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https://www.readbyqxmd.com/read/29906480/the-use-of-5-alpha-reductase-inhibitors-to-manage-benign-prostatic-hyperplasia-and-the-risk-of-all-cause-mortality
#1
Lauren P Wallner, Julia R DiBello, Bonnie H Li, Stephen K Van Den Eeden, Sheila Weinmann, Debra P Ritzwoller, Jill E Abell, Ralph D'Agostino, Ronald K Loo, David S Aaronson, Ralph I Horwitz, Steven J Jacobsen
OBJECTIVE: To compare the risk of mortality among men treated for benign prostatic hyperplasia (BPH) with 5?-reductase inhibitors (5ARI) to those treated with alpha-blockers (AB) in community practice settings. METHODS: We employed a retrospective matched cohort study in 4 regions of an integrated healthcare system. Men ages 50 years and older who initiated pharmaceutical treatment for BPH/LUTS between 1992 and 2008 and had at least 3 consecutive prescriptions were eligible and followed through 2010 (N=174,895)...
June 12, 2018: Urology
https://www.readbyqxmd.com/read/29905769/serologic-follow-up-of-middle-east-respiratory-syndrome-coronavirus-cases-and-contacts-abu-dhabi-united-arab-emirates
#2
Farida Ismail Al Hosani, Lindsay Kim, Ahmed Khudhair, Huong Pham, Mariam Al Mulla, Zyad Al Bandar, Krishna Pradeep, Kheir Abou Elkheir, Stefan Weber, Mary Khoury, George Donnelly, Naima Younis, Feda El Saleh, Muna Abdalla, Hala Imambaccus, Lia M Haynes, Natalie J Thornburg, Jennifer L Harcourt, Congrong Miao, Azaibi Tamin, Aron J Hall, Elizabeth S Russell, Aaron M Harris, Craig Kiebler, Roger A Mir, Kimberly Pringle, Negar N Alami, Glen R Abedi, Susan I Gerber
Background: Although there is evidence of person-to-person transmission of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in household and healthcare settings, more data are needed to describe and better understand the risk factors and transmission routes in both settings, as well as the extent that disease severity affects transmission. Methods: A sero-epidemiological investigation was conducted among Middle East Respiratory Syndrome Coronavirus (MERS-CoV) case-patients and their household contacts to investigate transmission risk in Abu Dhabi, United Arab Emirates...
June 13, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29903802/study-protocol-for-a-feasibility-study-of-an-internet-administered-guided-cbt-based-self-help-intervention-engage-for-parents-of-children-previously-treated-for-cancer
#3
Joanne Woodford, Anna Wikman, Martin Cernvall, Gustaf Ljungman, Amanda Romppala, Helena Grönqvist, Louise von Essen
INTRODUCTION: A subgroup of parents of children previously treated for cancer report long-term psychological distress after end of treatment. However, needs for psychological support are commonly unmet and there is a lack of evidence-based treatments tailored to the specific needs of this population. An internet-administered, guided, cognitive-behavioural therapy-based, self-help intervention (ENGAGE) for parents of children previously treated for cancer may provide a solution. The aim is to examine the feasibility and acceptability of the intervention ENGAGE and the study procedures for a future controlled trial...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29903429/simulation-based-research-to-improve-infant-health-outcomes-using-the-infant-simulator-to-prevent-infant-shaking
#4
Kirsten Bechtel
Simulation is a technique that creates a situation or environment to allow persons to experience a representation of a real event for the purpose of practice, learning, evaluation, testing, or to gain understanding of systems or human actions. We will first provide an introduction to simulation in healthcare and describe the two types of simulation-based research (SBR) in the pediatric population. We will then provide an overview of the use of SBR to improve health outcomes for infants in health care settings and to improve parent-child interactions using the infant simulator...
June 11, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29903420/state-health-department-validations-of-central-line-associated-bloodstream-infection-events-reported-via-the-national-healthcare-safety-network
#5
REVIEW
Suparna Bagchi, Jennifer Watkins, Daniel A Pollock, Jonathan R Edwards, Katherine Allen-Bridson
BACKGROUND: Numerous state health departments (SHDs) have validated central line-associated bloodstream infection (CLABSI) data, and results from these studies provide important insights into the accuracy of CLABSI reporting to the National Healthcare Safety Network (NHSN) and remediable shortcomings in adherence to the CLABSI definition and criteria. METHODS: State CLABSI validation results were obtained from peer-reviewed publications, reports on SHD Web sites, and via personal communications with the SHD health care-associated infections coordinator...
June 11, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29902995/how-is-a-specialist-depression-service-effective-for-persistent-moderate-to-severe-depressive-disorder-a-qualitative-study-of-service-user-experience
#6
Louise Thomson, Marcus Barker, Catherine Kaylor-Hughes, Anne Garland, Rajini Ramana, Richard Morriss, Emily Hammond, Gail Hopkins, Sandra Simpson
BACKGROUND: A specialist depression service (SDS) offering collaborative pharmacological and cognitive behaviour therapy treatment for persistent depressive disorder showed effectiveness against depression symptoms versus usual community based multidisciplinary care in a randomised controlled trial (RCT) in specialist mental health services in England. However, there is uncertainty concerning how specialist depression services effect such change. The current study aimed to evaluate the factors which may explain the greater effectiveness of SDS compared to Treatment as Usual (TAU) by exploring the experience of the RCT participants...
