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SAGE Open Medicine

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https://www.readbyqxmd.com/read/28804636/do-pediatric-gastroenterology-doctors-address-pediatric-obesity
#1
Suruchi Batra, Caitlin Yee, Bernadette Diez, Nicholas Nguyen, Michael J Sheridan, Mark Tufano, Natalie Sikka, Stacie Townsend, Suchitra Hourigan
OBJECTIVES: To assess how often obesity is acknowledged at pediatric gastroenterology outpatient visits. METHODS: A retrospective chart review was performed to identify obese children seen at a gastroenterology subspecialty clinic over a 1-year period of time; 132 children were identified. Demographics, obesity comorbidities, reasons for referral, diagnosis of obesity, and a plan to address obesity were abstracted. Chi-square or Fisher's exact tests were used to examine statistical associations...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28804635/analyzing-cardiovascular-treatment-guidelines-application-to-women-and-minority-populations
#2
REVIEW
Garth Graham, Yang-Yu Karen Xiao, Terry Taylor, Amber Boehm
Despite nearly 30 years of treatment guidelines for cardiovascular diseases and risk factors and a parallel growth in the understanding of cardiovascular disease disparities by sex and race/ethnicity, such disparities persist. The goals of this review are to consider the possible role of three factors: the one-size-fits-all approach of most treatment guidelines, adoption of guideline-recommended treatments in clinical practice, and patient adherence to recommended practice, especially the relationship between adherence and patient perceptions...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28781877/serotypes-and-antibiotic-susceptibility-of-streptococcus-pneumoniae-isolated-from-hospitalized-patients-with-community-acquired-pneumonia-in-italy
#3
Marta Di Pasquale, Stefano Aliberti, Chara Azzari, Maria Moriondo, Francesco Nieddu, Francesco Blasi, Marco Mantero
BACKGROUND: Pneumonia remain an important public health problem. The primary objective was to determine the proportion of community-acquired pneumonia that is attributable to Streptococcus pneumoniae infection; secondary objectives were the description of community-acquired pneumonia attributable to Streptococcus pneumoniae according to socio-demographic and clinical variables, the clinical evolution of community-acquired pneumonia and the description of the serotype distribution of vaccine-preventable disease and antibiotic resistance rate of pneumococcal infections...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28781876/comparison-of-hospital-length-of-stay-in-patients-treated-with-non-vitamin-k-oral-anticoagulants-or-parenteral-agents-plus-warfarin-for-venous-thromboembolism
#4
Catherine A Saint, Michelle R Castelli, Andrew J Crannage, Zachary A Stacy, Erin K Hennessey
OBJECTIVES: Existing research comparing hospital length of stay for patients treated with non-vitamin K oral anticoagulants or parenteral bridging to warfarin has been conducted primarily with the agent rivaroxaban. The objective of this study was to compare hospital length of stay between patients initiated on the non-vitamin K oral anticoagulants, apixaban or rivaroxaban, and patients initiated on parenteral anticoagulation agents plus warfarin for the treatment of venous thromboembolism...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28680631/surgical-medical-and-developmental-outcomes-in-patients-with-down-syndrome-and-cataracts
#5
Stephanie L Santoro, Dema Atoum, Robert B Hufnagel, William W Motley
BACKGROUND: Individuals with Down syndrome have an increased risk for congenital cataracts, but descriptions of surgical, medical and developmental outcomes are sparse. MATERIALS AND METHODS: Retrospective review of medical charts of patients with Down syndrome with visits to Cincinnati Children's Hospital from 1988 to 2013 was performed. A case series of five patients with Down syndrome and cataracts is presented. A total of 47 patients with Down syndrome without cataracts were used as a developmental control...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28638617/clinical-pharmacists-in-primary-care-provider-satisfaction-and-perceived-impact-on-quality-of-care-provided
#6
Havan Truong, Miranda E Kroehl, Carmen Lewis, Robin Pettigrew, Marialice Bennett, Joseph J Saseen, Katy E Trinkley
PURPOSE: The purpose of this study is to evaluate primary care provider satisfaction and perceived impact of clinical pharmacy services on the disease state management in primary care. METHODS: A cross-sectional survey with 24 items and 4 domains was distributed anonymously to pharmacy residency program directors across the United States who were requested to forward the survey to their primary care provider colleagues. Primary care providers were asked to complete the survey...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28634540/improvement-of-walking-ability-during-postoperative-rehabilitation-with-the-hybrid-assistive-limb-after-total-knee-arthroplasty-a-randomized-controlled-study
#7
Yohei Tanaka, Hiroyuki Oka, Shuichi Nakayama, Takaaki Ueno, Ko Matsudaira, Toshiki Miura, Kiyokazu Tanaka, Sakae Tanaka
