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Effectiveness of Mindfulness-Based Cognitive Therapy for Improving Subjective and Eudaimonic Well-Being in Healthy Individuals: A Randomized Controlled Trial.

Front Psychol 2021 27;12:700916. Epub 2021 Aug 27.

Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan.

Better subjective and eudaimonic well-being fosters better health conditions. Several studies have confirmed that mindfulness-based interventions are effective for improving well-being; however, the samples examined in these studies have been limited to specific populations, and the studies only measured certain aspects of well-being rather than the entire construct. Additionally, few studies have examined the effect of mindfulness-based cognitive therapy on well-being. Read More

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Association of breast cancer reporting delays and care intervals with tumor size in patients with advanced disease.

Women Health 2021 Sep 19:1-13. Epub 2021 Sep 19.

University College of Pharmacy, University of the Punjab, Lahore, Pakistan.

In Pakistan, breast cancer (BC) is frequently diagnosed with advanced disease. We aimed to examine the association of breast tumor size with reasons of reporting delays, care intervals in patients with advanced disease. This cross-sectional study enrolled 392 BC patients from tertiary care hospitals. Read More

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September 2021

Heavy Metals in the Blood Serum and Feces of Mugger Crocodile (Crocodylus palustris) in Sistan and Baluchistan Province, Iran.

Biol Trace Elem Res 2021 Sep 18. Epub 2021 Sep 18.

School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

This study was conducted to measure concentrations of cadmium (Cd), lead (Pb), arsenic (As), mercury (Hg), copper (Cu), chromium (Cr), and iron (Fe) in blood serum and feces of mugger crocodile (Crocodylus palustris) and in water and sediment of their habitat (Negour site, Chabahar County in Sistan and Baluchistan Province, Iran). Heavy metal contents in crocodile serum and feces, water, and sediments were analyzed by inductively coupled plasma optical emission spectrometry (ICP-OES spectrometer-Spectro Genesis). The highest levels of heavy metals in the mugger crocodile's serum were Fe > Hg > Pb > Cr > Cu > Cd > As, respectively. Read More

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September 2021

Prevention of SARS-CoV-2 (COVID-19) transmission in residential aged care using ultraviolet light (PETRA): a two-arm crossover randomised controlled trial protocol.

BMC Infect Dis 2021 Sep 17;21(1):967. Epub 2021 Sep 17.

The South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia.

Background: SARS-CoV-2 poses a considerable threat to those living in residential aged care facilities (RACF). RACF COVID-19 outbreaks have been characterised by the rapid spread of infection and high rates of severe disease and associated mortality. Despite a growing body of evidence supporting airborne transmission of SARS-CoV-2, current infection control measures in RACF including hand hygiene, social distancing, and sterilisation of surfaces, focus on contact and droplet transmission. Read More

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September 2021

Concepts behind epilepsy among Egyptian patients. Is it a disease or a possession?!

Epilepsy Res 2021 Sep 13;177:106760. Epub 2021 Sep 13.

Faculty of Medicine Ain Shams University, Egypt.

Background: Many epileptic patients visit traditional healers secondary to unaffordability, inaccessibility of medical service and being refractory. This may lead to delay in seeking medical advice and may influence prognosis.

Objectives: Studying concepts behind epilepsy among Egyptian epilepsy sufferers including beliefs behind epilepsy and whether there is difference in these beliefs as regards gender, education and urban to rural socioeconomic status. Read More

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September 2021

The level of urbanization influences acute ischemic stroke care: A nationwide ecological study from Germany.

J Neurol Sci 2021 Sep 13;430:119983. Epub 2021 Sep 13.

Department of Neurology, St. Josef-Hospital Bochum, Ruhr University Bochum, Germany; Medical Faculty, Ruhr University Bochum, Germany. Electronic address:

Background And Purpose: Regional differences in acute ischemic stroke (AIS) care are still reported for Germany but not fully understood. We aimed to analyze the impact of the level of urbanization on the application of proved treatment procedures and the incidence of hospitalized AIS cases in Germany.