June 15, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29902990/hiv-related-stigma-and-discrimination-amongst-healthcare-providers-in-guangzhou-china
#7
Xiaomei Dong, Jianwei Yang, Lin Peng, Minhui Pang, Jiayi Zhang, Zhan Zhang, Jiaming Rao, Haiqing Wang, Xiongfei Chen
BACKGROUND: HIV-related discrimination amongst healthcare providers is one of the strongest obstacles to effectively responding to HIV. This study was conducted to explore the occurrence of and other factors related to discrimination against people living with HIV/AIDS amongst healthcare providers in Guangzhou, China. METHODS: This was a cross-sectional study, conducted between July and October 2016, that enrolled healthcare providers from 9 healthcare institutions in Guangzhou, China...
June 15, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29901614/healthcare-utilization-and-medical-expenditure-of-korean-psoriasis-patients-a-descriptive-result-using-a-health-insurance-database
#8
Dongmun Ha, JeeYeon Lee, Dajeong Kim, In-Sun Oh, Eui-Kyung Lee, Ju-Young Shin
BACKGROUND: Epidemiological evidence regarding healthcare utilization and medical expenditure of patients with psoriasis in Korea is needed. To analyze the differences in healthcare utilization and financial burdens between patients with and without psoriasis and compare these patterns according to the disease severity. METHODS: We conducted a descriptive cross-sectional study using a sample of the National Health Insurance database between January 1, 2012 and December 31, 2013...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29901546/improving-disaster-preparedness-of-families-with-a-parenteral-nutrition-dependent-child
#9
Khadija T Toor, Rita V Burke, Natalie E Demeter, Jeffrey S Upperman, Russell J Merritt, Catherine J Goodhue, Choo Phei Wee
OBJECTIVES: Disruption in the care of special healthcare needs children may lead to life-threatening situations or preventable secondary conditions. California averages more than one hundred earthquakes per week. Subsequent power outages, damage to utility systems, and road damage after an earthquake can have grave consequences for families with parenteral nutrition (PN)-dependent children. The purpose of the study was to demonstrate that we could improve disaster preparedness of families with PN-dependent children utilizing individualized family education and distribution of personalized disaster survival toolkits...
June 12, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29901459/pediatric-calculi-cause-prevention-and-medical-management
#10
Cesare M Scoffone, Cecilia M Cracco
PURPOSE OF REVIEW: The incidence of pediatric nephrolithiasis is on the rise, with a significant related morbidity and a concomitant relevant increase in healthcare costs. The purpose of the present review is to portray the current epidemiology and cause of renal stones in children, to provide a framework for appropriate clinical evaluation on an individual basis, and a guidance regarding treatment and prevention for the following significant risk of lifelong recurrence and deriving complications...
June 12, 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29900599/exploring-what-motivates-and-sustains-support-group-engagement-amongst-young-people-with-allergies-a-qualitative-study
#11
Christina J Jones, Lauren A Sommereux, Helen E Smith
BACKGROUND: Positive self-care behaviours are more likely in young people who engage with allergy support groups, but reasons for this association are not well understood. OBJECTIVES: This study explored how and why young people engage with allergy support groups to identify what activities and resources are beneficial. METHODS: In-depth, semi-structured interviews were conducted with young people aged 12-21 years who reported engaging with allergy support groups (in person or on-line)...
June 14, 2018: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29900133/developing-a-basic-medical-insurance-statement-in-chinese-underdeveloped-areas
#12
Hongpu Hu, Yanli Xu, Qingkun Chen, Juan Li, Chenliu Yang, Yanli Wan
Background: We presented the running state of rural basic medical insurance system in Henan and discussed the enforcements and development experiences of underdeveloped areas. We provided data evidence to support the improvement and development of a basic rural medical insurance system. Methods: We selected Henan Province, China as a sample, using the method of cluster sampling, from policy documents published in the national and provincial level of the new rural cooperative medical policy and work documents, data from 2004 to 2014, the National Health Statistical Yearbook of health statistics yearbook of Henan Province and relevant statistical data of the province...
April 2018: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29899281/integrative-approaches-in-pediatric-palliative-care
#13
Kate Shafto, Suzanne Gouda, Kris Catrine, Melanie L Brown
Pediatric palliative care is a field which focuses on caring for and treating the symptoms and distress typically associated with life-limiting illness. Integrative medicine is supported by evidence and aims to heal the whole person, including all aspects of one’s lifestyle. Therapies offered by integrative medicine often empower patients and families, allowing for a sense of control. This review addresses the merging of integrative medicine philosophy and modalities with the care given to children with life-limiting illness...
