331,233 results match your criteria odds ratio

Cannabis use and risks of respiratory and all-cause morbidity and mortality: a population-based, data-linkage, cohort study.

BMJ Open Respir Res 2022 May;9(1)

Airways Disease Group, Division of Respirology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Introduction: Although cannabis is frequently used worldwide, its impact on respiratory health is characterised by controversy.

Objective: To evaluate the association between cannabis use and respiratory-related emergency room (ER) visits and hospitalisations.

Methods: A retrospective, population-based, cohort study was carried out, linking health survey and health administrative data for residents of Ontario, Canada, aged 12-65 years, between January 2009 and December 2015. Read More

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User centered clinical decision support to implement initiation of buprenorphine for opioid use disorder in the emergency department: EMBED pragmatic cluster randomized controlled trial.

BMJ 2022 Jun 27;377:e069271. Epub 2022 Jun 27.

Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA.

Objective: To determine the effect of a user centered clinical decision support tool versus usual care on rates of initiation of buprenorphine in the routine emergency care of individuals with opioid use disorder.

Design: Pragmatic cluster randomized controlled trial (EMBED).

Setting: 18 emergency department clusters across five healthcare systems in five states representing the north east, south east, and western regions of the US, ranging from community hospitals to tertiary care centers, using either the Epic or Cerner electronic health record platform. Read More

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Patient Acceptance of Telemedicine in Urogynecology Consultations - A Cross-Sectional Study Performed at a Brazilian Public Institution.

Rev Bras Ginecol Obstet 2022 Jun 27. Epub 2022 Jun 27.

Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.

Objective:  To evaluate the acceptance of telemedicine and determine its associated factors in an urogynecology outpatient clinic of a public hospital in Brazil.

Methods:  The present was a cross-sectional study performed between June and November 2020. The included patients had their elective appointments postponed due to the coronavirus disease 2019 (COVID-19) pandemic. Read More

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Communicating hydrocephalus following treatment of cerebellopontine angle tumors.

World Neurosurg 2022 Jun 24. Epub 2022 Jun 24.

Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea. Electronic address:

Objective: Communicating hydrocephalus is a common condition presented in patients with cerebellopontine angle tumors, but its etiology has not been fully understood. This study aimed to clarify the risk of communicating hydrocephalus in distinct tumor types and treatment modalities, i.e. Read More

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Mortality after 36 weeks postmenstrual age of extremely preterm infants in neonatal care: The impact of growth impairment and bronchopulmonary dysplasia.

Early Hum Dev 2022 Jun 24;171:105618. Epub 2022 Jun 24.

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom; NIHR Biomedical Centre at Guy's and St Thomas NHS Foundation Trust and King's College London, London, United Kingdom. Electronic address:

Background: A small group of extremely preterm infants survive to 36 weeks postmenstrual age (PMA), but die before discharge from neonatal care.

Aims: To investigate which epidemiological and clinical parameters were related to death after 36 weeks PMA in extremely preterm infants.

Study Design: Retrospective whole-population study. Read More

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Risk factors of clinically significant complications in transbronchial lung cryobiopsy: A prospective multi-center study.

Respir Med 2022 Jun 21;200:106922. Epub 2022 Jun 21.

Center of Medicine and Clinical Research, Division of Respiratory Medicine, Kuopio University Hospital, POB 100, 70029, Kuopio, Finland.

Background: The use of a transbronchial lung cryobiopsy (TBLC) is increasing as a diagnostic method of interstitial lung diseases (ILD). This study aimed to evaluate risk factors associated with clinically significant complications of TBLC in ILD patients.

Methods: Patients referred to Kuopio or Tampere university hospitals, in Finland, for a suspected ILD were included. Read More

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Association of Bupropion, Naltrexone, and Opioid Agonist Treatment With Stimulant-Related Admissions Among People With Opioid Use Disorder: A Case-Crossover Analysis.

J Clin Psychiatry 2022 Jun 20;83(4). Epub 2022 Jun 20.

Health and Behavior Research Center, Department of Psychiatry, Washington University School of Medicine, St Louis, Missouri.

