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https://www.readbyqxmd.com/read/29923304/hiv-incidence-is-rapidly-increasing-with-age-among-young-men-who-have-sex-with-men-in-china-a-multicentre-cross-sectional-survey
#1
X Mao, Z Wang, Q Hu, C Huang, H Yan, Z Wang, L Lu, M Zhuang, X Chen, J Fu, W Geng, Y Jiang, H Shang, J Xu
OBJECTIVES: The HIV epidemic is worsening among men who have sex with men (MSM) in China, especially among those who are younger than 25 years old [younger MSM (YMSM)]. The aim of the study was to compare the prevalences of HIV incidence and recent HIV infection as well as factors associated with recent HIV infection in YMSM and older MSM (OMSM). METHODS: A multicentre cross-sectional survey was conducted among 4496 MSM recruited from seven Chinese cities. YMSM were defined as those aged < 25 years...
June 19, 2018: HIV Medicine
https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#2
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29908888/aerosolized-fibrin-sealant-is-effective-for-postoperative-edema-and-ecchymosis-in-open-rhinoplasty-without-osteotomy
#3
Myeong Sang Yu, Moon Sik Jung, Bo-Hyung Kim, Sung-Ho Kang, Dae Jun Lim
PURPOSE: Fibrin sealant (FS) was approved as a hemostatic agent, sealant, and adhesive by the Food and Drug Administration in 1998. Our study sought to determine whether FS also reduced edema and pain in rhinoplasty without osteotomy. MATERIALS AND METHODS: We conducted a prospective randomized trial involving patients who underwent open rhinoplasty without osteotomy. The patients were randomly assigned to 1 of 2 groups: those treated with aerosolized FS (FS group) and those not treated (control group)...
May 26, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29905923/prevalence-severity-and-risk-factors-of-gingival-inflammation-in-caribbean-adults-a-multi-city-cross-sectional-study
#4
Augusto R Elías-Boneta, Milagros J Toro, Sona Rivas-Tumanyan, Arvind Babu Rajendra-Santosh, Michael Brache, James R Collins C
OBJECTIVE: To estimate the prevalence, severity, and associated risk factors of gingival inflammation in a group of adults from Kingston, Jamaica; Santo Domingo, Dominican Republic; and San Juan, Puerto Rico. METHODS: In this representative cross-sectional study, participants completed medical and oral health questionnaires and received an oral clinical examination by trained and calibrated examiners. Clinical assessments included: gingival health (modified Löe-Silness index), visible plaque and presence of calculus...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29904930/250prevalence-of-self-reported-gingival-bleeding-in-a-representative-sample-of-the-brazilian-adolescent-population
#5
Paulo Nadanovsky, Ana Paula Pires Dos Santos, Katia Vergetti Bloch
AIM: To estimate the prevalence of self-reported gingival bleeding in a representative sample of 12-17-year-old Brazilian adolescents MATERIAL AND METHODS: Sociodemographic and oral health information were obtained through a self-administered questionnaire of the Study of Cardiovascular Risk Factors in Adolescents. The adolescents answered "yes" or "no" to the question "Do your gums bleed?" RESULTS: 74,589 of the 102,327 eligible adolescents answered the questionnaire and 18...
June 14, 2018: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/29903028/feasibility-of-a-novel-synthetic-self-assembling-peptide-for-suture-line-haemostasis-in-cardiac-surgery
#6
Suresh Giritharan, Kareem Salhiyyah, Geoffrey M Tsang, Sunil K Ohri
BACKGROUD: To assess the feasibility and efficacy of PuraStat®, a novel haemostatic agent, in achieving suture line haemostasis in a wide range of cardiac surgical procedures and surgery of the thoracic aorta. METHODS: A prospective, non-randomised study was conducted at our institution. Operative data on fifty consecutive patients undergoing cardiac surgery where PuraStat® was utilised in cases of intraoperative suture line bleeding was prospectively collected...
June 15, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29900658/the-association-between-periodontal-disease-severity-and-metabolic-syndrome-in-vietnamese-patients
#7
Tav Pham
OBJECTIVE: To investigate the association between periodontal disease severity and metabolic syndrome (MetS) in a group of Vietnamese patients. METHODS: A total of 412 participants (114 males, 298 females, average age 57.8 ± 5.7 years) including 206 patients with MetS and 206 participants without MetS were selected for this study. Information on sociodemographic characteristics, dental behaviours and smoking status was collected from a self-administrated questionnaire...
June 14, 2018: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/29895612/adverse-change-in-employment-status-after-acute-myocardial-infarction-analysis-from-the-translate-acs-study
#8
Haider J Warraich, Lisa A Kaltenbach, Gregg C Fonarow, Eric D Peterson, Tracy Y Wang
BACKGROUND: Inability to resume employment after acute myocardial infarction (MI) has important implications for patients. We sought to assess the prevalence of and outcomes associated with adverse change in employment after MI in a national US cohort. METHODS AND RESULTS: The TRANSLATE-ACS study (Treatment with Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome) assessed employment status at baseline and 1 year among 9319 patients with MI (mean age, 60...
