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Use of a machine learning-based smartphone app to detect the sunscreen features in a photograph and provide feature-based recommendation.

J Cosmet Dermatol 2021 May 15. Epub 2021 May 15.

College of Medical Sciences, Department of Dermatology.

Sunscreens have been used as photoprotective agents to prevent photoaging, photocarcinogenesis and photodermatoses. However, a recent study found that a significant proportion of patients are uneducated about proper sunscreen use, with about 40% of the patients unaware about the minimum sun protection factor (SPF) requirement set by the American Academy of Dermatology (AAD). Another study based on consumer reviews on Amazon. Read More

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Current and next-year cranberry yields predicted from local features and carryover effects.

PLoS One 2021 10;16(5):e0250575. Epub 2021 May 10.

Département des Sols et de Génie Agroalimentaire, Université Laval, Québec, Québec, Canada.

Wisconsin and Quebec are the world leading cranberry-producing regions. Cranberries are grown in acidic, naturally low-fertility sandy beds. Cranberry fertilization is guided by general soil and tissue nutrient tests in addition to yield target and vegetative biomass. Read More

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Consensus recommendations for the standardized histopathological evaluation and reporting after radical oesophago-gastrectomy (HERO consensus).

Dis Esophagus 2021 May 8. Epub 2021 May 8.

Department of General Surgery, Guys and St Thomas' Hospital NHS Foundation Trust, London, UK.

Background: Variation in the approach, radicality, and quality of gastroesophageal surgery impacts patient outcomes. Pathological outcomes such as lymph node yield are routinely used as surrogate markers of surgical quality, but are subject to significant variations in histopathological evaluation and reporting. A multi-society consensus group was convened to develop evidence-based recommendations for the standardized assessment of gastroesophageal cancer specimens. Read More

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The Utilization of Core Exercises in Patients With Patellofemoral Pain: A Critically Appraised Topic.

J Sport Rehabil 2021 May 5:1-4. Epub 2021 May 5.

Clinical Scenario: Patellofemoral pain (PFP) is characterized by general anterior knee pain around the patella and is one of the most prevalent knee conditions. PFP is challenging to treat due to a wide range of contributing factors and often has chronic, reoccurring symptoms. Traditional treatment focuses on quadriceps and gluteal strengthening with minimal emphasis on deep trunk musculature. Read More

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School Health Instructions in Primary Schools - A Study of Gwagwalada Area Council, Federal Capital Territory Nigeria.

West Afr J Med 2021 Apr;38(4):359-365

University of Abuja Teaching Hospital/ University of Abuja, Abuja, Nigeria.

Background: School Health Instructions (SHI) entail the instructional aspect of school health programme, which provides a classroom opportunity for inculcating healthy habits into the school- age child.

Objective: To assess the status of implementation of school health instruction in primary schools in Gwagwalada Area Council of the Federal Capital Territory, Nigeria.

Methods: A cross-sectional descriptive study of 146 primary schools in the Gwagwalada Area Council of the Nigerian Federal capital was carried out to assess the implementation of SHI with respect to the contents, methods of delivery and teachers preparation for health teaching using an evaluation checklist for SHI. Read More

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Early breastfeeding and complementary feeding in Ethiopia: cross-sectional data from implementation of nutrition programming on regional inequalities.

Heliyon 2021 Apr 16;7(4):e06746. Epub 2021 Apr 16.

Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St., New Orleans, LA, 70112, USA.

Improving nutrition for young children remains an urgent priority globally. Ethiopia has made great strides over the last two decades in improving health and nutrition for children. The task of scaling improved nutrition services now turns to addressing progress on the regional level. Read More

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Complex scenarios with competing factors: A conception paper applied to the COVID-19 case.

Nonlinear Dyn 2021 Apr 21:1-15. Epub 2021 Apr 21.

Secretariat for Strategic Studies (SAE-PR), Brazilian Republic Presidency, Palácio do Planalto, Brasília, DF 70150-900 Brazil.

