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Functional Status among Polymedicated Geriatric Inpatients at Discharge: A Population-Based Hospital Register Analysis.

Geriatrics (Basel) 2021 Sep 3;6(3). Epub 2021 Sep 3.

School of Health Sciences, HES-SO Valais/Wallis, 1950 Sion, Switzerland.

This study explored and compared the functional status of polymedicated and non-polymedicated geriatric inpatients at hospital discharge. We used a cross-sectional registry of geriatric patients' hospital records from a multi-site public hospital center in Switzerland. The analysis included all inpatients aged 65 years old or more admitted between 1 January 2015 and 31 December 2017 (n = 53,690), of whom 67. Read More

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September 2021

Association between osteosarcopenia and cognitive frailty in older outpatients visiting a frailty clinic.

Arch Gerontol Geriatr 2021 Sep 17;98:104530. Epub 2021 Sep 17.

Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka, Obu, Aichi 474-8511, Japan. Electronic address:

Purpose: Osteosarcopenia and cognitive frailty are both risk factors for falls and fractures. The purpose of this study was to determine the association between osteosarcopenia and cognitive frailty.

Materials And Methods: This was a cross-sectional secondary data analysis of the Frailty Registry Study with outpatients aged ≥65 years who visited a frailty clinic at a geriatric hospital. Read More

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September 2021

Desmoid fibromatosis of the breast; a rare case report.

Int J Surg Case Rep 2021 Sep 6;87:106363. Epub 2021 Sep 6.

Smart Health Tower, Madam Mitterrand Str, Sulaimani, Kurdistan, Iraq.

Introduction: Desmoid tumor is an uncommon tumor with variable spectrum ranged from being a locally lesion to an aggressive and destructive one. The current case aims to report a rare condition of desmoid type fibromatosis of the breast.

Presentation Of Case: A 59-year-old female presented with a right breast mass for 9-months. Read More

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September 2021

Dissolved Air Flotation as potential new mechanism for intestinal parasite diagnosis in feces.

Acta Trop 2021 Sep 22:106137. Epub 2021 Sep 22.

School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.; Institute of Computing (IC), Laboratory of Image Data Science (LIDS), University of Campinas, Campinas, São Paulo, Brazil.

The parasitological examination of feces is recommended for the laboratory diagnosis of intestinal parasites due to its practicality, low-cost, and moderate diagnostic sensitivity. Dissolved Air Flotation (DAF) is an efficient technical principle used in other areas to separate dispersed solids. This study sought the preliminary evaluation of a proof-of-concept prototype as a tool for detecting species of parasites by adjusting DAF. Read More

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September 2021

Hemoglobin and hematocrit levels are positively associated with blood pressure in children and adolescents 10 to 18 years old.

Sci Rep 2021 Sep 24;11(1):19052. Epub 2021 Sep 24.

Department of Pediatrics, Ajou University Hospital, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon, 16499, Korea.

To investigate the associations between hemoglobin (Hb) concentration and hematocrit (Hct), and blood pressure (BP) in children and adolescents. The study population consisted of 7950 subjects total (4229 boys and 3721 girls) aged 10-18 years who participated in the Korea National Health and Nutrition Examination Surveys conducted between 2007 and 2017. The prevalence of hypertension was 19. Read More

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September 2021

Sexual Assault Against Women: A Retrospective Study of 292 Cases in Fujian Province, China.

J Forensic Nurs 2021 Sep 23. Epub 2021 Sep 23.

Author Affiliations: West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University.

Introduction: In China, rape is defined as forced sexual intercourse against a woman's will by violence, coercion, or any other means or intentionally having sexual intercourse with a girl under the age of 14 years who is legally incompetent of giving consent.

Method: A retrospective study of 292 cases of rape in Fujian Province, China, between the years 2014 and 2017 was conducted. Sociodemographic characteristics of victims and perpetrators, perpetration patterns of rape, and associated factors were reviewed and analyzed. Read More

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September 2021

[Examining in General Practice: Licensure Examinations in a General Practice Setting].

Gesundheitswesen 2021 Sep 24. Epub 2021 Sep 24.

IMPP, Mainz, Deutschland.

General practitioners play a major role in the health care of the population. Only a small proportion of patients receives care from specialised consultants, in a hospital or in a university hospital. Most of the patients consult a general practitioner. Read More

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September 2021

Association between adult attention-deficit hyperactivity disorder and generalised joint hypermobility: A cross-sectional case control comparison.

J Psychiatr Res 2021 Jul 5;143:334-340. Epub 2021 Jul 5.

Faculty of Medicine and Health, University Health Care Research Centre, Örebro University Campus USÖ, 70182, Örebro, Sweden; School of Medical Sciences Örebro, Örebro University Campus USÖ, 70182, Örebro, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, 17177, Stockholm, Sweden.

