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Association between Healthy Eating Index-2015 and physical frailty among the United States elderly adults: the National Health and Nutrition Examination Survey (NHANES) 2011-2014.

Aging Clin Exp Res 2021 May 12. Epub 2021 May 12.

School of Public Health, Xi'an Jiaotong University, 76 West Yanta Road, Xi'an, 710061, China.

Background: Diet plays an important role in the development of age-related chronic diseases. However, the association between diet quality assessed by Healthy Eating Index (HEI)-2015, the latest version of HEI, and physical frailty among the general United States (US) elderly adults remains unclear.

Aims: The present study aims to explore the association between HEI-2015 and physical frailty in elderly adults using data from National Health and Nutrition Examination Survey (NHANES) 2011-2014. Read More

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Lessons learned from conducting disease monitoring in low-dose exposure conditions as a counter-measure after a nuclear disaster.

J Radiat Res 2021 May;62(Supplement_1):i64-i70

Department of Radiation Health Management, Fukushima Medical University, Fukushima, 960-1295, Japan.

The complex disaster of the Great East Japan Earthquake and the Fukushima nuclear accident caused concern about their various health impacts. Many types of intervention are desired as a countermeasure, depending on the phase of the disaster cycle. The importance of developing and applying codes of conduct has recently been emphasized for post-disaster investigations. Read More

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Patients with different types of arthritis may be at risk for major depression: results from the National Health and Nutrition Examination Survey 2007-2018.

Ann Palliat Med 2021 Apr 22. Epub 2021 Apr 22.

Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, China.

Background: Arthritis is one of the common causes of physical pain and disability, which often makes patients fall into major depression. However, the correlation between arthritis and major depression, and how different types of arthritis correspond to major depression remain to be explored. The purpose of this study is to explore the relationship between arthritis and major depression. Read More

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The impact of mutual aid on mental health and perceived isolation among the single elderly: An examination of economic status.

Geriatr Gerontol Int 2021 May 11. Epub 2021 May 11.

Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.

Aim: This study aimed to identify patterns in mutual aid relationships between older people living alone and their relatives and neighbors, and to examine the impact of mutual aid relationship patterns on mental health and perceived isolation through the mediating effect of subjective economic status.

Methods: We conducted a survey with 5000 randomly selected adults aged 65 years or older, from the five official senior care service areas of city A in Saitama Prefecture, Japan. Valid responses were received from 3941 participants (78. Read More

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Databases for technical aspects of immunohistochemistry: 2021 update.

J Toxicol Pathol 2021 Apr 25;34(2):161-180. Epub 2021 Feb 25.

Conference on Experimental Animal Histopathology.

With the aim of sharing information about the technical aspects of immunohistochemistry (IHC) and facilitating the selection of suitable antibodies for histopathological examination, this technical report describes the results of a questionnaire distributed during the period of 2018 to 2019 among members of the Conference on Experimental Animal Histopathology. Additionally, it describes the immunological properties and supplier details (clone, supplier, catalog number, species reactivity, etc.) as well as the IHC staining conditions (fixing solution, fixing time, embedding, antigen retrieval method, antibody dilution, incubation time, incubation temperature, positive control tissue, blocking condition, secondary antibody information, etc. Read More

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Sex and body mass index dependent associations between serum 25-hydroxyvitamin D and pulse pressure in middle-aged and older US adults.

Sci Rep 2021 May 11;11(1):9989. Epub 2021 May 11.

Department of Preventive Medicine, Gachon University College of Medicine, 155 Gaetbeol-ro, Yeonsu-gu, Incheon, 21999, Republic of Korea.

High pulse pressure (PP) is a valid indicator of arterial stiffness. Many studies have reported that vitamin D concentration is inversely associated with vascular stiffening. This association may differ depending on sex and body mass index (BMI). Read More

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Concurrent smoking and alcohol consumers had higher triglyceride glucose indices than either only smokers or alcohol consumers: a cross-sectional study in Korea.

Lipids Health Dis 2021 May 11;20(1):49. Epub 2021 May 11.

Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Republic of Korea.

Background: The triglyceride glucose (TyG) index is a noninsulin-based marker for insulin resistance (IR) in general practice. Although smoking and heavy drinking have been regarded as major risk factors for various chronic diseases, there is limited evidence regarding the combined effects of smoking and alcohol consumption on IR. This study aimed to investigate the relationship between the TyG index and smoking and alcohol consumption using two Korean population-based datasets. Read More

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Comparison of EQ-5D-3L and metabolic components between patients with hyperhidrosis and the general population: a propensity score matching analysis.

Qual Life Res 2021 May 11. Epub 2021 May 11.

Department of Family Medicine, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, Korea.

Purpose: It is important to understand the characteristics of patients with hyperhidrosis, which are different from the general population, for treating hyperhidrosis. Sympathetic overactivity, which might play an important role in hyperhidrosis, can contribute to metabolic diseases and the decreased quality of life (QoL). We compared the metabolic components and health-related QoL between patients with hyperhidrosis and the general population. Read More

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Nutritional Factors and Myopia: An Analysis of National Health and Nutrition Examination Survey Data.

Optom Vis Sci 2021 May 7. Epub 2021 May 7.

University of California at Berkeley School of Optometry, Berkeley, California

Significance: The rise in the prevalence of myopia, a significant worldwide public health concern, has been too rapid to be explained by genetic factors alone and thus suggests environmental influences.

Purpose: Relatively little attention has been paid to the possible role of nutrition in myopia. The availability of the large National Health and Nutrition Examination Survey data set, which includes results from vision examinations, offers the opportunity to investigate the relationship between several nutrition-related factors, including body metrics, and the presence and magnitude of myopia. Read More

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Factors Affecting Specialist Psychiatry Training in South Africa: Are Psychiatry Residents Satisfied with Their Training?

Acad Psychiatry 2021 May 10. Epub 2021 May 10.

Stellenbosch University, Cape Town, Western Cape, South Africa.

Objective: The authors investigated South African psychiatry residents' satisfaction with their training, physical, and mental health to inform the development of a strategy to improve the quality and experiences of training.

Method: A cross-sectional online survey was undertaken to assess the factors affecting residents' satisfaction with their current training program. The authors conducted a comparative analysis of residents across the training institutions in South Africa. Read More

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Long-chain omega-3 fatty acid serum concentrations across life stages in the USA: an analysis of NHANES 2011-2012.

BMJ Open 2021 May 10;11(5):e043301. Epub 2021 May 10.

Science and Technology, Pharmavite LLC, Mission Hills, California, USA.

Objective: To determine reference ranges of circulating long-chain (LC) omega-3 fatty acids: eicosapentaenoic acid (EPA), docosapentaenoic acid (DPA) and docosahexaenoic acid (DHA) in a nationally representative population of Americans. To provide context, serum concentrations of LC omega-3 were compared with concentrations associated with consuming the recommended amount of EPA and DHA by the Dietary Guidelines for Americans (DGA) and the Omega-3 Index (EPA+DHA).

Design: Cross-sectional population-based study. Read More

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Temporal summation of mechanical pain prospectively predicts movement-evoked pain severity in adults with chronic low back pain.

BMC Musculoskelet Disord 2021 May 10;22(1):429. Epub 2021 May 10.

Department of Psychology, University of Alabama at Birmingham, 1300 University Boulevard, Campbell Hall, Suite 237, Birmingham, AL, 35294, USA.

Background: Biopsychosocial factors above and beyond pathoanatomical changes likely contribute to the severity of chronic low back pain. A pro-nociceptive endogenous pain modulatory balance (↓inhibition and ↑facilitation) may be an important contributor to chronic low back pain severity and physical function; however, additional research is needed to address this possibility. The objective of this study was to determine whether quantitative sensory tests of endogenous pain inhibition and facilitation prospectively predict movement-evoked pain and cLBP severity self-reported on a validated questionnaire. Read More

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Increasing prevalence of fasting hyperglycemia in adolescents aged 10-18 years and their relationship with metabolic indicators : The Korea National health and Nutrition Examination Study (KNHANES) 2007-2018.

