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Patient self-report versus medical records for smoking status and alcohol consumption at Aboriginal Community Controlled Health Services.

Aust N Z J Public Health 2021 May 10. Epub 2021 May 10.

Health Behaviour Research Collaborative, School of Medicine and Public Health, University of Newcastle, New South Wales.

Objective: This study assessed the level of agreement, and predictors of agreement, between patient self-report and medical records for smoking status and alcohol consumption among patients attending one of four Aboriginal Community Controlled Health Service (ACCHSs).

Methods: A convenience sample of 110 ACCHS patients self-reported whether they were current smokers or currently consumed alcohol. ACCHS staff completed a medical record audit for corresponding items for each patient. Read More

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Differences in the baseline characteristics, management and outcomes of patients with hip fractures depending on their pre-fracture place of residence: the Spanish National Hip Fracture Registry (RNFC) cohort.

Eur Geriatr Med 2021 May 10. Epub 2021 May 10.

Department of Geriatric Medicine, Geriatric Service, Hospital Universitario La Paz, Paseo La Castellana 261, 28046, Madrid, Spain.

Purpose: One in four hip fracture patients comes from an aged care facility. This study aimed to compare the characteristics of these subjects with their community-dwelling counterparts at baseline, during hospitalization and 1-month post-fracture.

Methods: We analyzed data from a cohort of older adults admitted with hip fractures to 75 Spanish hospitals, collected prospectively in the Spanish National Hip Fracture Registry between 2016 and 2018. Read More

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Is Resource Change a Useful Predictor of Carrion Insect Succession on Pigs and Humans?

J Med Entomol 2021 May 10. Epub 2021 May 10.

School of Science, Psychology and Sport, Federation University Australia, Mount Helen, VIC 3350,Australia.

Carrion is a dynamic and nutrient-rich resource that attracts numerous insect species that undergo succession due to the rapid change in the carrion resource. Despite this process being well-understood, few studies have examined resource change as a driver of carrion insect succession, and instead have focused on the effects of time per se, or on coarse, qualitative measures such as decay stage. Here we report on three field succession experiments using pig carcasses and human cadavers encompassing two winters and one summer. Read More

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Socioeconomic factors associated with drug consumption in Mexico.

J Addict Dis 2021 May 8:1-9. Epub 2021 May 8.

Universidad Nacional Tres de Febrero, Buenos Aires, Argentina.

Background: Illicit drug consumption in Mexico has been growing constantly and has begun to be a public health problem. The aim of this study is to identify the principal characteristics and socioeconomic variables associated with consumption of illegal drugs in Mexico.

Methods: Using information from the 2016 national addictions survey in Mexico, we develop a logistic regression model to determine the variables associated with drug consumption, sometime in lifetime or recently, in the general population of Mexico. Read More

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The paradox of teaching wellness: Lessons from a national obstetrics and gynaecology resident curriculum.

Clin Teach 2021 May 9. Epub 2021 May 9.

Obstetrics and Gynecology and Learning Health Sciences at the University of Michigan Medical School, Ann Arbor, MI, USA.

Background: In response to high rates of burnout among trainees, educators in obstetrics and gynaecology introduced a six-session wellness curriculum that improved professional fulfilment and resident burnout in participants with greater attendance. The implementation of the curriculum varied based on local variables and contextual factors.

Objective: To analyse the reactions of participants and curriculum leaders across the diverse settings of the pilot experience in order to identify the best practices for implementation of a wellness curriculum. Read More

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Deep Learning-Quantified Calcium Scores for Automatic Cardiovascular Mortality Prediction at Lung Screening Low-Dose CT.

Radiol Cardiothorac Imaging 2021 Apr 15;3(2):e190219. Epub 2021 Apr 15.

Department of Biomedical Engineering and Physics (B.D.d.V., I.I.), Cardiovascular Institute (B.D.d.V., I.I.), and Department of Radiology and Nuclear Medicine (I.I.), Amsterdam University Medical Center, Meibergdreef 9, Amsterdam, the Netherlands; and Image Sciences Institute (B.D.d.V., N.L., I.I.) and Department of Radiology (P.A.d.J., I.I.), University Medical Center Utrecht, Utrecht, the Netherlands.