June 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29893516/stool-patterns-and-symptoms-of-disordered-anorectal-function-in-patients-with-inflammatory-bowel-diseases
#9
Paweł W Petryszyn, Leszek Paradowski
BACKGROUND: Crohn's disease (CD) and ulcerative colitis (UC) typically clinically manifest with symptoms like chronic diarrhea, cramps, abdominal pain, and rectal bleeding. However, symptoms of abnormal anorectal function seem to be of equal importance, regardless of the presence or absence of perianal disease. OBJECTIVES: The aim of this study was to assess stool patterns and the prevalence of symptoms of disordered anorectal function, particularly urgency and fecal incontinence, and their severity in patients with inflammatory bowel diseases (IBDs)...
June 12, 2018: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/29889874/investigating-the-loss-of-work-productivity-due-to-symptomatic-leiomyoma
#10
Klara Hasselrot, Mia Lindeberg, Peter Konings, Helena Kopp Kallner
INTRODUCTION: Leiomyoma affects up to 50% of fertile women, leading to morbidity such as bleeding or pain. The effect of symptomatic leiomyoma on the productivity of employed women is understudied. The present study investigates productivity loss in a Swedish setting in women with symptomatic leiomyoma compared to healthy women. MATERIAL AND METHODS: Women seeking care for leiomyoma and heavy menstrual bleeding (HMB) were recruited at nine Swedish sites. Healthy controls with self-perceived mild to normal menstruation were recruited at routine visits...
2018: PloS One
https://www.readbyqxmd.com/read/29886317/evaluation-of-novasure-%C3%A2-global-endometrial-ablation-in-symptomatic-adenomyosis-a-longitudinal-study-with-a-36-month-follow-up
#11
Charles-André Philip, Marine Le Mitouard, Laurine Maillet, Pierre de Saint-Hilaire, Cyril Huissoud, Marion Cortet, Gil Dubernard
OBJECTIVE: To evaluate the efficacy of NovaSure® radiofrequency global endometrial ablation (GEA) in adenomyosis. STUDY DESIGN: We conducted a monocentric longitudinal cohort study at Croix-Rousse University Hospital (Lyon, France). Inclusion criteria were symptomatic adenomyosis resistant to drug therapy (dysmenorrhea and abnormal uterine bleeding (AUB)), for whom Novasure® GEA was considered. The diagnosis of adenomyosis was based on ultrasound and/or MRI criteria...
April 7, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29880465/thalidomide-for-the-management-of-bleeding-episodes-in-patients-with-hereditary-hemorrhagic-telangiectasia-effects-on-epistaxis-severity-score-and-quality-of-life
#12
Mehmet Baysal, Elif G Ümit, Hakkı Onur Kırkızlar, Ali Caner Özdöver, Ahmet Muzaffer Demir
Hereditary hemorrhagic telangiectasia (HHT) is a rare autosomal dominantly inherited disorder characterized with bleeding episodes. These episodes tend to happen spontaneously and reduce the quality of life. Patients are often unresponsive to local measures. With the pathophysiological role of angiogenesis in HHT, antiangiogenic drugs including thalidomide were used to control bleeding episodes. In our study, we evaluated 6 patients with HHT, evaluated them with epistaxis severity score (ESS) and performed a quality of life assessment with 36 Item Short Form Questionnaire (SF-36) and the alterations of these evaluations with thalidomide treatment...
June 8, 2018: Turkish Journal of Haematology: Official Journal of Turkish Society of Haematology
https://www.readbyqxmd.com/read/29873431/the-diagnostic-accuracy-of-bleeding-assessment-tools-for-the-identification-of-patients-with-mild-bleeding-disorders-a-systematic-review
#13
REVIEW
F C J I Moenen, P J Nelemans, S E M Schols, H C Schouten, Y M C Henskens, E A M Beckers
INTRODUCTION: The bleeding assessment tool (BAT) has been developed to standardize and interpret bleeding history for mild bleeding disorders. However, a critical appraisal addressing the quality and results of validation studies is lacking. AIM: We performed a systematic review of diagnostic studies assessing the performance of the BAT in patients referred for evaluation of bleeding symptoms. METHODS: The electronic database PubMed was searched from inception through July 27, 2017...