Stimulant use has substantially increased among people with opioid use disorder (OUD) and is associated with worse treatment outcomes. This study's objective was to compare risk of stimulant-related emergency department (ED) and hospital admissions associated with exposure to bupropion, OUD medication (buprenorphine, naltrexone, and methadone), and selective serotonin reuptake inhibitors (SSRIs; active comparator) relative to days without active prescriptions for medication.

This recurrent-event, case-crossover study used insurance claims from 51,084 individuals with OUD enrolled in the IBM MarketScan (2006-2016) Databases who had at least 1 stimulant-related ED or hospital admission. Read More

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Health Care Disparities Among Latina Patients Presenting With Pelvic Organ Prolapse.

Female Pelvic Med Reconstr Surg 2022 Jun 18. Epub 2022 Jun 18.

Urology, University of California Los Angeles, Los Angeles.

Importance: This study identifies barriers, including language and insurance status, Latina patients may face in accessing urogynecology care.

Objective: The aim of the study was to determine differences in objective prolapse severity at the time of presentation between Latina and non-Latina patients and the effect socioeconomic disparities may have on these differences.

Study Design: This is a retrospective cohort study of patients visiting urogynecology clinics at 2 academic institutions (1 private, 1 public). Read More

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Effect of Nitric Oxide via Cardiopulmonary Bypass on Ventilator-Free Days in Young Children Undergoing Congenital Heart Disease Surgery: The NITRIC Randomized Clinical Trial.

JAMA 2022 Jun 27. Epub 2022 Jun 27.

Critical Care Research Group, Wesley Medical Research, St Andrew's War Memorial Hospital, Brisbane, Queensland, Australia.

Importance: In children undergoing heart surgery, nitric oxide administered into the gas flow of the cardiopulmonary bypass oxygenator may reduce postoperative low cardiac output syndrome, leading to improved recovery and shorter duration of respiratory support. It remains uncertain whether nitric oxide administered into the cardiopulmonary bypass oxygenator improves ventilator-free days (days alive and free from mechanical ventilation).

Objective: To determine the effect of nitric oxide applied into the cardiopulmonary bypass oxygenator vs standard care on ventilator-free days in children undergoing surgery for congenital heart disease. Read More

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Clinical Benefits of Early Concurrent Use of Cryoprecipitate and Plasma Compared With Plasma Only in Bleeding Trauma Patients.

Crit Care Med 2022 Jun 20. Epub 2022 Jun 20.

Riverside University Health System-Comparative Effectiveness and Clinical Outcomes Research Center, Moreno Valley, CA.

Objectives: The effectiveness of cryoprecipitate (Cryo) in trauma has not been well established; the benefits of Cryo might have been overestimated in previous studies since the difference in the total amount of administered clotting factors was not considered. We aimed to evaluate the benefits of the concurrent use of Cryo in combination with fresh frozen plasma (FFP) for bleeding trauma patients.

Design: Retrospective cohort study. Read More

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Frequency distribution of cytokine and associated transcription factor single nucleotide polymorphisms in Zimbabweans: Impact on schistosome infection and cytokine levels.

PLoS Negl Trop Dis 2022 Jun 27;16(6):e0010536. Epub 2022 Jun 27.

Institute of Immunology & Infection Research, University of Edinburgh, Ashworth Laboratories, Edinburgh, United Kingdom.

Cytokines mediate T-helper (TH) responses that are crucial for determining the course of infection and disease. The expression of cytokines is regulated by transcription factors (TFs). Here we present the frequencies of single nucleotide polymorphisms (SNPs) in cytokine and TF genes in a Zimbabwean population, and further relate SNPs to susceptibility to schistosomiasis and cytokine levels. Read More

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Effectiveness of a Conversational Chatbot ([email protected]) for the Adult Population to Quit Smoking: Pragmatic, Multicenter, Controlled, Randomized Clinical Trial in Primary Care.

JMIR Mhealth Uhealth 2022 Jun 27;10(6):e34273. Epub 2022 Jun 27.

See Acknowledgments, .

Background: Tobacco addiction is the leading cause of preventable morbidity and mortality worldwide, but only 1 in 20 cessation attempts is supervised by a health professional. The potential advantages of mobile health (mHealth) can circumvent this problem and facilitate tobacco cessation interventions for public health systems. Given its easy scalability to large populations and great potential, chatbots are a potentially useful complement to usual treatment. Read More

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Effectiveness of Recruitment Strategies of Latino Smokers: Secondary Analysis of a Mobile Health Smoking Cessation Randomized Clinical Trial.