A theory to analyze complex scenarios facing threats with competing factors and limited resources has been introduced. The scenarios are modeled as closed systems. Hamilton's principle of stationary action is used to conceive a theory in which competing factors dispute available resources to minimize undesirable outcomes. Read More

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Antithrombotic Therapy Recommendations in the European Society of Cardiology Guidelines: How Robust Are the Randomized Controlled Trials Underpinning Them?

TH Open 2021 Apr 14;5(2):e125-e133. Epub 2021 Apr 14.

Laboratory of Clinical Pharmacology and Therapeutics, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

 Criticisms have been raised against the sole use of -value in interpreting results from randomized controlled trials (RCTs). Additional tools have been suggested, like the fragility index (FI), a measure of a trial's robustness/fragility, and derivative measures. The FI is the minimum number of patients who would have to be converted from nonevents to events, in the group with the least events, for a result to lose statistical significance. Read More

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Comparing Real World, Personalized, Multidisciplinary Tumor Board Recommendations with BCLC Algorithm: 321-Patient Analysis.

Cardiovasc Intervent Radiol 2021 Apr 6. Epub 2021 Apr 6.

Section of Interventional Radiology, Department of Radiology, Robert H. Lurie Comprehensive Cancer Center, Northwestern Memorial Hospital, Northwestern University, 676 N. St. Clair, Suite 800, Chicago, IL, 60611, USA.

Purpose: To evaluate hepatocellular carcinoma (HCC) treatment allocation, deviation from BCLC first-treatment recommendation, and outcomes following multidisciplinary, individualized approach.

Methods: Treatment-naïve HCC discussed at multidisciplinary tumor board (MDT) between 2010 and 2013 were included to allow minimum 5 years of follow-up. MDT first-treatment recommendation (resection, transplant, ablation, transarterial radioembolization (Y90), transarterial chemoembolization, sorafenib, palliation) was documented, as were subsequent treatments. Read More

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Systematic Review: Recommendations of Levels of Physical Activity among Colorectal Cancer Patients (2010-2019).

Int J Environ Res Public Health 2021 03 12;18(6). Epub 2021 Mar 12.

School of Nursing, Hanyang University, Seoul 04763, Korea.

Background: It is necessary to engage in an appropriate level of physical activity to improve the prognoses of colorectal cancer patients, yet no guidelines currently exist. The goals of this systematic review are to determine the impact of levels of physical activity on the prognoses of colorectal cancer patients and to suggest recommended guidelines for levels of physical activity.

Methods: This systematic review was conducted along PRISMA guidelines. Read More

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Iodine Excretion and Intake in Women of Reproductive Age in South Australia Eating Plant-Based and Omnivore Diets: A Pilot Study.

Int J Environ Res Public Health 2021 03 29;18(7). Epub 2021 Mar 29.

Clinical and Health Sciences, University of South Australia, Alliance for Research in Exercise Nutrition and Activity (ARENA), Adelaide 5001, Australia.

Women consuming a strictly vegan/plant-based diet may be at increased risk of low iodine intake due to avoidance of animal products containing iodine. The aim of this pilot study was to determine the iodine excretion and intake in women consuming vegan/plant based diets compared with women consuming omnivore diets. Fifty-seven women ( = 31 plant-based, = 26 omnivores), provided two spot urine samples to assess urinary iodine concentration (UIC). Read More

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Factors associated with coverage of vitamin a supplementation among Bangladeshi children: mixed modelling approach.

BMC Public Health 2021 Apr 2;21(1):648. Epub 2021 Apr 2.

School of Computing and Mathematics, Charles Sturt University, Wagga Wagga, Australia.

Background: Vitamin A deficiency (VAD) is a prominent and widespread public health problem in developing countries, including Bangladesh. About 2% of all deaths among under-five children are attributable to VAD. Evidence-based information is required to understand the influential factors to increase vitamin A supplementation (VAS) coverage and reduce VAD. Read More

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Recommendation for cholecystectomy protocol based on intraoperative ultrasound - a single-centre retrospective case-control study.

Wideochir Inne Tech Maloinwazyjne 2021 Mar 27;16(1):54-61. Epub 2020 Mar 27.

Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Wroclaw, Poland.

Introduction: There is a strong need to make laparoscopic cholecystectomy as safe as possible, but sometimes complications in the form of bile duct and/or vascular injury occur. The safe plane of dissection can be precisely identified with intraoperative ultrasound, ensuring reduction of the complication rate to a minimum.

Aim: To evaluate the advantages of the cholecystectomy protocol based on the use of intraoperative ultrasound during laparoscopic and open cholecystectomy. Read More

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The Impact of Cumulative Cochlear Implant Wear Time on Spoken Language Outcomes at Age 3 Years.

J Speech Lang Hear Res 2021 04 30;64(4):1369-1375. Epub 2021 Mar 30.

Department of Otolaryngology Head and Neck Surgery, The University of North Carolina at Chapel Hill.

Purpose The purpose of this study was to analyze the impact of cumulative hearing hour percentage (HHP) on pediatric cochlear implant users' speech and language development at age 3 years and to determine an evidence-based wear time recommendation that yields typical spoken language standard scores. Method A retrospective chart review of 40 pediatric cochlear implant recipients was completed. Children met the following criteria: prelingually deafened, implanted at age 2 years or younger, utilized a speech processor with datalogging capabilities, a minimum of 1 year of cochlear implant use, and language testing completed at approximately age 3 years. Read More

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Certified Athletic Trainers' Use of Cervical Clinical Testing in the Diagnosis and Management of Sports-Related Concussion.

J Sport Rehabil 2021 Mar 25:1-9. Epub 2021 Mar 25.

Context: Despite evidence implicating cervicogenic symptoms in the development of persistent postconcussion symptoms, factors that influence utilization of cervical clinical tests to identify cervicogenic symptoms following concussion are poorly understood.

Objective: Explore barriers to the utilization of cervical clinical testing in multifaceted concussion evaluation.

Design: Cross-sectional. Read More

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A large real-world cohort study of examined lymph node standards for adequate nodal staging in early non-small cell lung cancer.

Transl Lung Cancer Res 2021 Feb;10(2):815-825

Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine, Guangzhou, China.

Background: The current National Comprehensive Cancer Network (NCCN) guidelines for non-small cell lung cancer (NSCLC) recommend that surgeons sample is not clear. We aimed to define a minimal number of examined lymph nodes for removal or sampling for optimized nodal staging recommendation, with a focus on TNM patients.

Methods: A total of 55,101 consecutive patients were selected, including 52,099 patients with US Surveillance, Epidemiology, and End Results (SEER) data and 3,002 patients in a Chinese multicenter database from 11 thoracic referral centers, who underwent complete resection plus lymph node dissection or sampling for stage TNM NSCLC. Read More

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February 2021

Evaluation of Current Amikacin Dosing Recommendations and Development of an Interactive Nomogram: The Role of Albumin.

Pharmaceutics 2021 Feb 15;13(2). Epub 2021 Feb 15.

Department of Pharmaceutical Sciences, Pharmacy Faculty, University of Salamanca, 37007 Salamanca, Spain.

This study aimed to evaluate the potential efficacy and safety of the amikacin dosage proposed by the main guidelines and to develop an interactive nomogram, especially focused on the potential impact of albumin on initial dosage recommendation. The probability of target attainment (PTA) for each of the different dosing recommendations was calculated through stochastic simulations based on pharmacokinetic/pharmacodynamic (PKPD) criteria. Large efficacy and safety differences were observed for the evaluated amikacin dosing guidelines together with a significant impact of albumin concentrations on efficacy and safety. Read More

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February 2021

Comparison of interventions for lumbar disc herniation: a systematic review with network meta-analysis.

Spine J 2021 Mar 3. Epub 2021 Mar 3.

Interdisciplinary Orthopaedics, Aalborg University Hospital, Hobrovej 18-22, DK 9000, Aalborg, Denmark; Department of Clinical Medicine, Aalborg University, Soender Skovvej 15, DK 9000, Aalborg, Denmark.