June 13, 2018: Children
https://www.readbyqxmd.com/read/29898719/adherence-to-ebola-specific-malaria-case-management-guidelines-at-health-facilities-in-guinea-during-the-west-african-ebola-epidemic
#14
Ian Hennessee, Timothée Guilavogui, Alioune Camara, Eric S Halsey, Barbara Marston, Deborah McFarland, Matthew Freeman, Mateusz M Plucinski
BACKGROUND: Malaria case management in the context of the 2014-2016 West African Ebola virus disease (EVD) epidemic was complicated by a similar initial clinical presentation of the two diseases. In September 2014, the World Health Organization (WHO) released recommendations titled, "Guidance on temporary malaria control measures in Ebola-affected countries", which aimed at reducing the risk of EVD transmission and improving malaria outcomes. This guidance recommended malaria diagnostic testing of fever cases only if adequate personal protective equipment (PPE) was available, defined as examination gloves, face shield, disposable gown, boots, and head cover; otherwise presumptive anti-malarial treatment was recommended...
June 14, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29898713/what-are-the-effective-elements-in-patient-centered-and-multimorbidity-care-a-scoping-review
#15
Marie-Eve Poitras, Marie-Eve Maltais, Louisa Bestard-Denommé, Moira Stewart, Martin Fortin
BACKGROUND: Interventions to improve patient-centered care for persons with multimorbidity are in constant growth. To date, the emphasis has been on two separate kinds of interventions, those based on a patient-centered care approach with persons with chronic disease and the other ones created specifically for persons with multimorbidity. Their effectiveness in primary healthcare is well documented. Currently, none of these interventions have synthesized a patient-centered care approach for care for multimorbidity...
June 14, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29897934/clinical-trials-in-neonates-how-to-optimise-informed-consent-and-decision-making-a-european-delphi-survey-of-parent-representatives-and-clinicians
#16
Virginia Neyro, Valéry Elie, Nicole Thiele, Evelyne Jacqz-Aigrain
OBJECTIVES: Parental consent for the participation of their neonate in neonatal research is influenced by the quality of the information delivered and the interaction between parents and investigators. Failure to provide important information may lead to difficulties in the decision making process of parents. This Delphi survey aims to establish a consensus between parent representatives of neonatal associations and healthcare professionals concerning the information deemed essential by both parties in order to improve the recruitment of neonates into clinical trials...
2018: PloS One
https://www.readbyqxmd.com/read/29897100/controlled-hypotension-versus-normotensive-resuscitation-strategy-for-people-with-ruptured-abdominal-aortic-aneurysm
#17
REVIEW
Daniel H Moreno, Daniel G Cacione, Jose Cc Baptista-Silva
BACKGROUND: An abdominal aortic aneurysm (AAA) is the pathological enlargement of the aorta and can develop in both men and women. Progressive aneurysm enlargement can lead to rupture. The rupture of an AAA is frequently fatal and accounts for the death from haemorrhagic shock of at least 45 people per 100,000 population. The outcome of people with ruptured AAA varies among countries and healthcare systems, with mortality ranging from 53% to 90%. Definitive treatment for ruptured AAA includes open surgery or endovascular repair...
June 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29896313/diabetes-care-in-figures-current-pitfalls-and-future-scenario
#18
REVIEW
Alexandre Assuane Duarte, Shahriar Mohsin, Olga Golubnitschaja
Diabetes mellitus (DM) epidemic-on a global scale-is a major and snowballing threat to public health, healthcare systems and economy, due to the cascade of pathologies triggered in a long-term manner after the DM manifestation. There are remarkable differences in the geographic disease spread and acceleration of an increasing DM prevalence recorded. Specifically, the highest initial prevalence of DM was recorded in the Eastern-Mediterranean region in 1980 followed by the highest acceleration of the epidemic characterised by 0...
June 2018: EPMA Journal
https://www.readbyqxmd.com/read/29895448/risk-factors-for-acquiring-hcv-at-a-healthcare-center-in-hidalgo-mexico
#19
R Contreras-Omaña, F J García-Lemus, A García-Camacho
INTRODUCTION AND AIMS: The approach to HCV infection begins with the directed search for risk factors linked to its acquisition. Therefore, our primary aim was to identify the prevalence of risk factors associated with HCV infections in insured individuals seen at the Hidalgo delegation of the IMSS. MATERIALS AND METHODS: An observational, descriptive, cross-sectional study was conducted through validated surveys that identified major and minor risk factors. In cases of major risk factors, the Advanced Quality™ RAPID-ANTI-HCV TEST Accutrack® tests were applied to detect anti-HCV...
June 9, 2018: Revista de Gastroenterología de México
https://www.readbyqxmd.com/read/29895263/uk-medical-education-on-human-trafficking-assessing-uptake-of-the-opportunity-to-shape-awareness-safeguarding-and-referral-in-the-curriculum
#20
Poojani Arulrajah, Sarah Steele
BACKGROUND: Human trafficking is a serious violation of human rights, with numerous consequences for health and wellbeing. Recent law and policy reforms mean that clinicians now hold a crucial role in national strategies. 2015 research, however, indicates a serious shortfall in knowledge and confidence among healthcare professionals in the UK, leading potentially to failures in safeguarding and appropriate referral. Medical education is a central point for trafficking training. We ascertain the extent of such training in UK Medical Schools, and current curricular design...
June 13, 2018: BMC Medical Education
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