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An investigation into time-variant subsidence potentials using inclusive multiple modelling strategies.

J Environ Manage 2021 Jun 12;294:112949. Epub 2021 Jun 12.

Department of Civil Engineering, University of Maragheh, Maragheh, East Azerbaijan, Iran. Electronic address:

Groundwater over-abstraction due to the absence of an effective management plan is often one of the main reasons for land subsidence in aquifer areas. This paper investigates this environmental problem at Salmas plain, Iran, by using the ALPRIFT framework, an acronym of a set of seven general-purpose data layers, introduced recently by the authors. It is capable of mapping Subsidence Vulnerability Indices (SVI) and the paper investigates an innovation to transform it into Time-variant SVI (TSVI) mapping capabilities through a three module strategy: Module 1: maps SVI; Module 2: develops a predictive model for Groundwater Levels (GWL); Module 3: combines both modules to produces TSVI maps. Read More

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Features of post-endoscopic submucosal dissection electrocoagulation syndrome for early gastric neoplasm.

J Gastroenterol Hepatol 2021 Jun 15. Epub 2021 Jun 15.

Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan.

Background And Aim: Post-endoscopic submucosal dissection electrocoagulation syndrome (PECS) has become a common adverse event after colorectal endoscopic submucosal dissection (ESD) and esophageal ESD. However, little is known about PECS after gastric ESD. Therefore, this study aimed to investigate the clinical features of PECS after gastric ESD. Read More

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A simulation-based evaluation of machine learning models for clinical decision support: application and analysis using hospital readmission.

NPJ Digit Med 2021 Jun 14;4(1):98. Epub 2021 Jun 14.

Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles, Los Angeles, CA, USA.

The interest in applying machine learning in healthcare has grown rapidly in recent years. Most predictive algorithms requiring pathway implementations are evaluated using metrics focused on predictive performance, such as the c statistic. However, these metrics are of limited clinical value, for two reasons: (1) they do not account for the algorithm's role within a provider workflow; and (2) they do not quantify the algorithm's value in terms of patient outcomes and cost savings. Read More

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Factors Associated With Unanticipated Admission After Outpatient Endoscopic Sinonasal Surgery.

Laryngoscope 2021 Jun 14. Epub 2021 Jun 14.

Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, U.S.A.

Objectives/hypothesis: To identify factors that may increase the risk of unplanned admission following elective outpatient endoscopic sinonasal surgery (ESS).

Study Design: Retrospective analysis of the National Surgical Quality Improvement Program (NSQIP).

Methods: All cases of ESS were extracted from the 2010 to 2018 NSQIP database using Current Procedural Terminology codes. Read More

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Does a Laparoscopic Approach to Distal Pancreatectomy for Cancer Contribute to Optimal Adjuvant Chemotherapy Utilization?

Ann Surg Oncol 2021 Jun 14. Epub 2021 Jun 14.

Department of Surgery, St. Elizabeth's Medical Center, Tufts University School of Medicine, Boston, MA, USA.

Background: Although laparoscopic distal pancreatectomy (LDP) versus open approaches (ODP) for pancreatic adenocarcinoma (PDAC) is associated with reduced morbidity, its impact on optimal adjuvant chemotherapy (AC) utilization remains unclear. Furthermore, it is uncertain whether oncologic resection quality markers are equivalent between approaches.

Methods: The National Cancer Database (NCDB) was queried between 2010 and 2016 for PDAC patients undergoing DP. Read More

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Outcomes Following Discectomy for Far Lateral Disc Herniation Are Not Predicted by Obstructive Sleep Apnea.

Cureus 2021 May 9;13(5):e14921. Epub 2021 May 9.

Department of Neurosurgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.

Introduction Previous studies have demonstrated that obstructive sleep apnea (OSA) is associated with adverse postoperative outcomes, but few studies have examined OSA in a purely spine surgery population. This study investigates the association of the STOP-Bang questionnaire, a screening tool for undiagnosed OSA, with adverse events following discectomy for far lateral disc herniation (FLDH). Methods All adult patients (n = 144) who underwent FLDH surgery at a single, multihospital, academic medical center (2013-2020) were retrospectively enrolled. Read More

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Prediction of Readmission and Complications After Pituitary Adenoma Resection via the National Surgical Quality Improvement Program (NSQIP) Database.