Purpose: To examine the prognostic value of location-specific arterial calcification quantities at lung screening low-dose CT for the prediction of cardiovascular disease (CVD) mortality.

Materials And Methods: This retrospective study included 5564 participants who underwent low-dose CT from the National Lung Screening Trial between August 2002 and April 2004, who were followed until December 2009. A deep learning network was trained to quantify six types of vascular calcification: thoracic aorta calcification (TAC); aortic and mitral valve calcification; and coronary artery calcification (CAC) of the left main, the left anterior descending, and the right coronary artery. Read More

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Association of the Ratio of Triglycerides to High-Density Lipoprotein Cholesterol Levels with the Risk of Type 2 Diabetes: A Retrospective Cohort Study in Beijing.

J Diabetes Res 2021 20;2021:5524728. Epub 2021 Apr 20.

The Department and Key Laboratory of Endocrinology and Metabolism, The First Medical Center of PLA General Hospital, Beijing 100853, China.

Background: Previous studies have shown that the ratio of triglyceride to high-density lipoprotein cholesterol level (TG/HDL-C) is a risk factor for type 2 diabetes mellitus (T2DM). The aim of this study was to investigate the nonlinear relationship between TG/HDL-C and the incidence of T2DM in a Chinese population.

Methods: We used logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for the incidence of T2DM among 7,791 participants from the Risk Evaluation of cAncers in Chinese diabeTic Individuals: a lONgitudinal (REACTION) cohort study at baseline. Read More

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Machine Learning for Mortality Prediction in Pediatric Myocarditis.

Front Pediatr 2021 23;9:644922. Epub 2021 Apr 23.

Lakes Region General Hospital, Laconia, NH, United States.

Pediatric myocarditis is a rare disease. The etiologies are multiple. Mortality associated with the disease is 5-8%. Read More

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Predict Colon Cancer by Pairing Plasma miRNAs: Establishment of a Normalizer-Free, Cross-Platform Model.

Front Oncol 2021 22;11:561763. Epub 2021 Apr 22.

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, National Clinical Research Center for Digestive Disease, Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Disease, Beijing, China.

Background: Plasma miRNAs are emerging biomarkers for colon cancer (CC) diagnosis. However, the lack of robust internal references largely limits their clinical application. Here we propose a ratio-based, normalizer-free algorithm to quantitate plasma miRNA for CC diagnosis. Read More

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Tubeless video-assisted thoracoscopic surgery in mediastinal tumor resection.

Gland Surg 2021 Apr;10(4):1387-1396

Department of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, China.

Background: It has been reported that tubeless video-assisted thoracoscopic surgery (tubeless-VATS) is feasible and safe for thoracic diseases. Herein, we compared the early outcomes of mediastinal lesion resection between the tubeless and traditional VATS.

Methods: Clinical data of all patients who underwent thoracoscopic mediastinal tumor resection were retrospectively collected. Read More

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Modified ileal conduit intracorporeally accomplished following laparoscopic radical cystectomy with enhanced recovery protocols: experience with 48 cases.

Transl Androl Urol 2021 Apr;10(4):1596-1606

Institute of Urology, Capital Medical University, Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.

Background: This study introduces the results of laparoscopic radical cystectomy with modified intracorporeal ileal conduit (mICIC), which was accompanied by enhanced recovery after surgery (ERAS) protocols.

Methods: From March 2014 to June 2020, 48 patients underwent mICIC. Patients were divided into ERAS (n=17) and non-ERAS groups (n=31). Read More

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Trends in US emergency department visits and subsequent hospital admission among patients with inflammatory bowel disease presenting with abdominal pain: a real-world study from a national emergency department sample database.

J Mark Access Health Policy 2021 Apr 19;9(1):1912924. Epub 2021 Apr 19.

Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

: This study evaluated emergency department (ED) visit trends, subsequent inpatient admissions for patients with inflammatory bowel disease (IBD) diagnosis and IBD-related abdominal pain (AP), and hospital-level variation in inpatient admission rates in the USA (US). : This population-based, cross-sectional study included data from Nationwide Emergency Department Sample (NEDS, 2006─2013) database. Patients ≥18 years of age with primary ED diagnosis of IBD/IBD-related AP were included. Read More

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Probable post-traumatic stress disorder and harmful alcohol use among male members of the British Police Forces and the British Armed Forces: a comparative study.

Eur J Psychotraumatol 2021 Mar 25;12(1):1891734. Epub 2021 Mar 25.

King's Centre for Military Health Research, Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.

: British Armed Forces' and Police Forces' personnel are trained to operate in potentially traumatic conditions. Consequently, they may experience post-traumatic stress disorder (PTSD), which is often comorbid with harmful alcohol use. : We aimed to assess the proportions, and associations, of probable PTSD and harmful alcohol use among a covariate-balanced sample of male military personnel and police employees. Read More

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The Short- and Long-term Causal Relationships Between Self-compassion, Trait Mindfulness, Caregiver Stress, and Depressive Symptoms in Family Caregivers of Patients with Lung Cancer.

Mindfulness (N Y) 2021 May 5:1-10. Epub 2021 May 5.

School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.

Objectives: Using a prospective longitudinal design, this paper examines a serial mediation model of the associations between self-compassion, trait mindfulness, caregiver stress, and depressive symptoms among the family caregivers of patients with lung cancer.

Methods: A four-wave design was used, with initial assessment (T1) and three follow-ups, at the 2 month (T2), the 5 month (T3), and the 8 month (T4). A total of 123 family caregivers completed the baseline measurements, including caregiver stress, self-compassion, trait mindfulness, and depressive symptoms. Read More

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The impact of Aurora kinase A genetic polymorphisms on cervical cancer progression and clinicopathologic characteristics.

Int J Med Sci 2021 22;18(11):2457-2465. Epub 2021 Apr 22.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

The aims of this study were to explore the involvement of Aurora kinase A (AURKA) gene single nucleotide polymorphisms (SNPs) in uterine cervical cancer that has not yet been investigated. One hundred and six patients with cervical invasive cancer and 94 patients with precancerous lesions, and 302 Taiwanese female individuals were included. AURKA SNPs rs2273535, rs6024836, rs2064863 and rs1047972 were analyzed for genotypic distributions using real-time polymerase chain reaction. Read More

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Impact of genetic variants on uterine cervical cancer clinicopathologic characteristics.

Int J Med Sci 2021 7;18(11):2339-2346. Epub 2021 Apr 7.

Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.

The aims of this study were to investigate the relationships among () genetic variants and development and clinicopathological characteristics of uterine cervical cancer, and patient survival in Taiwanese women. The study enrolled 125 patients with invasive cancer and 98 patients with precancerous lesions of uterine cervix, and 325 control women. genetic variants rs2120243, rs3816527, rs2305619 and rs1840680 were selected and their genotypic distributions were determined by real-time polymerase chain reaction. Read More

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Patient satisfaction with non-clinical nursing care provided by the nursing assistant under different management models in Chinese public tertiary hospital.

Appl Nurs Res 2021 Apr 6:151431. Epub 2021 Apr 6.

School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 5 Dongdansantiao, Beijing 100710, China.

Background: There are disparities of in-hospital non-clinical nursing care delivered by the nursing assistant under different management models in China. This study aimed to identify the best management model of the nursing assistant from the patient perspective.

Methods: This is a cross-sectional study. Read More

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Weather sensitivity associated with quality of life in patients with fibromyalgia.

BMC Rheumatol 2021 May 10;5(1):14. Epub 2021 May 10.

Faculty of Health Science, Osaka Yukioka College of Health Science, Osaka, Japan.

Background: Fibromyalgia is characterized by chronic widespread pain, and more than half of patients with fibromyalgia report that weather-related variables aggravate their symptoms. However, the differences in actual symptoms have not been measured between those with and without weather sensitivity. The present study aimed to investigate whether weather sensitivity associated with the minimal clinically important difference values of quality of life in patients with fibromyalgia, between those with and without weather sensitivity. Read More

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Teaching and assessing intra-operative consultations in competency-based medical education: development of a workplace-based assessment instrument.