J Med Internet Res 2022 Jun 27;24(6):e34863. Epub 2022 Jun 27.

Department of Public Health Sciences, University of Rochester School of Medicine & Dentistry, Rochester, NY, United States.

Background: Latinos remain disproportionately underrepresented in clinical trials, comprising only 2%-3% of research participants. In order to address health disparities, it is critically important to increase enrollment of Latino smokers in smoking cessation trials. There is limited research examining effective recruitment strategies for this population. Read More

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Circular RNA UBAP2 (hsa_circ_0007367) Correlates with Microcirculatory Perfusion and Predicts Outcomes of Cardiogenic Shock Patients Undergoing Extracorporeal Membrane Oxygenation Support.

Shock 2022 Jun;57(6):200-210

Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.

Background: Severe microcirculatory disturbance is common in patients with cardiogenic shock necessitating extracorporeal membrane oxygenation (ECMO), however, biomarkers linked to microcirculation and clinical outcome are scarce. Herein we identified a circular RNA, hsa_circ_0007367, rooted from the ubiquitin-associated protein 2 (UBAP2) gene, namely circUBAP2, and evaluated its biological function and the associations with microcirculation and the prognosis.

Methods: Patients on ECMO with cardiogenic shock were included if qualified sublingual microcirculation parameters could be obtained and were categorized into the survivor group or non-survivor group. Read More

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Association of APOE Genotypes and Chronic Traumatic Encephalopathy.

JAMA Neurol 2022 Jun 27. Epub 2022 Jun 27.

Boston University Alzheimer's Disease and CTE Centers, Boston University School of Medicine, Boston, Massachusetts.

Importance: Repetitive head impact (RHI) exposure is the chief risk factor for chronic traumatic encephalopathy (CTE). However, the occurrence and severity of CTE varies widely among those with similar RHI exposure. Limited evidence suggests that the APOEε4 allele may confer risk for CTE, but previous studies were small with limited scope. Read More

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Association between malocclusion in the mixed dentition with breastfeeding and past nonnutritive sucking habits in school-age children.

Angle Orthod 2022 Jun 27. Epub 2022 Jun 27.

Objectives: To evaluate the association between malocclusion characteristics in the mixed dentition stage, breastfeeding, and past nonnutritive sucking habits in school-age children.

Materials And Methods: A total of 547 school children in the mixed dentition, in the age range between 7 and 13 years, were evaluated by means of questionnaire and clinical examination. Binomial and multinomial logistic regression models were used to evaluate the associations between breastfeeding and finger and pacifier sucking habits, the malocclusion characteristics of posterior crossbite, and excessive or deficient overjet and overbite. Read More

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Practice Patterns of Fundoscopic Examination for Diabetic Retinopathy Screening in Primary Care.

JAMA Netw Open 2022 Jun 1;5(6):e2218753. Epub 2022 Jun 1.

Department of Ophthalmology, Duke University, Durham, North Carolina.

Importance: Primary care professionals (PCPs) have a central role in screening for diabetic retinopathy (DR), especially in settings where access to specialty eye care is limited. Data on current DR screening practice patterns in primary care are needed to inform screening strategies.

Objectives: To assess the practice patterns of fundoscopic examination for DR screening in a large primary care network and to evaluate the sensitivity and accuracy of PCP fundoscopy for detecting DR. Read More

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Association of Kidney Comorbidities and Acute Kidney Failure With Unfavorable Outcomes After COVID-19 in Individuals With the Sickle Cell Trait.

JAMA Intern Med 2022 Jun 27. Epub 2022 Jun 27.

Department of Psychiatry, Division of Human Genetics, Yale School of Medicine, New Haven, Connecticut.

Importance: Sickle cell trait (SCT), defined as the presence of 1 hemoglobin beta sickle allele (rs334-T) and 1 normal beta allele, is prevalent in millions of people in the US, particularly in individuals of African and Hispanic ancestry. However, the association of SCT with COVID-19 is unclear.