Cureus 2021 May 2;13(5):e14809. Epub 2021 May 2.

Neurological Surgery, University of Utah, Salt Lake City, USA.

Introduction Pituitary adenomas are common intracranial tumors (incidence 4:100,000 people) with good surgical outcomes; however, a subset of patients show higher rates of perioperative morbidity. Our goal was to identify risk factors for postoperative complications or readmission after pituitary adenoma resection. Methods We undertook a retrospective cohort study of patients who underwent surgery for pituitary adenoma in 2006-2018 by using the National Surgical Quality Improvement Program database. Read More

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Adjuvant high-dose-rate interstitial brachytherapy for malignant peripheral nerve sheath tumor of the foot: a case report.

J Contemp Brachytherapy 2021 Jun 18;13(3):338-346. Epub 2021 May 18.

Department of Radiotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy.

Soft tissue sarcomas of the foot are extremely rare and can therefore be misdiagnosed as benign diseases, and be prematurely removed with an unplanned excision. The standard treatment is a wide local excision with an addition of radiotherapy as an alternative to a radical resection (e.g. Read More

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Racial/Ethnic Differences in Unwanted Pregnancy: Moderation by Sexual Orientation.

J Marriage Fam 2020 Aug 10;82(4):1234-1249. Epub 2020 Jan 10.

The University of Utah, Department of Sociology, 390 1530 E #301, Salt Lake City, UT 84112.

Objective: To explore sexual orientation disparities in unwanted pregnancy by race/ethnicity.

Background: Previous research has documented that sexual-minority women (SMW) are more likely to report unplanned pregnancy than heterosexual women, and that Black and Latina women are more likely to report unplanned pregnancy than White women. No research has examined how pregnancy intention varies at the intersection of these two identities. Read More

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Effect of cognitive behaviour therapy on the improvement of psychological stress.

Dongchao Yu

Work 2021 Jun 6. Epub 2021 Jun 6.

Northeast Agricultural University, Harbin, Heilongjiang, China E-mail:

Background: College freshmen, as a special group who are far away from their parents and begin to study and live independently, will face psychological stress in adaption to the college life, which may affect their working and living conditions in the university and even after entering the society if not solved reasonably. Hence, it is necessary to explore how to relieve the psychological stress of freshmen.

Objective: The study aimed to analyze the intervention effects of cognitive behavioral therapy on social psychological stress of freshmen under different demographic variables. Read More

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Cost-Related Nonadherence to Medications Among US Adults With Chronic Liver Diseases.

Mayo Clin Proc 2021 Jun 10. Epub 2021 Jun 10.

Division of Gastroenterology and Hepatology, Department of Medicine, University of California San Diego, La Jolla, CA; Division of Biomedical Informatics, Department of Medicine, University of California San Diego, La Jolla, CA. Electronic address:

Objective: To estimate the prevalence, risk factors, and consequences of cost-related medication nonadherence (CRN) in individuals with chronic liver diseases (CLDs) in the United States.

Patients And Methods: Using the National Health Interview Survey from January 1, 2014, to December 31, 2018, we identified individuals with CLDs. Using complex weighted survey analysis, we obtained national estimates and risk factors for CRN and its association with cost-reducing behaviors and measures of financial toxicity. Read More

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Safety and Efficacy of Short-Course Intravenous Antibiotics after Complicated Appendicitis in Selected Patients.

Acta Chir Belg 2021 Jun 12:1-15. Epub 2021 Jun 12.

Colorectal Unit, Department of Surgery, Flinders Medical Centre, Adelaide, Australia.

Background: After surgery for complicated appendicitis (CA), common practice is to treat all patients with a standardised long-course of intravenous antibiotics (IVAB) to reduce the risk of postoperative surgical infections (PSI). The aim of the current study was to evaluate the safety and efficacy of a short-course IVAB after CA in selected patients.

Methods: The Department's prospectively collected database identified CA patients treated between2015 and 2019. Read More

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Adverse effects of chronic steroid use following thyroidectomy.

J Surg Res 2021 Jun 10;267:17-24. Epub 2021 Jun 10.