Methods: The level of urbanization of the 401 districts and district-free cities in Germany was defined according to the Federal Institute for Building, Urban Affairs and Spatial Research classification. Read More

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September 2021

All-cause and cause-specific mortality during and following incarceration in Brazil: A retrospective cohort study.

PLoS Med 2021 Sep 17;18(9):e1003789. Epub 2021 Sep 17.

Department of Medicine, Division of Infectious Diseases and Geographic Medicine, Stanford, California, United States of America.

Background: Mortality during and after incarceration is poorly understood in low- and middle-income countries (LMICs). The need to address this knowledge gap is especially urgent in South America, which has the fastest growing prison population in the world. In Brazil, insufficient data have precluded our understanding of all-cause and cause-specific mortality during and after incarceration. Read More

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September 2021

Hospital admissions and place of death of residents of care homes receiving specialist healthcare services: A systematic review without meta-analysis.

J Adv Nurs 2021 Sep 17. Epub 2021 Sep 17.

Institute of Mental Health, University of Nottingham, Nottingham, UK.

Aim: To synthesize evidence on the ability of specialist care home support services to prevent hospital admission of older care home residents, including at end of life.

Design: Systematic review, without meta-analysis, with vote counting based on direction of effect.

Data Sources: Fourteen electronic databases were searched from January 2010 to January 2019. Read More

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September 2021

The Role of Polyphenols in Regulation of Heat Shock Proteins and Gut Microbiota in Weaning Stress.

Oxid Med Cell Longev 2021 6;2021:6676444. Epub 2021 Sep 6.

Institute of Subtropical Agriculture, Chinese Academy of Sciences, Changsha, 410125 Hunan, China.

Gut microbiota is the natural residents of the intestinal ecosystem which display multiple functions that provide beneficial effects on host physiology. Disturbances in gut microbiota in weaning stress are regulated by the immune system and oxidative stress-related protein pathways. Weaning stress also alters gut microbiota response, limits digestibility, and influences animal productive performance through the production of inflammatory molecules. Read More

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September 2021

Measuring COVID-19 vaccination coverage: an enhanced age-adjusted two-step floating catchment area model.

Infect Dis Poverty 2021 Sep 16;10(1):118. Epub 2021 Sep 16.

Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: There are only limited studies on access to COVID-19 vaccines and identifying the most appropriate health centres for performing vaccination in metropolitan areas. This study aimed to measure potential spatial access to COVID-19 vaccination centres in Mashhad, the second-most populous city in Iran.

Methods: The 2021 age structure of the urban census tracts was integrated into the enhanced two-step floating catchment area model to improve accuracy. Read More

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September 2021

Reducing Operating Room Cost: Comparing Attending and Surgical Trainee Perception Regarding the Implementation of Supply Receipts.

J Am Coll Surg 2021 Sep 10. Epub 2021 Sep 10.

Department of Surgery, Washington University, Saint Louis, Missouri 63110; Perioperative Services, Barnes Jewish Hospital, Saint Louis, Missouri 63110.

Background: As operating room (OR) expenditures increase, faculty and surgical trainees will play a key role in curbing future costs. However, supply cost utilization varies widely among providers and, despite requirements for cost education during surgical training, little is known about trainees' comfort discussing these topics. To improve OR cost transparency, our institution began delivering real-time supply "receipts" to faculty and trainees after each surgical case. Read More

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September 2021

SARS-CoV-2 and Wisconsin Nursing Homes: Temporal Dynamics During the COVID-19 Pandemic.

J Am Med Dir Assoc 2021 Aug 27. Epub 2021 Aug 27.

Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address:

Objectives: Evidence suggests that quality, location, and staffing levels may be associated with COVID-19 incidence in nursing homes. However, it is unknown if these relationships remain constant over time. We describe incidence rates of COVID-19 across Wisconsin nursing homes while examining factors associated with their trajectory during 5 months of the pandemic. Read More

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A qualitative assessment of emergency medicine residents' receptivity to feedback.

AEM Educ Train 2021 Aug 1;5(4):e10658. Epub 2021 Aug 1.

University of Vermont Medical Center Burlington Vermont USA.

