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https://www.readbyqxmd.com/read/29457196/the-landscape-of-diabetic-kidney-disease-in-the-united-states
#1
REVIEW
O Kenrik Duru, Tim Middleton, Mona K Tewari, Keith Norris
PURPOSE OF REVIEW: The purposes of this review are to identify population characteristics of important risk factors for the development and progression of diabetic kidney disease (DKD) in the United States and to discuss barriers and opportunities to improve awareness, management, and outcomes in patients with DKD. RECENT FINDINGS: The major risk factors for the development and progression of DKD include hyperglycemia, hypertension, and albuminuria. DKD disproportionately affects minorities and individuals with low educational and socioeconomic status...
February 19, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29456436/learning-activity-predictors-from-sensor-data-algorithms-evaluation-and-applications
#2
Bryan Minor, Janardhan Rao Doppa, Diane J Cook
Recent progress in Internet of Things (IoT) platforms has allowed us to collect large amounts of sensing data. However, there are significant challenges in converting this large-scale sensing data into decisions for real-world applications. Motivated by applications like health monitoring and intervention and home automation we consider a novel problem called Activity Prediction , where the goal is to predict future activity occurrence times from sensor data. In this paper, we make three main contributions...
December 1, 2017: IEEE Transactions on Knowledge and Data Engineering
https://www.readbyqxmd.com/read/29455627/gastrointestinal-spindle-cell-tumor-of-the-rumen-with-metastasis-to-the-liver-in-a-goat
#3
Michael E Pesato, Ashley G Boyle, Marie-Eve Fecteau, Alexander Hamberg, Billy I Smith
Many neoplasms have been reported in goats; however, neoplasia of the rumen is rarely reported. A 9-y-old castrated male pygmy goat was presented with a history of respiratory stertor, fever, and anorexia. A respiratory diagnostic work-up including skull and thorax radiographs and endoscopy revealed minor enlargement of the arytenoids but no other abnormal findings. After a month of little improvement on symptomatic treatment and worsening general health, the goat was euthanized. On autopsy, the forestomachs, liver, spleen, diaphragm, and the ventral and lateral aspects of the cranial third of the walls of the peritoneal cavity were adhered to one another by fibrinous and fibrous adhesions...
February 1, 2018: Journal of Veterinary Diagnostic Investigation
https://www.readbyqxmd.com/read/29455362/predicting-functional-outcomes-of-posterior-circulation-acute-ischemic-stroke-in-first-36-h-of-stroke-onset
#4
Sheng-Feng Lin, Chin-I Chen, Han-Hwa Hu, Chyi-Huey Bai
Posterior circulation acute ischemic stroke constitutes one-fourth of all ischemic strokes and can be efficiently quantified using the posterior circulation Alberta stroke program early computed tomography score (PC-ASPECTS) through diffusion-weighted imaging. We investigated whether the PC-ASPECTS and National Institutes of Health Stroke Scale (NIHSS) facilitate functional outcome prediction among Chinese patients with posterior circulation acute ischemic stroke. Participants were selected from our prospective stroke registry from January 1, 2015, to December 31, 2016...
February 17, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29454634/feminizing-genital-gender-confirmation-surgery
#5
REVIEW
Miriam Hadj-Moussa, Dana A Ohl, William M Kuzon
INTRODUCTION: For many patients with gender dysphoria, gender-confirmation surgery (GCS) helps align their physical characteristics with their gender identity and is a fundamental element of comprehensive treatment. This article is the 2nd in a 3-part series about the treatment of gender dysphoria. Non-operative management was covered in part 1. This section begins broadly by reviewing surgical eligibility criteria, benefits of GCS, and factors associated with regret for transgender men and women...
February 14, 2018: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29454555/desire-for-patient-centered-hiv-care-among-inconsistently-engaged-racial-and-ethnic-minority-people-living-with-hiv
#6
Jessica Jaiswal, Marybec Griffin-Tomas, Stuart N Singer, Helen-Maria Lekas
Many low-income people of color living with HIV are not virally suppressed. More research is needed to understand how socially marginalized, disengaged, or inconsistently engaged people living with HIV (PLWH) contend with antiretroviral therapy (ART)-related challenges, particularly in the context of interactions with HIV care providers. Twenty-seven semi-structured interviews were conducted with low-income Black and Hispanic PLWH in the New York City area who were currently, or recently, disengaged from outpatient HIV health care at the time of the interview...