Growing evidence suggests an unexpected association between generalised joint hypermobility (GJH) and several psychiatric conditions, and a shared pathophysiology has been proposed. No previous studies on adult attention-deficit/hyperactivity disorder (ADHD) are available. This study aimed to evaluate the association between adult ADHD and GJH. Read More

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Pulmonary rehabilitation for interstitial lung disease.

Cochrane Database Syst Rev 2021 Feb 1;2:CD006322. Epub 2021 Feb 1.

Institute for Breathing and Sleep, Melbourne, Australia.

Background: Interstitial lung disease (ILD) is characterised by reduced functional capacity, dyspnoea and exercise-induced hypoxia. Pulmonary rehabilitation is often used to improve symptoms, health-related quality of life and functional status in other chronic lung conditions. There is accumulating evidence for comparable effects of pulmonary rehabilitation in people with ILD. Read More

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February 2021

Are open surgery and total resection good choices for traumatic myositis ossificans in children?

Int Orthop 2021 Sep 24. Epub 2021 Sep 24.

Orthopedics Department, Chongqing Key Laboratory of Pediatrics, Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation base of Child development and Critical Disorders, Children's Hospital of Chongqing Medical University, Yuzhong District Zhongshan 2road 136#, Chongqing, 400014, People's Republic of China.

Background: Traumatic myositis ossificans is a self-limited, non-neoplastic, ectopic bone formation in the soft tissues caused by trauma. Conservative treatment is the mainstay of management. However, open surgery and complete resection should be considered in patients with limited joint function and constant pain. Read More

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September 2021

Influence of gastric morphology on gastroesophageal reflux in adults: An observational study.

Medicine (Baltimore) 2021 Sep;100(38):e27241

Department of Radiology, Mackay Memorial Hospital, Taipei City, Taiwan.

Abstract: The study's aim was to determine if there was an association between gastric morphology and gastroesophageal reflux (GER). Few published studies have investigated the relationship between gastric morphology and the risk of GER.A total of 777 patients were randomly selected from 3000 to 3300 patients who presented at a medical center in Taipei for annual health checkups from early 2008 through to late 2010 and underwent a series of radiographs of the upper gastrointestinal tract (UGI). Read More

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September 2021

mHealth Interventions for Lifestyle and Risk Factor Modification in Coronary Heart Disease: Randomized Controlled Trial.

JMIR Mhealth Uhealth 2021 Sep 24;9(9):e29928. Epub 2021 Sep 24.

Department of Prevention and Management, School of Medicine, Inha University Hospital, Inha University, Incheon, Republic of Korea.

Background: Self-management of lifestyle and cardiovascular disease risk factors is challenging in older patients with coronary heart disease (CHD). SMS text messaging could be a potential support tool for self-management and the most affordable and accessible method through a mobile phone. High-quality evidence had been lacking, and previous studies evaluated the effects of SMS text messaging on the subjective measures of short-term outcomes. Read More

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September 2021

Parenting Stress, Child Weight-Related Behaviors, and Child Weight Status.

Child Obes 2021 Sep 24. Epub 2021 Sep 24.

Department of Health Behavior and Policy, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

There has been limited examination of the association between parenting stress and child weight-related behaviors. We aimed to determine whether parenting stress is associated with child weight-related behaviors, including physical activity, screen time, diet, sedentary time, and eating in the absence of hunger (EAH). Secondarily, we assessed association between parenting stress and child weight status. Read More

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September 2021

Evaluation of circulating CD34+ stem cells in peripheral venous blood in patients with varying degrees of periodontal disease.

Ann Agric Environ Med 2021 Sep 28;28(3):516-520. Epub 2020 Aug 28.

Chair and Department of Peridontology, Medical University, Lublin, Poland.

Introduction: Periodontal disease presents a challenge for modern medicine, and research on the use of stem cells as a treatment is currently underway.

Material And Methods: The study included 45 patients who were given a thorough physical examination. Additionally, an evaluation of their medical history of the disease, degree of progression of periodontal disease, and the level of CRP in the blood was carried out. Read More

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September 2021

Seroprevalence of Measles-, Mumps-, and Rubella-specific antibodies in the German adult population - cross-sectional analysis of the German Health Interview and Examination Survey for Adults (DEGS1).

Lancet Reg Health Eur 2021 Aug 5;7:100128. Epub 2021 Jun 5.

National Reference Centre Measles, Mumps, Rubella, Robert Koch Institute, Seestraße 10, 13353 Berlin, Germany.

Background: The WHO European Region targets the elimination of measles, rubella, and the congenital rubella syndrome and welcomes mumps elimination via the joint MMR vaccine. In a push towards this elimination goal, Germany introduced a recommendation on MMR vaccination for adults in 2010 to prevent increasing numbers of measles cases among adults and to strengthen herd immunity.