Objective: To assess the association of SCT with the prepandemic health conditions in participants of the Million Veteran Program (MVP) and to assess the severity and sequelae of COVID-19. Read More

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HIV treatment outcomes in POP-UP: drop-in HIV primary care model for people experiencing homelessness.

J Infect Dis 2022 Jun 27. Epub 2022 Jun 27.

Division of HIV, Infectious Diseases, and Global Medicine; Department of Medicine; University of California, San Francisco, San Francisco, CA 94110.

Introduction: People living with HIV experiencing homelessness have low rates of viral suppression, driven by socio-structural barriers and limitations of traditional care systems. Informed by the Capability-Opportunity-Motivation-Behavior (COM-B) model and patient preference research, we developed "POP-UP", an integrated drop-in (non-appointment-based) HIV clinic with wrap-around services (substance use, mental health, case management, financial incentives) for persons with housing instability and viral-non suppression.

Methods: We report HIV viral suppression (VS; <200 copies/mL), care engagement (≥90 day gaps in care and ≥1 clinical visit each 4-month period) and mortality at 12-months post-enrollment. Read More

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EBV protection- and susceptibility-related HLA alleles and EBV status in the Chinese population: A single-center study.

Immun Inflamm Dis 2022 Jul;10(7):e666

Department of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

Background: Although most adults are infected by Epstein-Barr virus (EBV), some patients develop highly lethal diseases associated with EBV infection, including EBV-hemophagocytic lymphohistiocytosis (EBV-HLH), chronic active EBV infections (CAEBV), and lymphoma, the pathogeneses of which remain to be investigated. The human leukocyte antigen (HLA) complex may be associated with the viral infection pathway, and, therefore, HLA alleles may be associated with EBV-related diseases and subpopulations of infected cells, studies related to EBV-associated diseases, and subpopulations of infected cells that were conducted in China are scarce.

Methods: In this study, we analyzed the high-resolution HLA genotypes of 269 patients with EBV-associated diseases and 213 EBV-seronegative hematopoietic stem cell donors using PCR-SBT assay and elucidated the associations of HLA-A, -B, -C, -DRB1, and -DQB1 alleles with EBV-associated diseases in the Chinese population, Benjamini-Hochberg correction to adjust for multiple testing. Read More

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Skin cancer risk factors among Black South Africans-The Johannesburg Cancer Study, 1995-2016.

Immun Inflamm Dis 2022 Jul;10(7):e623

National Cancer Registry, National Health Laboratory Service, Johannesburg, South Africa.

Background: The Black population has lower skin cancer incidence compared to White, Indian/Asian, and Mixed-race populations in South Africa; however, skin cancer still exists in the Black population. The aim of this study is to identify risk factors associated with skin cancer among Black South Africans.

Materials And Methods: A case-control study was conducted. Read More

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The relationship of 3'UTR HLA-G14-bp insertion/deletion and +3142 C/G polymorphisms and soluble HLA-G expression with gynecological cancers: An updated meta-analysis.

Immun Inflamm Dis 2022 Jul;10(7):e645

Laboratory Microorganismes and Active Biomolecules, Sciences Faculty of Tunis, University of Tunis El Manar, Tunis, Tunisia.

Objectives: Human leukocyte antigen-G (HLA-G) is implicated in several cancers and is considered to be an immune checkpoint regulator. We determined the association between polymorphisms in the 3' untranslated region of HLA-G and soluble HLA-G (sHLA-G) expression with gynecological cancers (GCs).

Methods: A meta-analysis was conducted to examine the association between HLA-G14-bp insertion (I)/deletion (D) and +3142C/G polymorphism in GC and to evaluate sHLA-G expression RESULTS: We revealed a significant association between the +3142C/G polymorphism and invasive cervical cancer (ICC) based on the allelic model G versus C (odds ratio [OR] = 0. Read More

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Hepatitis E virus seroprevalence is associated with neurodegenerative disorders in older people with dementia: a case-control study.

J Infect Dis 2022 Jun 27. Epub 2022 Jun 27.

Unidad de Infección Viral e Inmunidad, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda, Spain.