January 8, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/29454389/recruitment-of-racial-and-ethnic-minorities-to-clinical-trials-conducted-within-specialty-clinics-an-intervention-mapping-approach
#7
Rossybelle P Amorrortu, Mariana Arevalo, Sally W Vernon, Arch G Mainous, Vanessa Diaz, M Diane McKee, Marvella E Ford, Barbara C Tilley
BACKGROUND: Despite efforts to increase diversity in clinical trials, racial/ethnic minority groups generally remain underrepresented, limiting researchers' ability to test the efficacy and safety of new interventions across diverse populations. We describe the use of a systematic framework, intervention mapping (IM), to develop an intervention to modify recruitment behaviors of coordinators and specialist investigators with the goal of increasing diversity in trials conducted within specialty clinics...
February 17, 2018: Trials
https://www.readbyqxmd.com/read/29454243/health-inequities-faced-by-ethiopian-migrant-domestic-workers-in-lebanon
#8
Bina Fernandez
This paper investigates the healthcare needs, access to healthcare, and healthcare strategies of Ethiopian migrant domestic workers (MDWs) in Lebanon, drawing on qualitative empirical research. The analysis focusses on four types of health care needs: minor illnesses, pregnancies, serious illnesses (such as cancer, tuberculosis or heart problems), and emergencies (due to accidents, suicide attempts or assaults). Predictably, access to healthcare is distinctly differentiated according to an MDW's status as a documented, freelancer, or undocumented worker...
February 14, 2018: Health & Place
https://www.readbyqxmd.com/read/29452221/a-scoping-review-and-survey-provides-the-rationale-perceptions-and-preferences-for-the-integration-of-randomized-and-non-randomized-studies-in-evidence-syntheses-and-grade-assessments
#9
Carlos A Cuello, Rebecca L Morgan, Jan Brozek, Nancy Santesso, Jos Verbeek, Kris Thayer, Gordon Guyatt, Holger J Schünemann
OBJECTIVES: To review the literature and obtain preferences and perceptions from experts regarding the role of randomized studies (RS) and non-randomized studies (NRS) in systematic reviews of intervention effects. STUDY DESIGN AND SETTING: Scoping review and survey of experts. Using levels of certainty developed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group, experts expressed their preferences about the use of RS and NRS in health syntheses...
February 13, 2018: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/29451839/correlates-of-postpartum-visits-among-medicaid-recipients-an-analysis-using-claims-data-from-a-managed-care-organization
#10
Saba W Masho, Susan Cha, Nicole Karjane, Elizabeth McGee, Rashel Charles, Linda Hines, Susan G Kornstein
BACKGROUND: The postpartum care visit (PPCV) plays an important role in ensuring the well-being of mother and infant. This study sought to assess correlates of PPCV attendance among women who are at high risk of nonattendance. MATERIALS AND METHODS: This study used deidentified medical claims data from Virginia Premier-a nonprofit Managed Care Organization that provides health insurance for Medicaid beneficiaries. The association between various correlates and PPCV attendance was examined using multiple logistic regression analyses...
February 16, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29451328/change-and-stability-of-emotional-health-of-rural-pennsylvania-youth-during-high-school
#11
Donghui Wang, Annelise DeJong Hagedorn, Diane K McLaughlin, Bethany C Bray
PURPOSE: Few prior studies have examined change in emotional health of high school students in a rural context. Considering the multifaceted nature of emotional health, this research aims to identify the patterns and explore change and stability of the emotional health of rural Pennsylvania youth. It also investigates the influence of family, peers, school, and the community environment on rural adolescents' emotional health. METHODS: Using panel data from the Rural Youth Education Project, we employed latent transition analysis to examine changes in patterns of rural students' self-reported emotional health from 9 th grade to 11 th grade (N = 1,294)...