OBJECTIVE: We aimed to compare the efficacies of rehabilitation with the hybrid assistive limb and conventional rehabilitation after total knee arthroplasty. MATERIALS AND METHODS: A total of 37 consecutive patients who underwent primary total knee arthroplasty for knee osteoarthritis were enrolled. Seven patients withdrew from the study after randomization, and 30 patients (hybrid assistive limb group: n = 16; conventional group: n = 14) completed the randomized controlled trial...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28634539/using-mhealth-technologies-to-improve-the-identification-of-behavioral-health-problems-in-urban-primary-care-settings
#8
Martha Staeheli, Robert H Aseltine, Elizabeth Schilling, Daren Anderson, Bruce Gould
INTRODUCTION: Behavioral health disorders remain under recognized and under diagnosed among urban primary care patients. Screening patients for such problems is widely recommended, yet is challenging to do in a brief primary care encounter, particularly for this socially and medically complex patient population. METHODS: In 2013, intervention patients at an urban Connecticut primary clinic were screened for post-traumatic stress disorder, depression, and risky drinking (n = 146) using an electronic tablet-based screening tool...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28620490/ketogenic-diet-predictors-of-seizure-control
#9
Nitin Agarwal, Dimitrios Arkilo, Osman Farooq, Cynthia Gillogly, Katelyn S Kavak, Arie Weinstock
BACKGROUND: The ketogenic diet is an effective non-pharmacologic treatment for medically resistant epilepsy. The aim of this study was to identify any predictors that may influence the response of ketogenic diet. METHODS: A retrospective chart review for all patients with medically resistant epilepsy was performed at a tertiary care epilepsy center from 1996 to 2012. Patient- and diet-related variables were evaluated with respect to seizure reduction at 1, 3, 6, 9 and 12-month intervals and divided into four possible outcome classes...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28620489/organizational-knowledge-and-capabilities-in-healthcare-deconstructing-and-integrating-diverse-perspectives
#10
REVIEW
Jenna M Evans, Adalsteinn Brown, G Ross Baker
Diverse concepts and bodies of work exist in the academic literature to guide research and practice on organizational knowledge and capabilities. However, these concepts have largely developed in parallel with minimal cross-fertilization, particularly in the healthcare domain. This contributes to confusion regarding conceptual boundaries and relationships, and to a lack of application of potentially useful evidence. The aim of this article is to assess three concepts associated with organizational knowledge content-intellectual capital, organizational core competencies, and dynamic capabilities-and to propose an agenda for future research...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28616230/predictors-of-adamkiewicz-artery-and-anterior-spinal-artery-detection-through-computerized-tomographic-angiography
#11
Alexandre Campos Moraes Amato, Jose Rodrigues Parga Filho, Noedir Antonio Groppo Stolf
BACKGROUND: The detection of the Adamkiewicz artery and the anterior spinal artery has been associated with the ability to prevent adverse spinal cord outcomes after aortic surgical procedures. Yet, to our knowledge, no previous studies have attempted to use modern predictive models to identify the most important variables in determining artery detectability. AIMS: To develop a model to predict the odds of visualizing the Adamkiewicz artery or anterior spinal artery in patients undergoing computerized tomographic angiography...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28611920/quality-of-life-in-patients-with-established-rheumatoid-arthritis-a-phenomenographic-study
#12
Karina Malm, Stefan Bergman, Maria LE Andersson, Ann Bremander, Ingrid Larsson
OBJECTIVE: Patients with rheumatoid arthritis perceive reduced quality of life in several domains, such as physical health, level of independence, environment and personal beliefs, compared with the healthy population. There is an increasing interest in quality of life in clinical and medical interventions. Few studies have explored patients' individual conceptions of quality of life, and interviews can thus complement quantitative studies. There is a need for a deeper understanding of the patients' experiences of quality of life, with regard to living with a long-term condition such as rheumatoid arthritis...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28611919/markers-of-arterial-stiffness-in-a-sample-of-lebanese-subjects-with-grade-i-essential-hypertension
#13
Samir Mallat, Abdo Jurjus, Tarek Bou Assi, Alice Jurjus, Ali Shams, Skye El Sayegh, Adel Berbari
OBJECTIVES: Arterial stiffness is becoming a major global condition associated with an increased risk of cardiovascular problems and death. Several markers have been linked to arterial stiffness. METHODS: To determine and evaluate these relations, anthropometric parameters (weight, height, and pulse rate), biochemical profile, and central and peripheral indices of arterial function were measured in 114 Lebanese subjects with Grade I essential hypertension. RESULTS: Age was associated with a higher pulse wave velocity (p = ...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28567283/dyslipidemia-management-in-overweight-or-obese-adolescents-a-mixed-methods-clinical-trial-of-motivational-interviewing
#14
Nita Chahal, Janet Rush, Cedric Manlhiot, Katherine M Boydell, Ahlexxi Jelen, Brian W McCrindle