Ann Pediatr Endocrinol Metab 2021 May 7. Epub 2021 May 7.

Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Republic of Korea.

Purpose: Pediatric diabetes is a common health burden in worldwide. This study aimed to investigate the prevalence of fasting hyperglycemia in Korean teenagers aged 10-18 years and to evaluate its association with metabolic indicators.

Methods: To assess the risk of diabetes in domestic children and adolescents, the prevalence of fasting hyperglycemia was calculated, and a trend was evaluated using multi-year Korea National Health and Nutrition Examination Survey (KNHANES) data and multivariate analysis was performed to evaluate the relationship between hyperglycemia and metabolic factor. Read More

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Consistent acting, legal knowledge and competence of external postmortem examination in Dutch hospital settings.

J Forensic Leg Med 2021 May 5;80:102178. Epub 2021 May 5.

Department of Criminal Law and Criminology, Faculty of Law, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, the Netherlands.

A crucial role in the external postmortem examination system of the Netherlands is that of the attending physicians, who are either general practitioners or physicians in hospitals. They perform 85% of all external postmortem examinations and must immediately report to forensic physicians all unnatural deaths and deaths that they are not convinced to be natural. These attending physicians need therefore to be properly qualified and need to be competent, by acting consistently and by having knowledge of the appropriate laws surrounding external postmortem examination. Read More

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Arsenic Exposure and Melanoma Among US Adults Aged 20 or Older, 2003-2016.

Public Health Rep 2021 May 10:333549211008886. Epub 2021 May 10.

12284 Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA.

Objectives: Chronic exposure to arsenic has been reported as a risk factor for nonmelanoma skin cancer, notably squamous cell carcinoma. However, current knowledge is limited about the association between arsenic exposure and melanoma. Our objectives were to (1) measure the association between total urinary arsenic levels and melanoma compared with nonmelanoma skin cancer and no cancer and (2) analyze the association between water source and melanoma and nonmelanoma skin cancer. Read More

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Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.

PLoS One 2021 10;16(5):e0251113. Epub 2021 May 10.

Department of Family Medicine, University of Michigan, Ann Arbor, MI, United States of America.

Background: The United States is experiencing a surge in Chlamydia trachomatis (CT) infections representing a critical need to improve sexually transmitted infection (STI) screening and treatment programs. To understand where patients with STIs seek healthcare, we evaluated the relationship between CT infections and the place where individuals report usually receiving healthcare.

Methods: Our study used a nationally representative sample from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. Read More

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Pediatric Resident Knowledge of Transfusion Medicine: Results From the BEST-TEST3 International Education Needs Assessment.

Transfusion 2021 May 10. Epub 2021 May 10.

Department of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, United States.

Background: Transfusions are a common intervention within pediatrics and require unique considerations to optimize patient care. Poor knowledge of evidence-based transfusion practice can lead to misuse of transfusion therapy and harm. While there have been assessments of transfusion medicine knowledge of physicians caring for adult patients, there is little data regarding pediatricians. Read More

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The Trickle-Down Effect of Leaders' VWGB on Employees' Pro-Environmental Behaviors: A Moderated Mediation Model.

Front Psychol 2021 21;12:623687. Epub 2021 Apr 21.

International Institute of Finance, School of Management, University of Science and Technology of China, Hefei, China.

Although previous research has highlighted the positive effect of leaders' voluntary workplace green behavior (VWGB), limited research attention has been given to empirically testing how and when such behavior produces trickle-down effects. Taking a role model perspective and drawing on social identity theory, this research aims to fill this gap by proposing and testing the mechanism and boundary conditions of the influencing processes whereby leaders' VWGB can trickle down to employees' pro-environmental behaviors. By theorizing a moderated mediation model, the current research empirically examines the hypotheses by conducting a hierarchical regression analysis. Read More

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Telemedicine in an Outpatient Arthroplasty Setting During the COVID-19 Pandemic: Early Lessons from New York City.