Methods: The prevalence of anti-measles, -mumps, and -rubella IgG antibodies was analysed in 7,115 participants between the ages of 18 and 79 years in the German Health Interview and Examination Survey. Read More

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Research on Association between Levels of Serum Adiponectin, Hs-CRP, and sICAM-1 and Hypertensive Cerebrovascular Complications.

Biomed Res Int 2021 13;2021:4455038. Epub 2021 Sep 13.

Department of Cardiology, Bozhou People's Hospital, Bozhou, 236800 Anhui Province, China.

The study is aimed at studying the association between the levels of serum adiponectin (ADPN), high-sensitivity C-reactive protein (hs-CRP), and soluble intercellular adhesion molecule-1 (sICAM-1) and hypertensive cerebrovascular complications. 50 patients with hypertensive cerebrovascular disease treated in Gansu Provincial Hospital from December 2016 to December 2018 were selected as the experimental group, and 50 normal people who underwent physical examination were selected as the control group. The blood pressure, heart rate, and the complications were recorded, and the serum blood lipid indexes were detected. Read More

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September 2021

Outcome of Neglected Versus Treated Tuberculous Dactylitis in the Same Patient - A case report.

J Orthop Case Rep 2021 May;11(5):8-11

Department of Orthopedic Surgery, Lebanese University, Faculty of Medical Sciences. Beirut - Lebanon.

Introduction: Skeletal tuberculosis is a rare form of extrapulmonary Mycobacterium tuberculosis infection. When tubular bones are affected, it is called tuberculous dactylitis (TD). This rare entity can be seen in the hand or foot and has been mentioned in a handful of case reports. Read More

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'Frank's sign: dermatological marker for coronary artery disease'.

Oxf Med Case Reports 2021 Sep 20;2021(9):omab089. Epub 2021 Sep 20.

Faculty of Medicine, University of Gezira, Wad Medani City, Sudan.

Frank' sign or diagonal earlobe crease (DELC) is a diagonal earlobe crease that extends backwards from the tragus at an angle of 45 degree across the lobule to the ear edge of the auricle. It has been described as a dermatological marker for coronary artery disease. Frank's sign is a useful clinical sign for coronary artery disease. Read More

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September 2021

Corin ankle arthroplasty: Case-series.

Foot Ankle Surg 2021 Sep 17. Epub 2021 Sep 17.

Escola Paulista de Medicina, UNIFESP, São Paulo, SP, Brazil. Electronic address:

Background: Total Ankle Arthroplasty (TAA) is complex and can bring a wide variety of complications. Implant revision rates can vary from 4% to 8% in 5 years. Recent publications have shown good results in the short and intermediate follow-up and high patient satisfaction. Read More

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September 2021

Ultrasound of retained gonads in children and young women with androgen insensitivity syndrome.

J Pediatr Urol 2021 Sep 10. Epub 2021 Sep 10.

Department of Urology, Indiana University School of Medicine, Riley Hospital for Children, 705 Riley Hospital Drive, Room 4230, Indianapolis, IN, 46202, USA.

Introduction: Gonadal management in androgen insensitivity syndrome (AIS) patients has been controversial due to low risk of testicular cancer. Our study evaluated the role of ultrasound (US) in screening for malignancy in retained gonads in AIS patients.

Methods: This was a retrospective study (2001-2020) of gonadal US in patients with AIS. Read More

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September 2021

Age of puppies at referral to veterinary cardiology specialists for murmur investigation.

Acta Vet Scand 2021 Sep 23;63(1):37. Epub 2021 Sep 23.

Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 108, 3584 CM, Utrecht, the Netherlands.

Background: Cardiac auscultation is an important screening test at the first health examination of puppies because most clinically relevant congenital cardiac anomalies cause a loud murmur from birth. This retrospective study aimed to investigate the age at which dogs with suspected congenital cardiac anomalies were referred to a veterinary cardiology specialist for murmur investigation. A secondary aim was to establish the time interval between the visit to the cardiologist and the first available murmur documentation. Read More

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September 2021

Oral health and emotional well-being in premenopausal and postmenopausal women: a cross-sectional cohort study.

BMC Womens Health 2021 Sep 23;21(1):338. Epub 2021 Sep 23.

Section of Oral Health and Periodontology, Division of Oral Diseases, Department of Dental Medicine, Karolinska Institutet, Alfred Nobels Allé 8, 14152, Huddinge, Sweden.

Background: Menopause, the absence of ovarian sex steroids, is frequently accompanied by emotional and physiological changes in a woman´s body, as well as oral health changes. The present study aimed to evaluate the association between the periodontal health status and emotional and physical well-being among postmenopausal women (PMW) in comparison with regularly menstruating premenopausal women (RMPW).