Division of Otolaryngology-Head and Neck Surgery, George Washington University School of Medicine & Health Sciences. Washington, DC.

Background: Prior to thyroid surgery, a subset of patients chronically uses steroids to manage medical conditions such as Grave's disease, auto-immune conditions, or organ transplantation. Existing literature describes adverse effects of prolonged steroid use on surgical outcomes, however there remains a paucity of data investigating the specific effects of steroid use on postoperative outcomes after thyroidectomy. This study aims to identify complication risks steroid users are predisposed to after thyroidectomy. Read More

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Women with sickle cell disease report low knowledge and use of long acting reversible contraception.

J Natl Med Assoc 2021 Jun 9. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester NY, USA.

Background: High rates of unplanned pregnancy and low rates of contraception use are reported among women with sickle cell disease (SCD). Pregnancy in women with SCD is high risk and unintended pregnancies limit opportunities to provide indicated preconception care and counseling. Contraceptive use in women with SCD is complicated by a lack of disease-specific data about treatment risks and benefits. Read More

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Association of preoperative smoking with complications following major gastrointestinal surgery.

Am J Surg 2021 Jun 7. Epub 2021 Jun 7.

Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Northwestern Medicine, Chicago, IL, USA.

Background: Understanding modifiable surgical risk factors is essential for preoperative optimization. We evaluated the association between smoking and complications following major gastrointestinal surgery.

Methods: Patients who underwent elective colorectal, pancreatic, gastric, or hepatic procedures were identified in the 2017 ACS NSQIP dataset. Read More

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Differential predictors of birth-related posttraumatic stress disorder symptoms in mothers and fathers - A longitudinal cohort study.

J Affect Disord 2021 May 27;292:121-130. Epub 2021 May 27.

Institute and Outpatient Clinics of Occupational and Social Medicine, Faculty of Medicine of the Technische Universität Dresden, Dresden, Germany; Department of Medicine, Faculty of Medicine, Medical School Hamburg, Hamburg, Germany; Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway. Electronic address:

Background: Evidence on risk factors of birth-related posttraumatic stress disorder (PTSD) symptoms in mothers is increasing, whereas fathers are less examined. This study aims to determine differential predictors of PTSD symptoms in mothers and fathers.

Methods: Data derive from the DREAM study, including 1,146 mothers and 828 fathers. Read More

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Short Stay After Shoulder Arthroplasty Does Not Increase 90-Day Readmissions in Medicare Patients Compared to Privately-Insured Patients.

J Shoulder Elbow Surg 2021 Jun 9. Epub 2021 Jun 9.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC 27710, USA.

Background: As of January 1, 2021 total shoulder arthroplasty was removed from the Medicare inpatient-only list, reflecting a growing belief in the potential merits of same-day discharge regardless of insurance type. It is yet unknown whether Medicare populations, who frequently have more severe comorbidity burdens, would experience higher complication rates relative to privately-insured patients who are often younger with fewer comorbidities. Given the limited number of true outpatient cohorts available to study, discharge at least by postoperative day 1 may serve as a useful proxy for true same-day discharge, and we hypothesized that these Medicare patients would have increased 90-day readmission rates compared to their privately-insured counterparts. Read More

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Increasing access to family planning services among women receiving medications for opioid use disorder: A pilot randomized trial examining a peer-led navigation intervention.

J Subst Abuse Treat 2021 Jul 4;126:108318. Epub 2021 Feb 4.

Division of General Internal Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, 12631 E. 17(th) Ave., Aurora, CO 80045, USA; Institute for Health Research, Kaiser Permanente Colorado, PO Box 378066, Aurora, CO 80014, USA; Colorado Permanente Medical Group, 10350 E. Dakota Ave., Denver, CO 80247, USA. Electronic address:

Objective: High rates of unintended pregnancy occur among women with opioid use disorder (OUD). OUD treatment settings may provide an ideal opportunity to address the family planning needs of patients. However, few studies have rigorously evaluated interventions designed to address family planning needs in the OUD treatment setting. Read More

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Assessment of mortality and performance status in critically ill cancer patients: A retrospective cohort study.