Background: Effective feedback is the cornerstone of competency-based education. The emergency department (ED) is a unique learning and feedback environment. Developing our understanding of emergency medicine (EM) residents' experiences around feedback will improve resident training and inform EM faculty development programs. Read More

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Effectiveness and Preparedness of Institutions' E-Learning Methods During the COVID-19 Pandemic for Residents' Medical Training in Saudi Arabia: A Pilot Study.

Front Public Health 2021 30;9:707833. Epub 2021 Aug 30.

Health and Welfare Units Administration, Technological, Educational Institute of Peloponnese, Kalamata, Greece.

Under the urgent circumstances of the COVID-19 pandemic, higher education institutions of an international scale have resorted to online education methods, exclusive or not. Among those, medical institutions are under double pressure, fighting the pandemic's effects and, at the same time providing efficient clinical training to their residents. The main aim of the study is to evaluate the preparedness of the educational institutions for the e-learning platform transition for the delivery of medical training and also to evaluate the overall satisfaction level of the participants with their e-learning experience. Read More

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Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil.

PeerJ 2021 25;9:e12038. Epub 2021 Aug 25.

Postgraduate Program in Physiotherapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.

Background: At a time when the world's population is aging, one of the most important challenges for the healthcare field is to control the decline of the musculoskeletal system. This decline consists of a reduction in muscle mass and function, which is called sarcopenia and is associated with adverse health outcomes. Although there has been an increase in the number of publications on sarcopenia and its consequences, the reported prevalence varies widely, since these depend on the characteristics of the population studied, the definitions found in the literature and the cut-off points adopted. Read More

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A story half told: a qualitative study of medical students' self-directed learning in the clinical setting.

BMC Med Educ 2021 Sep 15;21(1):494. Epub 2021 Sep 15.

Harvard Medical School, Boston, USA.

Background: Medical educators have promoted self-directed learning (SDL) as an important means of enabling students to take responsibility for their own learning throughout their training and practice. While SDL has been well-studied in classroom settings, it remains a story half told: barriers to and facilitators of SDL in the clinical setting are not yet well described. The goals of this study were to explicate student experiences of SDL in their clinical training and to identify the roles that local social and cultural contexts play in shaping their experiences of SDL. Read More

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September 2021

Seroepidemiological study of severe fever with thrombocytopenia syndrome in animals and humans in Okinawa, Japan.

Ticks Tick Borne Dis 2021 Sep 4;12(6):101821. Epub 2021 Sep 4.

Department of Child Medical Health and Development, Mie University Graduate School of Medicine, Mie, Japan; Department of Pediatrics, National Hospital Organization Mie National Hospital, 357 Osato-kubota, Tsu, Mie, Japan. Electronic address:

In Okinawa prefecture, Japan, the first case of severe fever with thrombocytopenia syndrome (SFTS) was confirmed in August 2016, and this case remains to be the only reported case of SFTS in Okinawa. The epidemiological investigation indicated that the patient had been infected on the main island of Okinawa, but source and route of infection were unknown. Therefore, to understand the possible source and route of SFTS virus (SFTSV) infection in Okinawa, we performed a seroepidemiological study of SFTSV among animals and dwellers in Okinawa and conducted a questionnaire survey to investigate risk factors for tick bites in Okinawa. Read More

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September 2021

Non-pharmacological measures implemented in the setting of long-term care facilities to prevent SARS-CoV-2 infections and their consequences: a rapid review.

Cochrane Database Syst Rev 2021 09 15;9:CD015085. Epub 2021 Sep 15.

Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, LMU Munich, Munich, Germany.

Background: Starting in late 2019, COVID-19, caused by the novel coronavirus SARS-CoV-2, spread around the world. Long-term care facilities are at particularly high risk of outbreaks, and the burden of morbidity and mortality is very high among residents living in these facilities.

Objectives: To assess the effects of non-pharmacological measures implemented in long-term care facilities to prevent or reduce the transmission of SARS-CoV-2 infection among residents, staff, and visitors. Read More

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September 2021

Evaluation of natural radioactivity levels and potential radiological hazards of common building materials utilized in Mediterranean region, Turkey.

Environ Sci Pollut Res Int 2021 Sep 15. Epub 2021 Sep 15.