Virchows Arch 2021 May 8. Epub 2021 May 8.

Royal College of Physicians and Surgeons of Canada, Ottawa, Canada.

Competency-based medical education (CBME) is being implemented worldwide. In CMBE, residency training is designed around competencies required for unsupervised practice and use entrustable professional activities (EPAs) as workplace "units of assessment". Well-designed workplace-based assessment (WBA) tools are required to document competence of trainees in authentic clinical environments. Read More

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Both intermuscular fat and LVEF decline promote heart failure symptoms in cancer survivors.

Cardiooncology 2021 May 8;7(1):16. Epub 2021 May 8.

Division of Cardiology, VCU Pauley Heart Center, Virginia Commonwealth University, Box 980036, Richmond, VA, 23298, USA.

Background: Approximately 20% of cancer survivors treated with chemotherapy experience worsening heart failure (HF) symptoms post-cancer treatment. While research has predominantly investigated the role of cardiotoxic treatments, much less attention has focused on other risk factors, such as adiposity. However, emerging data in cancer survivors indicates that adiposity may also impact a variety of cardiovascular outcomes. Read More

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The combination of conventional ultrasound and shear-wave elastography in evaluating the segmental heterogeneity of liver fibrosis in biliary atresia patients after Kasai portoenterostomy.

Pediatr Surg Int 2021 May 9. Epub 2021 May 9.

Department of Medical Ultrasonics, Institute for Diagnostic and Interventional Ultrasound, The First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan Er Road, Guangzhou, 510080, People's Republic of China.

Objective: To retrospectively assess the value of the combination of conventional ultrasound and shear-wave elastography (SWE) in evaluating the segmental heterogeneity of liver fibrosis in biliary atresia (BA) patients after Kasai portoenterostomy.

Methods: A total of 35 BA patients with liver segmental deformation were enrolled. The segmental deformation was assessed by conventional ultrasound followed with SWE examinations for evaluating the liver stiffness. Read More

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Prevalence of Sarcopenia and Relationships Between Muscle and Bone in Indian Men and Women.

Calcif Tissue Int 2021 May 9. Epub 2021 May 9.

Department of Medicine, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash Medical Centre, Monash University, Clayton, VIC, Australia.

Both ethnicity and age are important determinants of musculoskeletal health. We aimed to determine the prevalence of sarcopenia, assess the suitability of current diagnostic guidelines, and explore muscle-bone relationships in adults from India. A total of 1009 young (20-35 years) and 1755 older (> 40 years) men and women from existing studies were collated and pooled for the analysis. Read More

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Pediatric Intrathecal Baclofen Pumps: A Descriptive Analysis of Hospital Course and Associated Costs.

Pediatr Neurosurg 2021 May 7:1-11. Epub 2021 May 7.

Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tennessee, USA.

Introduction: The purpose of this study was to identify predictors of increased cost and postoperative length-of-stay (LOS) following intrathecal baclofen pump (ITBP) placement.

Methods: Patients were derived from the 2009/2012 kids' inpatient database. Inclusion criteria were selected for patients with ICD-9 codes 343. Read More

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Higher levels of physical activity are associated with reduced tethering and migration of pro-inflammatory monocytes in males with central obesity.

Exerc Immunol Rev 2021 ;27:54-66

National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Epinal Way, Loughborough LE11 3TU.

Despite evidence that monocyte migration is accentuated by central adiposity, the impact of physical activity (PA) and exercise, particularly in the post-prandial state, on limiting migration are not established. We hypothesised that PA and a single bout of walking exercise would be associated with reduced ex vivo monocyte tethering and migration in middleaged males with central obesity (CO). Objective levels of PA were measured for 7 days in lean males (LE, N=12, mean (SD) age 39 (10) years, waist circumference 81. Read More

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January 2021

Exposure to nitrate from drinking water and the risk of childhood cancer in Denmark.