PLoS One 2021 11;16(6):e0252771. Epub 2021 Jun 11.

Department of Intensive Care, Erasmus University Medical Center, Rotterdam, The Netherlands.

Introduction: Given clinicians' frequent concerns about unfavourable outcomes, Intensive Care Unit (ICU) triage decisions in acutely ill cancer patients can be difficult, as clinicians may have doubts about the appropriateness of an ICU admission. To aid to this decision making, we studied the survival and performance status of cancer patients 2 years following an unplanned ICU admission.

Materials And Methods: This was a retrospective cohort study in a large tertiary referral university hospital in the Netherlands. Read More

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Evaluating the Chichewa version of the London Measure of Unplanned Pregnancy in Malawi: a validation update.

BMC Res Notes 2021 Jun 10;14(1):231. Epub 2021 Jun 10.

Research Department of Reproductive Health, UCL Institute for Women's Health, London, UK.

Objective: To investigate the psychometric properties of the validated Chichewa version of the London Measure of Unplanned Pregnancy in a large representative community-based sample in Malawi, a low-income country. We collected data on pregnancy intention from a cohort of 4244 pregnant women in Malawi using the validated Chichewa version of the London Measure of Unplanned Pregnancy (LMUP). We evaluated the psychometric properties of the Chichewa LMUP using classical test theory and confirmatory factor analysis to re-assess the performance of items one and six, which had weaker performance in the original smaller, facility-based validation sample. Read More

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Maternal depression and its correlates: A longitudinal study.

J Pak Med Assoc 2021 Jun;71(6):1618-1622

Department of Community and Family Medicine, Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.

Objective: To estimate the burden of antenatal and postpartum depression, and to explore possible predictors of perinatal depression.

Methods: The longitudinal study was conducted at the Department of Obstetrics and Gynaecology, Shifa International Hospital and its Community Healthcare centre in Islamabad, Pakistan, from October 2018 to May 2019, and comprised women in their third trimester of pregnancy. Socioeconomic and obstetrical history was recorded on a proforma, and the Edinburgh Postnatal Depression Scale was used for screening of depression. Read More

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Pollution characteristics and human health risk assessments of toxic metals and particle pollutants via soil and air using geoinformation in urbanized city of Pakistan.

Environ Sci Pollut Res Int 2021 Jun 10. Epub 2021 Jun 10.

Hainan Key Laboratory for Sustainable Utilization of Tropical Bioresource, College of Tropical Crops, Hainan University, Haikou, 570228, Hainan, China.

Toxic metals and particle pollutants in urbanized cities have significantly increased over the past few decades mainly due to rapid urbanization and unplanned infrastructure. This research aimed at estimating the concentration of toxic metals and particle pollutants and the associated risks to public health across different land-use settings including commercial area (CA), urban area (UA), residential area (RA), and industrial area (IA). A total of 47 samples for both soil and air were collected from different land-use settings of Faisalabad city in Pakistan. Read More

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Patient-Reported Outcomes and Risk of Hospitalization and Readmission in Patients with Inflammatory Bowel Diseases.

Dig Dis Sci 2021 Jun 10. Epub 2021 Jun 10.

Division of Gastroenterology, Department of Medicine, University of California San Diego, 9452 Medical Center Dr., ACTRI 1W501, La Jolla, CA, 92093, USA.

Background And Aims: Patient-reported outcome measures (PROMs) provide a wholesome view of patient well-being. We conducted a retrospective cohort study to evaluate whether PROMs inform risk of unplanned healthcare utilization in patients with IBD.

Methods: We identified adult patients with IBD who completed at least two surveys in a large Internet-based cohort within 1 year. Read More

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Comparison of complication profiles for femoral neck, intertrochanteric, and subtrochanteric geriatric hip fractures.

Arch Orthop Trauma Surg 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopaedic Surgery, David Geffen School of Medicine At UCLA, 10833 Le Conte Avenue, 76-143 CHS, Los Angeles, CA, 90095-6902, USA.

Introduction: Most geriatric hip fractures occur in the femoral neck (FN) and intertrochanteric (IT) regions of the femur, while a minority occur in the subtrochanteric (ST) region. Relative outcomes based on the anatomical subtype of fracture are not well studied. This study characterizes postoperative complications and outcomes of hip fractures distinguished by anatomic region. Read More

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Readmission following both cardiac and non-cardiac acute dyspnoea is associated with a striking risk of death.