June 6, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
https://www.readbyqxmd.com/read/29872341/associated-factors-for-oral-health-problems-in-a-sample-of-saudi-cancer-patients
#14
Nagarajkumar Yenugadhati, Alhanouf Naji Albalawi, Aisha Taha Qureshey, Eiman Taha Qureshey, Hamdan Al-Jahdali, Abdul Rahman Jazieh, Anwar E Ahmed
Purpose: Oral health in cancer patients was known to influence the quality of life. However, the knowledge of possible factors associated with oral health in cancer patients is seriously lacking in Saudi Arabia. In this study, we aimed to determine the burden of adverse oral health in cancer patients and identify the associated factors for oral health problems. Materials and methods: A cross-sectional study design was used to recruit a total of 375 cancer patients who attended oncology outpatient clinics at King Abdulaziz Medical City - Riyadh (KAMC-R) by using a consecutive sampling technique...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/29852335/epidemiology-of-uterine-myomas-and-clinical-practice-in-spain-an-observational-study
#15
Javier Monleón, María Luisa Cañete, Virginia Caballero, Manuel Del Campo, Alejandro Doménech, Miguel Ángel Losada, Joaquim Calaf
OBJECTIVE: Characterization of the clinical features of symptomatic uterine myomas in Spanish women visiting the gynaecologist, including impact on quality of life and possible risk factors, description of main therapeutic approaches, and evaluation of symptom and quality of life progression 6 months after inclusion in the study. STUDY DESIGN: This was an observational, epidemiological, non-interventional, multicentre study performed between June 2015 and March 2016...
May 21, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29852235/capacity-and-capability-of-tanzania-health-facilities-to-diagnose-and-manage-diabetes-mellitus-in-pregnancy
#16
REVIEW
Kaushik L Ramaiya, Andrew Musa Swai, Theonest K Mutabingwa, Akwilina Wendelin Mwanri, Gibson B Kagaruki
AIMS: Gestational Diabetes Mellitus (GDM) remains a neglected cause of maternal and foetal morbidity and mortality in developing countries exacerbated by limited screening and management strategies. This study aimed to understanding how the RCH health system works in Tanzania, so as to provide opportunity for improving GDM screening and management. METHODS: A questionnaire was administered to facility staff and physical performance observed in 30 randomly selected public RCH facilities...
May 28, 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29852045/adenopharyngoplasty-vs-adenotonsillectomy-in-children-with-severe-obstructive-sleep-apnea-a-randomized-clinical-trial
#17
Johan Fehrm, Pia Nerfeldt, Joar Sundman, Danielle Friberg
Importance: Adenotonsillectomy (ATE) is the primary surgical method for treating obstructive sleep apnea (OSA) in children. However, children with severe OSA have an increased risk for residual OSA after ATE. Previous studies indicate that adenopharyngoplasty (APP), a modified ATE with closure of the tonsillar pillars, might improve the surgical outcome, but the overall evidence is weak. Objective: To determine whether APP is more effective than ATE for treating severe OSA in otherwise healthy children...
May 31, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29850251/ambulance-nurses-competence-and-perception-of-competence-in-prehospital-trauma-care
#18
Anna Abelsson, Lillemor Lindwall, Björn-Ove Suserud, Ingrid Rystedt
Introduction: We focus on trauma care conducted in the context of a simulated traumatic event. This is in this study defined as a four-meter fall onto a hard surface, resulting in severe injuries to extremities in the form of bilateral open femur fractures, an open tibia fracture, and a closed pelvic fracture, all fractures bleeding extensively. Methods: The simulated trauma care competence of 63 ambulance nurses in prehospital emergency care was quantitatively evaluated along with their perception of their sufficiency...
2018: Emergency Medicine International
https://www.readbyqxmd.com/read/29804061/antiplatelet-therapy-in-the-primary-prevention-of-cardiovascular-disease-in-patients-with-chronic-obstructive-pulmonary-disease-protocol-of-a-randomised-controlled-proof-of-concept-trial-apple-copd-icon-2
#19
Vijay Kunadian, Danny Chan, Hani Ali, Nina Wilkinson, Nicola Howe, Elaine McColl, Jared Thornton, Alexander von Wilamowitz-Moellendorff, Eva-Maria Holstein, Graham Burns, Andrew Fisher, Deborah Stocken, Anthony De Soyza
INTRODUCTION: The antiplatelet therapy in the primary prevention of cardiovascular disease in patients with chronic obstructive pulmonary disease (APPLE COPD-ICON2) trial is a prospective 2×2 factorial, double-blinded proof-of-concept randomised controlled trial targeting patients with chronic obstructive pulmonary disease (COPD) at high risk of cardiovascular disease. The primary goal of this trial is to investigate if treatment with antiplatelet therapy will produce the required response in platelet function measured using the Multiplate test in patients with COPD...
May 26, 2018: BMJ Open
https://www.readbyqxmd.com/read/29797724/the-behaviour-and-perception-of-illness-modulating-variables-of-adherence-in-patients-with-haemophilia
#20
A Torres-Ortuño, R Cuesta-Barriuso, J Nieto-Munuera, P Galindo-Piñana, J-A López-Pina
BACKGROUND: The recommended treatment in patients with severe haemophilia is prophylaxis. This prevents bleedings and reduces or delays the haemophilic arthropathy. Adherence defined as the follow-up of the patient to the prescriptions of the health professional to his treatment, both pharmacological and modifications in habits or stylelifes. Adherence rates in haemophilia are better than in other chronic diseases, but there remain reasons for nonadherence. The aim was to see if disease behaviour and disease perception together with coping strategies modulate adherence to treatment...
May 24, 2018: Vox Sanguinis
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