Environ Int 2021 May 6;155:106613. Epub 2021 May 6.

Department of Public Health, Aarhus University, Aarhus, Denmark.

Background: There is limited evidence that nitrate, a common contaminant in drinking water, increases the risk of childhood cancers. Our objective was to examine this association in Denmark.

Methods: We conducted a nationwide case-control study based on all singletons liveborn to Danish-born parents from 1991 to 2015 (N = 1,219,140) that included 596 leukemias, 180 lymphomas, and 310 central nervous system cancers (CNC) who were ≤15 years of age at diagnosis and were identified from the Danish Cancer Registry. Read More

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Uncertainty bounds in clinical trials published in Endodontic Journals within the last 5 years. Are we confident on what we read?

J Endod 2021 May 6. Epub 2021 May 6.

Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.

Introduction: The aim of this study was to assess the prevalence of reporting of confidence intervals (CIs) in clinical trials in Endodontics and discover any further associations with a range of publication characteristics.

Methods: The electronic contents of the three leading endodontic journals with the highest impact factors (International Endodontic Journal; IEJ, Journal of Endodontics; JOE, and Australian Endodontic Journal; AEJ) were assessed, from January 2016 to December 2020. The number and proportion of clinical trials reporting CIs for the difference in effectiveness/safety of competing interventions for the outcome of interest, were recorded. Read More

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Comparative study of Japanese frozen elephant trunk device for open aortic arch repairs.

J Thorac Cardiovasc Surg 2021 Apr 1. Epub 2021 Apr 1.

Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Osaka, Japan.

Objective: We performed a multicenter prospective comparative study to determine the impact of a Japanese frozen elephant trunk device on total arch replacement compared with conventional repair without it.

Methods: Between 2016 and 2019, a total of 684 patients (frozen elephant trunk procedure; n = 369; conventional repair, n = 315) from 41 institutions were enrolled. The 2 procedures were selected according to each center's strategy. Read More

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Prediction of instantaneous real-world emissions from diesel light-duty vehicles based on an integrated artificial neural network and vehicle dynamics model.

Sci Total Environ 2021 Apr 27;786:147359. Epub 2021 Apr 27.

Department of Mechanical Engineering, Hanyang University, 222 Wangwimni-ro, Seongdong-gu, Seoul 04763, Republic of Korea. Electronic address:

This paper presents a road vehicle emission model that integrates an artificial neural network (ANN) model with a vehicle dynamics model to predict the instantaneous carbon dioxide (CO), nitrogen oxides (NOx) and total hydrocarbon (THC) emissions of diesel light-duty vehicles. Real-world measurement data were used to train a multi-layer feed-forward ANN model. The optimal combination of the various experimental variables was selected as the ANN input through a parametric study considering both practicality and accuracy. Read More

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Automatic control of simulated moving bed process with deep Q-network.

J Chromatogr A 2021 Apr 27;1647:462073. Epub 2021 Apr 27.

School of Chemical and Biological Engineering, Institute of Chemical Processes, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, Republic of Korea. Electronic address:

Optimal control of a simulated moving bed (SMB) process is challenging because the system dynamics is represented as nonlinear partial differential-algebraic equations combined with discrete events. In addition, product purity constraints are active at the optimal operating condition, which implies that these constraints can be easily violated by disturbance. Recently, artificial intelligence techniques have received significant attention for their ability to address complex problems, involving a large number of state variables. Read More

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Epidemiology of Tongue Squamous Cell Carcinoma: A Retrospective Cohort Study.

Oral Dis 2021 May 8. Epub 2021 May 8.

Clinical Research Division, National Cancer Institute, Rio de Janeiro (RJ), Brazil.

Objective: Analyze the epidemiological profile and the specific survival of patients diagnosed with tongue squamous cell carcinoma at the National Cancer Institute (INCA).

Materials And Methods: Hospital Cancer Registry System Data and Mortality Information from 2007 to 2009 were retrieved in a retrospective cohort study of patients diagnosed with tongue squamous cell carcinoma. Specific survival was estimated using the Kaplan-Meier method. Read More

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