ESC Heart Fail 2021 Jun 10. Epub 2021 Jun 10.

Clinic of Cardiac and Vascular Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Aims: Readmission and mortality are the most common and often combined endpoints in acute heart failure (AHF) trials, but an association between these two outcomes is poorly investigated. The aim of this study was to determine whether unplanned readmission is associated with a greater subsequent risk of death in patients with acute dyspnoea due to cardiac and non-cardiac causes.

Methods And Results: Derivation cohort (1371 patients from the LEDA study) and validation cohort (1986 patients from the BASEL V study) included acute dyspnoea patients admitted to the emergency department. Read More

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Analysis of Postpartum Uptake of Long-Acting Reversible Contraceptives Before and After Implementation of Medicaid Reimbursement Policy.

Matern Child Health J 2021 Jun 9. Epub 2021 Jun 9.

Department of Gynecology and Obstetrics, Jane Fonda Center for Adolescent Reproductive Health, Emory University School of Medicine, 46 Armstrong Street SE, Atlanta, GA, 30303, USA.

Objectives: The postpartum period is a time of high unmet contraception need. Providing long-acting reversible contraception (LARC), particularly in the immediate postpartum period, is one strategy to meet contraceptive needs. This practice may also prevent unintended and short interpregnancy interval pregnancies. Read More

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Neonatal unplanned extubations: an unsolved safety issue.

Bol Med Hosp Infant Mex 2021 Jun 9. Epub 2021 Jun 9.

Servicio de Neonatología del Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, España.

Background: Unplanned extubations are safety events relatively frequent in the neonatal intensive care units (NICU). This study aimed to describe the frequency and characteristics of unplanned extubations in a NICU.

Methods: We conducted a retrospective observational study of unplanned extubations in the NICU of a tertiary regional referral hospital. Read More

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A prospective cohort study of two predictor models for 30-day emergency readmission in older patients.

Int J Clin Pract 2021 Jun 9:e14478. Epub 2021 Jun 9.

Florence Nightingale Faculty of Nursing, King's College London, Midwifery & Palliative Care, Room 2.16 James Clerk Maxwell Building, 57 Waterloo Road, London, UK, SE1 8WA.

Aim: To undertake a prospective study of the accuracy of two models (LACE and BOOST) in predicting unplanned hospital readmission in older patients (> 75 years).

Methods: Data were collected from a single centre prospectively on 110 patients over 75 years old admitted to the acute medical unit. Follow-up was conducted at 30 days. Read More

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Tobacco purchasing motivations and behaviours in alcohol-licensed venues: a cross sectional survey of Australian young adults.

Health Promot J Austr 2021 Jun 9. Epub 2021 Jun 9.

The University of Sydney, Faculty of Medicine and Health, Sydney School of Public Health, Prevention Research Collaboration.

Issue Addressed: The widespread retail availability of tobacco contributes to increased tobacco consumption and undermines quit attempts. Given the ready availability of tobacco in alcohol-licensed venues which young adults frequent, tobacco sales in these venues are likely to influence the purchase and consumption of tobacco by young adults. This study aimed to investigate Australian young adults' tobacco purchasing motivations and behaviours in alcohol-licensed venues. Read More

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Leveraging Collaboration in Pediatric Multidisciplinary Colorectal Care Using a Telehealth Platform.

Am Surg 2021 Jun 9:31348211023428. Epub 2021 Jun 9.

Comprehensive Colorectal Center, 4204Children's Mercy Hospital, University of Missouri Kansas City, Kansas City, MO, USA.

Purpose: Pediatric colorectal problems often require complex multidisciplinary care (MDC), which has been affected by the SARS-CoV-2-2019 (COVID-19) pandemic. We describe our utilization and implementation of telehealth (TH) for pediatric colorectal surgery MDC visits and collate patient satisfaction using TH compared to in-person (IP) visits.

Methods: Implementation of a single-institution MDC TH platform to perform patient visits on February 1, 2020 was studied. Read More

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