Methods: A total of 115 women (PMW, n = 56, mean age ± SD: 54 ± 5; RMPW, n = 59, mean age ± SD: 41 ± 4) received a comprehensive medical assessment and a full-mouth oral examination. Read More

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September 2021

Enterococcus hirae bacteremia associated with acute pyelonephritis in a patient with alcoholic cirrhosis: a case report and literature review.

BMC Infect Dis 2021 Sep 23;21(1):999. Epub 2021 Sep 23.

Department of Infectious Diseases, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo, Japan.

Background: Infections caused by Enterococcus hirae are common in animals, with instances of transmission to humans being rare. Further, few cases have been reported in humans because of the difficulty in identifying the bacteria. Herein, we report a case of pyelonephritis caused by E. Read More

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September 2021

Retrospective evaluation of gastrointestinal foreign bodies and presurgical predictors for enterectomy versus enterotomy in dogs (2013-2016): 82 cases.

J Vet Emerg Crit Care (San Antonio) 2021 Sep 23. Epub 2021 Sep 23.

Department of Clinical Studies, Matthew J. Ryan Veterinary Teaching Hospital, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Objective: To evaluate preoperative diagnostics in dogs with gastrointestinal foreign body (GIFB) obstruction and to identify clinical variables associated with the performance of simple enterotomy (EO) versus enterectomy (EC).

Design: Retrospective case control study from October 2013 to January 2016.

Setting: Veterinary Teaching Hospital. Read More

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September 2021

An old drug and different ways to treat cutaneous leishmaniasis: Intralesional and intramuscular meglumine antimoniate in a reference center, Rio de Janeiro, Brazil.

PLoS Negl Trop Dis 2021 Sep 23;15(9):e0009734. Epub 2021 Sep 23.

Laboratório de Pesquisa Clínica e Vigilância em Leishmanioses, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.

Background: Treatment of cutaneous leishmaniasis (CL) remains challenging since the drugs currently used are quite toxic, thus contributing to lethality unrelated to the disease itself but to adverse events (AE). The main objective was to evaluate different treatment regimens with meglumine antimoniate (MA), in a reference center in Rio de Janeiro, Brazil.

Methodology: A historical cohort of 592 patients that underwent physical and laboratory examination were enrolled between 2000 and 2017. Read More

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September 2021

Shoulder External Rotational Properties During Physical Examination Are Associated With Injury That Requires Surgery and Shoulder Joint Loading During Baseball Pitching.

Am J Sports Med 2021 Sep 23:3635465211039850. Epub 2021 Sep 23.

Department of Mechanical Engineering and Engineering Science, Center for Biomedical Engineering and Science, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.

Background: Throwing arm injuries are common because of the demand on the shoulder. The shoulder is qualitatively checked regularly by team physicians. Excessive instability and joint loading in baseball pitching are risk factors for throwing arm injuries. Read More

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September 2021

Multifactor Analysis of Costal Pain in Osteoporotic Fracture of Thoracic Vertebra.

Pain Physician 2021 Sep;24(6):E795-E802

Shandong Provincial Hospital, Shandong University, Shandong Province, China.

Background: The costal pain is common in thoracic osteoporotic fracture patients. It is unclear why vertebral fracture patients without any specific nerve impingement on magnetic resonance imaging (MRI) present with costal pain.

Objectives: The aim of this study was to investigate the potential causes of costal pain in patients with osteoporotic fracture of thoracic vertebra. Read More

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September 2021

Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation Study.

J Med Internet Res 2021 Sep 23;23(9):e31627. Epub 2021 Sep 23.

Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China (Hong Kong).

Background: eHealth literacy (EHL) refers to a variety of capabilities that enable individuals to obtain health information from electronic resources and apply it to solve health problems. With the digitization of health care and the wide availability of health apps, a more diverse range of eHealth skills is required to properly use such health facilities. Existing EHL measurements focus mainly on the skill of obtaining health information (Web 1. Read More

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September 2021

An ecological examination of loneliness and social functioning in people with schizophrenia.

J Abnorm Psychol 2021 Sep 23. Epub 2021 Sep 23.

Department of Psychiatry, Washington University School of Medicine.

Loneliness is associated with a myriad of detrimental outcomes in mental and physical health. Previous studies have found that people with schizophrenia report greater loneliness than controls, and that loneliness is related to depressive symptoms. However, research has been limited, particularly regarding contributions of loneliness to social and occupational functioning. Read More

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September 2021

[Controversy. Screening for sports activity: pro!]

Authors:
François Carré

Rev Prat 2021 Jun;71(6):647-649

Professeur émérite, université Rennes-1, Rennes, France.

Cardiac screening of the athlete: pro? Moderate and regular sports practice is beneficial for health. Cardiac events related to sport are rare. In France, a preparticipation evaluation is legally recommended serious. Read More

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