective. Read More

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October 2021

Neglected Posterior Dislocation Septic Loosening and Prolonged Flexion Contracture of Total Knee Arthroplasty: A Case Report.

Am J Case Rep 2021 Oct 14;22:e931857. Epub 2021 Oct 14.

Department of Orthopaedics, Patras University Hospital, Patra, Greece.

BACKGROUND Chronic posterior knee dislocation after total knee arthroplasty (TKA) is a rare but serious complication, especially when it coexists with septic implant loosening, flexion contracture, and extensive comorbidities. Although the severity is comparable to that in the native knee dislocation, there are few reports in the literature. When TKA dislocation is complicated with infection, bone defect, and patient's comorbidity, treatment becomes even more difficult. Read More

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October 2021

Social connectedness among parents raising children in low-income communities: An integrative review.

Res Nurs Health 2021 Oct 14. Epub 2021 Oct 14.

Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.

Social isolation has been linked to numerous health risks, including depression and mortality. Parents raising children in low-income and under-resourced communities are at an increased risk for experiencing social isolation and its negative effects. Social connectedness (SC), one's sense of belongingness and connection to other people, or a community, has been linked to reduced social isolation and improved health outcomes in the general population, yet little is known about the impact SC has on parents with low incomes. Read More

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October 2021

COVID-19 DEATH IN NOVI PAZAR - "SERBIAN BERGAMO".

Authors:
Jasmin Nurković

Disaster Med Public Health Prep 2021 Oct 14:1-7. Epub 2021 Oct 14.

Center for Regeneration and Rehabilitation, Novi Pazar, Serbia, Faculty of Medical Sciences, University of Kragujevac, Serbia.

Serbia was one of the countries in Europe and the world that were most affected by the coronavirus disease (COVID-19) pandemic. City Novi Pazar was the greatest coronavirus hotspot in Europe on July 1st, 2020, due to several hundred infected people. Even though united data was published at the state level, there is no data by region or city, so the interpretation of the COVID-19 epidemic in Serbia at the regional level is difficult. Read More

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October 2021