Department of Electronics and Communication, Faculty of Engineering and Architecture, Beykent University, Sarıyer, İstanbul, Turkey.

Radiometric measurement of building materials is very important to assess the internal and external exposure caused by the ionizing radiation emitted from terrestrial radionuclides in building materials. The activity concentrations of Ra, Th, and K in fifty-eight samples of fifteen different structural and covering building materials commonly used in Osmaniye province located in the Mediterranean region of Turkey were measured by using gamma-ray spectroscopy. The activity concentrations of Ra, Th, and K varied from 2. Read More

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September 2021

Socio-Cultural Significance of Yerba Maté among Syrian Residents and Diaspora.

Econ Bot 2021 Sep 10:1-15. Epub 2021 Sep 10.

Department of Crop Sciences and Agroforestry, Faculty of Tropical AgriSciences, Czech University of Life Sciences Prague, Kamýcká 129, 165 00 Praha - Suchdol, Czech Republic.

. Syria is the world's second-largest importer of the dried leaves of A.St. Read More

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September 2021

Development of a laparoscopic surgical skills simulation curriculum: Enhancing resident training through directed coaching and closed-loop feedback.

Surgery 2021 Sep 11. Epub 2021 Sep 11.

Department of Surgery, Emory University School of Medicine, Atlanta, GA. Electronic address:

Background: Performance feedback through peer coaching and rigorous self-assessment is a critical part of technical skills improvement. However, formal collaborative programs using operative video-based skills assessments to generate peer coaching feedback have only been validated among attending surgeons. In this study, we developed a unique longitudinal, simulation video-based laparoscopic skills resident curriculum using video-based peer coaching and evaluated its association with skills acquisition among surgical trainees. Read More

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September 2021

Changing age-specific trends in incidence, comorbidities and mortality of hospitalised heart failure in Western Australia between 2001 and 2016.

Int J Cardiol 2021 Sep 11. Epub 2021 Sep 11.

School of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.

Background: Incident heart failure (HF) hospitalisation rates in most high-income countries are stable or declining. However, HF incidence may be increasing in younger people linked to changing risk factor profiles in the general population. We examined age and sex-specific patterns of incidence, comorbidities and mortality of hospitalised HF in Western Australia (WA) between 2001 and 2016. Read More

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September 2021

Mobility-based environmental justice: Understanding housing disparity in real-time exposure to air pollution and momentary psychological stress in Beijing, China.

Soc Sci Med 2021 Sep 6;287:114372. Epub 2021 Sep 6.

Department of Geography and Resource Management and Institute of Space and Earth Information Science, The Chinese University of Hong Kong, Shatin, Hong Kong, China; Department of Human Geography and Spatial Planning, Faculty of Geosciences, Utrecht University, 3584 CB, Utrecht, the Netherlands. Electronic address:

Environmental justice is a crucial environmental and social problem. Previous research in the cities of developed countries has found that ethnic minorities and low-income people were disproportionately exposed to the residential environment with more serious environmental risks. This study proposed a transition from the residence-based perspective to a mobility-based and context-aware approach to reinterpret environmental justice with a focus on the air pollution issue in urban China. Read More

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September 2021

COVID-19 health awareness among the United Arab Emirates population.

PLoS One 2021 13;16(9):e0255408. Epub 2021 Sep 13.

College of Humanities and Science, Ajman University, Ajman, United Arab Emirates.

In response to the global COVID-19 epidemic, the United Arab Emirates (UAE) government is taking precautionary action to mitigate the spread of the virus. The aim of this study was to evaluate the knowledge and practices toward COVID-19 among the general public in the UAE during the current outbreak. A cross-sectional online survey of 1356 respondents in the UAE was conducted during the epidemic outbreak between 9th to 24th June-2020. Read More

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September 2021

Verification of Single Nucleotide Polymorphisms rs34554140, rs6670279, and rs6874185 as Novel Molecular Genetic Markers of Sudden Cardiac Death.

Sovrem Tekhnologii Med 2021 1;13(2):40-44. Epub 2021 Jan 1.