Background: Implants for use in disc herniation surgery have been commercially available for some time. Several clinical trials have shown promising results. There are now a wide variety of surgical methods for treating lumbar disc herniation. Read More

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Relationship between a plant-based 'vegan' pet food and clinical manifestation of multiple nutrient deficiencies in two cats.

J Anim Physiol Anim Nutr (Berl) 2021 Mar 3. Epub 2021 Mar 3.

Nutrition Department, Ecole Nationale Vétérinaire de Toulouse ENVT, Toulouse, France.

A topical subject in human nutrition is the steadily growing number of people choosing to limit or completely avoid all animal-derived food products either for moral dilemma, health concerns or both. To meet people's will of applying their dietary choices to their domestic animals, the pet food industry answered by launching on the market some plant-based diets. This leads to concerns about whether these diets are adequately formulated to satisfy the target species nutritional requirements, especially for cats which are still considered strict carnivores. Read More

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Association of platelet count and plateletcrit with nerve conduction function and peripheral neuropathy in patients with type 2 diabetes mellitus.

J Diabetes Investig 2021 Mar 2. Epub 2021 Mar 2.

Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Aims/introduction: Diabetes has been considered as a 'pro-thrombotic state' with enhanced platelet reactivity. Abnormality in platelet aggregation has been found in patients with its most common chronic complication - diabetic peripheral neuropathy (DPN). The purpose of this study was to investigate the potential association of platelet indices with nerve conduction function and the presence of DPN in Chinese patients with type 2 diabetes mellitus. Read More

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Large-Scale Affine Matrix Rank Minimization With a Novel Nonconvex Regularizer.

IEEE Trans Neural Netw Learn Syst 2021 Mar 1;PP. Epub 2021 Mar 1.

Low-rank minimization aims to recover a matrix of minimum rank subject to linear system constraint. It can be found in various data analysis and machine learning areas, such as recommender systems, video denoising, and signal processing. Nuclear norm minimization is a dominating approach to handle it. Read More

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Methodologic Quality of Guidelines for Training or Competence Processes for Basic Point-of-Care Echocardiography in Critical Care: A Systematic Review of the Literature.

Chest 2021 Feb 18. Epub 2021 Feb 18.

Nepean Clinical School, University of Sydney, Kingswood, NSW, Australia.

Background: The formulation of expert opinion guidelines has several sources of bias that may adversely affect their quality. To minimize bias, guideline creators must use rigorous methodology. There has been no appraisal of the methodologic quality of basic critical care echocardiography (BCCE) training/education guidelines. Read More

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February 2021

Duration of birth interval and its predictors among reproductive-age women in Ethiopia: Gompertz gamma shared frailty modeling.

PLoS One 2021 19;16(2):e0247091. Epub 2021 Feb 19.

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Background: The World Health Organization recommended a minimum of 33 months between consecutive live births to reduce the incidence of adverse pregnancy outcomes. Poorly spaced pregnancies are associated with poor maternal and child health outcomes such as low birth weight, stillbirth, uterine rupture, neonatal mortality, maternal mortality, child malnutrition, and maternal hemorrhage. However, there was limited evidence on the duration of birth interval and its predictors among reproductive-age women in Ethiopia. Read More

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February 2021

Improving centre-based group exercise participation of older adults using the behaviour change wheel.

BMJ Open Qual 2021 Feb;10(1)

Faculty of Medicine Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

An emphasis on active ageing could help to delay the onset of frailty. In Singapore, Senior Activity Centres provide free and guided group exercise sessions for older adults. However, one such centre had very low participation rates among community-dwelling older adults despite running standardised programmes. Read More

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February 2021

Ultrasound-guided cannulation for medical students.

Clin Teach 2021 Feb 9. Epub 2021 Feb 9.

Great Western Hospitals NHS Foundation Trust, Undergraduate Academy, Swindon, UK.

Background: There is growing recommendation to integrate ultrasound training into undergraduate medical curricula; with limited evidence of its implementation in the United Kingdom. Peripheral intravenous cannulation (PIVC) often has high failure rates-particularly for patients with difficult vascular access. Ultrasound-guided PIVC (US-PIVC) has been shown to increase the rates of success and may reduce dependence on seniors. Read More

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February 2021

Rabbit Carcasses for Use in Feline Diets: Amino Acid Concentrations in Fresh and Frozen Carcasses With and Without Gastrointestinal Tracts.