In this case-control study, we evaluated the association between serum antibodies against hepatitis E virus (HEV) and central nervous system (CNS) neurodegenerative disorders (NDs) in older people with dementia. The presence of anti-HEV antibodies was related to a higher adjusted odds ratio (aOR) of having CNS-NDs by neuropathological diagnosis (aOR = 2.13; p = 0. Read More

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Systematic review and meta-analysis comparing the efficacy of dexmedetomidine to midazolam as premedication and a sedative agent in pediatric patients undergoing dental procedures.

Oral Maxillofac Surg 2022 Jun 27. Epub 2022 Jun 27.

Department of Oral and Maxillofacial Surgery, Dr. H.S.R.S.M. Dental College, Hingoli, Maharashtra, India.

Introduction: Pediatric dental surgeries are associated with the emotions of fear, anxiety, and other behavioral disturbances of children that need to be managed. Sedation using drugs like dexmedetomidine (DEX) and midazolam (MID) is a common pharmacological behavior managing technique. We conducted this meta-analysis to evaluate the efficacy of both these drugs in current literature. Read More

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Quantitative analysis of enhanced CT in differentiating well-differentiated pancreatic neuroendocrine tumors and poorly differentiated neuroendocrine carcinomas.

Eur Radiol 2022 Jun 27. Epub 2022 Jun 27.

Institue of Cancer and Basic Medicine (ICBM), Chinese Academy of Sciences, Hangzhou, 310018, China.

Objective: To identify quantitative CT features for distinguishing well-differentiated pancreatic neuroendocrine tumors (PNETs) from poorly differentiated pancreatic neuroendocrine carcinomas (PNECs).

Materials And Methods: Seventeen patients with PNECs and 131 patients with PNETs confirmed by biopsy or surgery were retrospectively included. General demographic (sex, age) and CT quantitative parameters (arterial/portal absolute enhancement, arterial/portal relative enhancement ratio, arterial/portal enhancement ratio) were collected. Read More

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The Efficacy of Senna Bowel Preparation for Colonoscopy: A Systematic Review and Meta-analysis.

Gastroenterol Nurs 2022 Jun 27. Epub 2022 Jun 27.

Hefeng Tian, MD, is Team Coordinator, The First Hospital of Jilin University, Changchun, Jilin Province, China.

The quality of bowel preparation is an extremely important determinant of colonoscopy results. However, the efficacy of senna regimens in improving bowel cleanliness is uncertain. We conducted a systematic review and meta-analysis to synthesize data on whether using a senna bowel preparation regimen enhances the bowel cleanliness. Read More

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Sports and Myopia: An Investigation on the Prevalence and Risk Factors of Myopia in Young Sports-Related Groups in Tianjin, China.

Invest Ophthalmol Vis Sci 2022 Jun;63(6):27

Department of Ophthalmology, Tianjin Medical University General Hospital, Heping District, Tianjin, China.

Objective: To explore the relationship between sports and the prevalence of myopia in young sports-related groups in Tianjin, China.

Methods: In this cross-sectional study, a cluster sampling method was used to survey professional athletes in Tianjin, students at Tianjin University of Sport, and Tianjin Vocational College of Sports. All participants completed epidemiological questionnaires and ophthalmic examinations. Read More

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Maternal Testosterone and Offspring Birth Weight: A Mendelian Randomization Study.

J Clin Endocrinol Metab 2022 Jun 27. Epub 2022 Jun 27.

Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Background: Evidence showed maternal androgen levels in both healthy/general population and populations with hyperandrogenic disorders were inversely associated with offspring's birth weight. We aimed to investigate the causal effect of maternal testosterone levels in general population on offspring's birth weight and preterm delivery risk using two-sample Mendelian randomization (MR) method.

Methods: We obtained independent genetic instruments from a sex-specific genome wide association study with up to 230,454 females of European descent from UK biobank. Read More

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Higher hospitalization and mortality rates among SARS-CoV-2-infected persons in rural America.

J Rural Health 2022 Jun 27. Epub 2022 Jun 27.

West Virginia University, Morgantown, West Virginia, USA.

Purpose: Rural communities are among the most underserved and resource-scarce populations in the United States. However, there are limited data on COVID-19 outcomes in rural America. This study aims to compare hospitalization rates and inpatient mortality among SARS-CoV-2-infected persons stratified by residential rurality. Read More

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