Professor, Head of the Laboratory for Molecular Genetics of Internal Diseases, Institution of Internal and Preventive Medicine - Branch of the Federal Research Center Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences, 175/1 Borisa Bogatkova St., Novosibirsk, 630089, Russia; Professor, Department of Medical Genetics and Biology, Faculty of Medicine, Novosibirsk State Medical University, 52 Krasny Prospekt, Novosibirsk, 630091, Russia.

was to explore the association between sudden cardiac death (SCD) and single nucleotide polymorphisms (SNPs) rs34554140, rs6670279, and rs6874185 from the list of potential molecular genetic markers of SCD, obtained in our earlier genome-wide allelotyping on pooled DNA samples.

Materials And Methods: The study is based on the case-control principle. The SCD group included 438 deceased residents of Novosibirsk (average age - 53. Read More

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January 2021

Department Versus Division: An In-Depth Analysis of Units of Plastic Surgery and Other Surgical Specialties at their Institutions.

J Craniofac Surg 2021 Sep 10. Epub 2021 Sep 10.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.

Abstract: An increasing number of plastic and reconstructive surgery (PRS) units have transitioned from divisions to departments in recent years. This study aimed to identify quantifiable differences that may reflect challenges and benefits associated with each type of unit. We conducted a cross-sectional analysis of publicly-available data on characteristics of academic medical institutions housing PRS units, faculty size of surgical units within these institutions, and academic environments of PRS units themselves. Read More

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September 2021

Bioaccessibility-based monitoring and risk assessment of indoor dust-bound PAHs collected from housing and public buildings: Effect of influencing factors.

Environ Res 2021 Sep 9;204(Pt B):112039. Epub 2021 Sep 9.

Department of Environmental Health, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran; Systems Environmental Health and Energy Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran. Electronic address:

Polycyclic aromatic hydrocarbons (PAHs) bounded in indoor dust have significant effects in residents' health. Although various researches has evaluated exposure to PAHs in some indoor areas around the world, no work has been conducted on bioaccessibility of indoor PAHs in the buildings of Bushehr city. Therefore, dust samples were collected from various indoor microenvironments including residential buildings (RB), office buildings (OB), commercial buildings (CB), industrial buildings (IB), school classroom (SC), laboratory (LR), drugstores (DS), beauty salons (BS), smoking cafés (SC) and restaurants (Res) - 10 from each microenvironment. Read More

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September 2021

Insomnia, anxiety, and depression during the COVID-19 pandemic: an international collaborative study.

Sleep Med 2021 Aug 4;87:38-45. Epub 2021 Aug 4.

Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.

Importance And Study Objective: The COVID-19 pandemic has produced unprecedented changes in social, work, and leisure activities, which all have had major impact on sleep and psychological well-being. This study documented the prevalence of clinical cases of insomnia, anxiety, and depression and selected risk factors (COVID-19, confinement, financial burden, social isolation) during the first wave of the pandemic in 13 countries throughout the world.

Design And Participants: International, multi-center, harmonized survey of 22 330 adults (mean age = 41. Read More

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Risk and burden of hospital admissions associated with wildfire-related PM in Brazil, 2000-15: a nationwide time-series study.

Lancet Planet Health 2021 Sep;5(9):e599-e607

Climate, Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Electronic address:

Background: In the context of climate change and deforestation, Brazil is facing more frequent and unprecedented wildfires. Wildfire-related PM is associated with multiple adverse health outcomes; however, the magnitude of these associations in the Brazilian context is unclear. We aimed to estimate the association between daily exposure to wildfire-related PM and cause-specific hospital admission and attributable health burden in the Brazilian population using a nationwide dataset from 2000 to 2015. Read More

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September 2021

Psychological distress, fear and coping among Malaysians during the COVID-19 pandemic.

PLoS One 2021 10;16(9):e0257304. Epub 2021 Sep 10.

School of Health, Federation University Australia, Berwick, Victoria, Australia.

Introduction: The COVID-19 pandemic has enormously affected the psychological well-being, social and working life of millions of people across the world. This study aimed to investigate the psychological distress, fear and coping strategies as a result of the COVID-19 pandemic and its associated factors among Malaysian residents.

Methods: Participants were invited to an online cross-sectional survey from Aug-Sep 2020. Read More

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September 2021