HSS J 2021 Feb 21;17(1):25-30. Epub 2021 Feb 21.

Hospital for Special Surgery, New York, NY, USA.

The early months of the coronavirus disease 19 (COVID-19) pandemic in New York City led to a rapid transition of non-essential in-person health care, including outpatient arthroplasty visits, to a telemedicine context. Based on our initial experiences with telemedicine in an outpatient arthroplasty setting, we sought to determine early lessons learned that may be applicable to other providers adopting or expanding telemedicine services. A cross-sectional study was performed by surveying all patients undergoing telemedicine visits with 8 arthroplasty surgeons at 1 orthopedic specialty hospital in New York City from April 8 to May 19, 2020. Read More

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February 2021

Risk factors for mild behavioral impairment in non-demented geriatrics: a population-based survey in Taiwan.

Int Psychogeriatr 2021 May 10:1-9. Epub 2021 May 10.

Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.

Objectives: To investigate potential risk factors for mild behavioral impairment (MBI) among non-demented geriatrics.

Design: Population-based, cross-sectional survey.

Setting: Taiwan Alzheimer Disease Association (TADA) Database. Read More

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Parascaris spp. eggs in horses of Italy: a large-scale epidemiological analysis of the egg excretion and conditioning factors.

Parasit Vectors 2021 May 8;14(1):246. Epub 2021 May 8.

Dipartimento di Medicina Veterinaria, Università di Sassari, Sassari, Italy.

Background: Equine ascariosis, caused by Parascaris spp., is a worldwide endoparasitic disease affecting young horses in particular. Despite the great number of horses reared in Italy, large-scale epidemiological surveys dealing with ascariosis prevalence in the country are not reported in the current literature. Read More

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Physician Assistant Students' Perceptions and Competencies Concerning Lifestyle Medicine.

J Physician Assist Educ 2021 May 7. Epub 2021 May 7.

Alyssa Abreu, MS, is a medical student in the School of Osteopathic Medicine at the University of the Incarnate Word, San Antonio, Texas. Sarah-Ann Keyes, MS, PA-C, is an assistant professor in the School of Health Professions at Baylor College of Medicine, Waco, Texas. Mark D. Faries, PhD, is an associate professor and extension health specialist at the Texas A&M AgriLife Extension Service and an adjunct associate professor for both the Texas A&M School of Public Health and College of Medicine, Bryan, Texas.

Purpose: With nearly two-thirds of chronic disease attributed to lifestyle, there is a need for physician assistants (PA) to develop competencies in Lifestyle Medicine (LM). The purpose of this study was to assess PA students' skill competencies in exercise and dietary prescription to guide curriculum implementation efforts.

Methods: An online survey was administered to PA students at a single institution. Read More

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Association of serum uric acid levels with COVID-19 severity.

BMC Endocr Disord 2021 May 8;21(1):97. Epub 2021 May 8.

Department of Endocrinology and Metabolism, The Fifth Affiliated Hospital Sun Yat-Sen University, Zhuhai, Guangdong, China.

Aims: Hyperuricemia has attracted increasing attention. However, limited concern has been paid to the potential dangers of lowering serum uric acid (SUA). We observed lower levels of SUA in patients with COVID-19. Read More

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Analysis of diverse factors influencing the health status as well as medical and health service utilization in the floating elderly of China.

BMC Health Serv Res 2021 May 8;21(1):438. Epub 2021 May 8.

Chinese Academy of Medical Sciences-Peking Union Medical College, Institute of Medical Information, 3 Yabao Rd, Beijing, 100020, People's Republic of China.

Background: Based on the "China Migrants Dynamic Survey-Special investigation on Floating Elderly in 8 megacities in 2015", the health status and the utilization of medical and health services in floating elderly were described and analyzed.

Objective: Scientific basis and critical suggestions are provided for improving the utilization level of medical and health services in the floating elderly and designing targeted health policies to improve their well-being.