Front Vet Sci 2020 21;7:592753. Epub 2021 Jan 21.

Department of Molecular Biosciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, United States.

Whole-prey diets for exotic feline species are common, and this practice has also increased in popularity for domestic cats. However, prior analyses of prey indicate possible essential amino acid inadequacy, and dilated cardiomyopathy from taurine deficiency was reported in cats fed whole ground rabbit. Crude protein, body water, and amino acid concentrations were evaluated in fresh and frozen ground rabbits with (=10) or without ( = 10) gastrointestinal tracts. Read More

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January 2021

Amino acid profile of food fishes with potential to diversify fish farming activity.

J Food Sci Technol 2021 Jan 28;58(1):383-388. Epub 2020 Aug 28.

Master's Program in Chemical and Biochemical Processes Technology, Department of Chemistry, Federal University of Technology of Parana, Km 01, Pato Branco, Paraná 85503-390 Brazil.

In Brazil, 47% of the fish farming correspond to the tilapia species, and the main producers are the south and northeast regions. This work aimed at characterizing the amino acid profile of three fishes with the potential for rearing and diversification in Brazil and worldwide. The fishes grass carp (), pacu (), and catfish () were obtained from a rural property located in the city of Pato Branco, PR, Brazil, and analyzed regarding the amino acid composition through High-Performance Liquid Chromatography. Read More

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January 2021

Pharmacokinetics, Pharmacodynamic Efficacy Prediction Indexes and Monte Carlo Simulations of Enrofloxacin Hydrochloride Against Bacterial Strains That Induce Common Clinical Diseases in Broiler Chickens.

Front Vet Sci 2020 7;7:606872. Epub 2021 Jan 7.

Department of Food Science, School of Food Engineering, University of Campinas, Campinas, Brazil.

Pharmacokinetic parameters and efficacy prediction indexes (C/MIC and AUC/MIC) of an enrofloxacin hydrochloride (ENR-HCl) veterinary product soluble in water were determined in healthy broiler chickens of both sexes after a single oral dose of ENR-HCl (equivalent to 10 mg ENR base/kg bw). Monte Carlo simulations targeting C/MIC = 10 and AUC/MIC =125 were also performed based on a set of MIC (minimum inhibitory concentration) values of bacterial strains that induce common clinical diseases in broiler chickens and that showed to be susceptible to ENR-HCl. Plasma concentrations of ENR and its main metabolite ciprofloxacin (CIP) were determined by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Read More

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January 2021

Percentage of Adolescents Meeting Federal Fruit and Vegetable Intake Recommendations - Youth Risk Behavior Surveillance System, United States, 2017.

MMWR Morb Mortal Wkly Rep 2021 Jan 22;70(3):69-74. Epub 2021 Jan 22.

According to the 2020-2025 Dietary Guidelines for Americans, persons should consume fruits and vegetables as part of a healthy eating pattern to reduce their risk for diet-related chronic diseases, such as cardiovascular disease, type 2 diabetes, some cancers, and obesity.* A healthy diet is important for healthy growth in adolescence, especially because adolescent health behaviors might continue into adulthood (1). The U. Read More

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January 2021

The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations.

Arch Rheumatol 2020 Sep 8;35(3):309-320. Epub 2020 Jan 8.

Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Akdeniz University, School of Medicine, Antalya, Turkey.

Objectives: This study aims to explore the accordance to the 2018 European League Against Rheumatism (EULAR) recommendations for the management of hand osteoarthritis (OA) among the Turkish League Against Rheumatism (TLAR) expert panel and composition of TLAR recommendations for the management of hand OA under guidance of the current literature.

Materials And Methods: The TLAR convener designated an expert panel of 10 physicians experienced in hand OA for this process. The 2018 EULAR recommendations for the management of hand OA and the systematic review of the literature were sent to the expert panel via e-mails. Read More

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September 2020