BACKGROUND: Lifestyle management for dyslipidemic adolescents often occurs in the context of family-centered care, which necessitates adaptation of counseling strategies. OBJECTIVE: To determine the effectiveness of motivational interviewing for lifestyle behavior change for dyslipidemic adolescents in a dyad with a parent versus alone. METHODS: A total number of 32 adolescents were randomized 1:1 to receive a series of motivational interviewing sessions either together with a parent or alone for a 6-month intervention, with both quantitative and qualitative assessment of outcomes...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28560039/percentile-ranks-and-benchmark-estimates-of-change-for-the-health-education-impact-questionnaire-normative-data-from-an-australian-sample
#15
Gerald R Elsworth, Richard H Osborne
OBJECTIVE: Participant self-report data play an essential role in the evaluation of health education activities, programmes and policies. When questionnaire items do not have a clear mapping to a performance-based continuum, percentile norms are useful for communicating individual test results to users. Similarly, when assessing programme impact, the comparison of effect sizes for group differences or baseline to follow-up change with effect sizes observed in relevant normative data provides more directly useful information compared with statistical tests of mean differences and the evaluation of effect sizes for substantive significance using universal rule-of-thumb such as those for Cohen's 'd'...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28540051/faecal-microbiota-transplantation-where-did-it-start-what-have-studies-taught-us-where-is-it-going
#16
REVIEW
Ryan M Chanyi, Laura Craven, Brandon Harvey, Gregor Reid, Michael J Silverman, Jeremy P Burton
The composition and activity of microorganisms in the gut, the microbiome, is emerging as an important factor to consider with regard to the treatment of many diseases. Dysbiosis of the normal community has been implicated in inflammatory bowel disease, Crohn's disease, diabetes and, most notoriously, Clostridium difficile infection. In Canada, the leading treatment strategy for recalcitrant C. difficile infection is to receive faecal material which by nature is filled with microorganisms and their metabolites, from a healthy individual, known as a faecal microbiota transplantation...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28540050/effect-of-atypical-antipsychotics-on-body-weight-in-geriatric-psychiatric-inpatients
#17
Eugene Yh Yeung, Soojin Chun, Alan Douglass, Timothy E Lau
BACKGROUND: Studies suggest that antipsychotic-induced weight gain is not a great concern in the elderly population. This study investigated the weight change in elderly patients with various treatment duration and antipsychotics. Part 1 of the study was to determine whether atypical antipsychotics induced weight change in elderly patients. Part 2 was to determine whether certain atypical antipsychotics induced more weight change in elderly patients. METHODS: In Part 1, a retrospective chart review was done on 115 geriatric inpatients...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28540049/outcome-of-misoprostol-and-oxytocin-in-induction-of-labour
#18
Trishna Acharya, Ramesh Devkota, Bimbishar Bhattarai, Radha Acharya
BACKGROUND: Induction of labour is the process of initiating the labour by artificial means from 24 weeks of gestation. The main aim of this study is to find out the maternal and foetal outcomes after induction of labour with misoprostol and oxytocin beyond 37 weeks of gestation. METHODS: This was a hospital-based observational study carried out at Paropakar Maternity and Women's Hospital, Nepal. Misoprostol of 25 µg was inserted in posterior fornix of vagina or oxytocin infusion was started from 2...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28540048/medication-self-management-skills-and-cognitive-impairment-in-older-adults-hospitalized-for-heart-failure-a-cross-sectional-study
#19
Erik H Howell, Alpana Senapati, Eileen Hsich, Eiran Z Gorodeski
BACKGROUND: Cognitive impairment is highly prevalent among older adults (aged ≥65 years) hospitalized for heart failure and has been associated with poor outcomes. Poor medication self-management skills have been associated with poor outcomes in this population as well. The presence and extent of an association between cognitive impairment and poor medication self-management skills in this population has not been clearly defined. OBJECTIVE: We assessed the cognition of consecutive older adults hospitalized for heart failure, in relation to their medication self-management skills...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28540047/clinical-outcomes-for-the-obese-hospital-inpatient-an-observational-study
#20
K L Fusco, H C Robertson, H Galindo, P H Hakendorf, C H Thompson
OBJECTIVES: The prevalence of obesity presents a burden for Australian health care. The aim of this study was to determine whether severely obese hospital inpatients have worse outcomes. METHODS: This is an observational cohort study, using data from all adult patients admitted to hospital for all elective and emergency admissions of patients aged over 18 years to two large Australian urban hospitals. We measured their length of stay, intensive care unit admission rate, intensive care unit length of stay, mortality and readmission rates within 28 days of discharge and compared these outcomes in the severely obese and non-severely obese subjects using t-test or chi-square test as appropriate...
2017: SAGE Open Medicine
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