Methods: The rank-sum test and Pearson χ test were used to compare the health status of floating elderly with different characteristics. Read More

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Association of food insecurity with dietary intakes and nutritional biomarkers among US children, National Health and Nutrition Examination Survey (NHANES) 2011-2016.

Am J Clin Nutr 2021 May 8. Epub 2021 May 8.

Department of Nutrition Science, Purdue University, West Lafayette, IN, USA.

Background: Food insecurity is associated with poorer nutrient intakes from food sources and lower dietary supplement use. However, its association with total usual nutrient intakes, inclusive of dietary supplements, and biomarkers of nutritional status among US children remains unknown.

Objective: The objective was to assess total usual nutrient intakes, Healthy Eating Index-2015 (HEI-2015) scores, and nutritional biomarkers by food security status, sex, and age among US children. Read More

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Georgian Med News 2021 Mar(312):78-82

1V. Karazin Kharkiv National University, School of Medicine; 2SI "Institute of Health of Children and Adolescents of the National Academy of Medical Sciences of Ukraine", Kharkiv, Ukraine.

In this study was to investigate the сoexistence of diabetes mellitus type 1 with other chronic pathology in children and adolescents and their impact on the course of diabetes mellitus type 1 (DM1). The 88 children from 3 to 17 years who had DM1 were observed. The study was conducted by survey with the aim of finding risk factors and associated comorbidties with a questionnaire-based, objective-subjective study. Read More

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Associations between urinary phthalate metabolite concentrations and markers of liver injury in the US adult population.

Environ Int 2021 May 6;155:106608. Epub 2021 May 6.

Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China. Electronic address:

Background: Phthalates have been largely used for years in varieties of products worldwide. However, research on the joint toxic effect of various phthalates exposure on the liver is lacking.

Objectives: We aimed to assess exposure to phthalates on liver function tests (LFTs). Read More

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The "celebrity canary in the coal mine for the coronavirus": An examination of a theoretical model of celebrity illness disclosure effects.

Soc Sci Med 2021 Apr 28;279:113963. Epub 2021 Apr 28.

Murrow College of Communication, 208 Goertzen Hall, PO BOX 642530, Pullman, WA, 99164, USA. Electronic address:

Rationale: On March 11, 2020, actor Tom Hanks announced via social media that he had been diagnosed with COVID-19. Previous research has found celebrity illness disclosures to influence behavior, but during the uncertainty of a pandemic, the effects of such a disclosure were unclear.

Objective: To test the proposed Celebrity Illness Disclosure Effects (CIDE) model, demonstrating how an illness disclosure, communicated through mediated and interpersonal channels, may shape willingness to engage in prevention behaviors. Read More

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Blood lead levels and lung cancer mortality: An updated analysis of NHANES II and III.

Cancer Med 2021 May 7. Epub 2021 May 7.

Occupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.

Previous analyses within the National Health and Nutrition Examination Survey (NHANES) II and III cycles suggested an association between blood lead levels (BLLs) and lung cancer mortality, although the evidence was limited by small case numbers. To clarify this relationship, we conducted updated analyses of 4,182 and 15,629 participants in NHANES II and III, respectively, (extending follow-up 20 and 8 years) aged ≥20 with BLL measurements and mortality follow-up through 2014. We fit multivariable Cox models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) relating BLLs and lung cancer with adjustment for smoking and other factors. Read More

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Copper exposure association with prevalence of non-alcoholic fatty liver disease and insulin resistance among US adults (NHANES 2011-2014).

Ecotoxicol Environ Saf 2021 May 4;218:112295. Epub 2021 May 4.

The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, National Health Commission, PR China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, PR China; The NHC Key Laboratory of Drug Addiction Medicine, Kunming Medical University, Kunming 650032, PR China. Electronic address:

Background: Excessive copper (Cu) has risky effect on insulin resistance (IR), oxidative stress and inflammation. Instead, some studies reported serum Cu to be protective for non-alcoholic fatty liver disease (NAFLD). The aim of this study was to reevaluate the evidence for a potential risky correlation of serum Cu to NAFLD in large-scale and non-institutionalized American subjects. Read More

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