February 16, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29451023/mammographic-screening-attendance-among-immigrant-and-minority-women-a-systematic-review-and-meta-analysis
#12
Sameer Bhargava, Kåre Moen, Samera Azeem Qureshi, Solveig Hofvind
Background Groups of immigrant and minority women are more often diagnosed with advanced stage breast cancer than other women. Mammographic screening aims to reduce mortality from breast cancer through early detection in asymptomatic women. Purpose To compare mammographic screening attendance among immigrant and minority women to that of other women. Material and Methods A literature search of PubMed, Embase, Google Scholar, and Cochrane identified 1369 papers published between January 1995 and March 2016. In the review, we included 33 studies investigating mammographic screening attendance among immigrant and/or minority women...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29450921/sexual-minority-adults-a-national-survey-on-depression-religious-fundamentalism-parent-relationship-quality-acceptance
#13
Katie Heiden-Rootes, Ashley Wiegand, Danielle Bono
Sexual minority persons from religious families may experience low acceptance by parents, however, little is known about the relationship of religiosity and parent relationships on mental health into adulthood. This study sought to test a moderated mediation model predicting depression based on religious fundamentalism, parent acceptance, and parent-child relationship quality. Sexual minority adult participants (n = 384) from across the U.S. completed a web-based, anonymous survey. Results found a conditional indirect effect of religious fundamentalism on depression through parent acceptance with the parent-child relationship quality moderating the relationship between parent acceptance and depression...
February 15, 2018: Journal of Marital and Family Therapy
https://www.readbyqxmd.com/read/29450600/sexual-orientation-disparities-in-the-co-occurrence-of-substance-use-and-psychological-distress-a-national-population-based-study-2008-2015
#14
Richard Bränström, John E Pachankis
PURPOSE: Although strong evidence documents the elevated prevalence of both substance use and mental health problems among sexual minorities (i.e., gay, lesbian, and bisexuals), relatively less research has examined whether risk of the co-occurrence of these factors is elevated among sexual minorities compared to heterosexuals. The object of this study was to (1) explore sexual orientation-based differences in substance use, psychological distress, and their co-occurrence in a representative sample in Sweden, and (2) examine if greater exposure to stressors, such as discrimination, victimization/threats, and social isolation, could explain these potential disparities and their co-occurrence...
February 15, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29449905/searching-for-silver-linings-is-perceived-medical-discrimination-weaker-in-segregated-areas
#15
Joseph Gibbons, Tse-Chuan Yang
An ongoing obstacle in dealing with minority health disparities is discriminatory behavior from healthcare practitioners, also known as medical discrimination. It is not clear, however, if the effects of medical discriminations onto health are constant across space. For example, there is evidence to suspect minorities in racially segregated neighborhoods suffer less from discrimination compared to those living elsewhere. To determine the presence of spatial heterogeneity underlying medical discrimination, we implement logistic geographically weighted regression (GWR) using individual data in the city of Philadelphia from the 2006 and 2008 Public Health Management Corporation's Southeastern Pennsylvania Household Health Surveys...
March 2018: Applied Spatial Analysis and Policy
https://www.readbyqxmd.com/read/29449770/adverse-events-following-cervical-manipulative-therapy-consensus-on-classification-among-dutch-medical-specialists-manual-therapists-and-patients
#16
Hendrikus A Kranenburg, Sandra E Lakke, Maarten A Schmitt, Cees P Van der Schans
Objectives: To obtain consensus-based agreement on a classification system of adverse events (AE) following cervical spinal manipulation. The classification system should be comprised of clear definitions, include patients' and clinicians' perspectives, and have an acceptable number of categories. Methods: Design : A three-round Delphi study. Participants : Thirty Dutch participants (medical specialists, manual therapists, and patients) participated in an online survey...
December 2017: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29448970/dementia-clinical-trial-implications-of-mild-behavioral-impairment
#17
Moyra E Mortby, Sandra E Black, Serge Gauthier, David Miller, Anton Porsteinsson, Eric E Smith, Zahinoor Ismail
The World Alzheimer Report 2016 estimated that 47 million people are living with dementia worldwide (Alzheimer's Disease International, 2016). In the inaugural World Health Organization Ministerial Conference on Global Action against Dementia, six of the top ten research priorities were focused on prevention, identification, and reduction of dementia risk, and on delivery and quality of care for people with dementia and their carers (Shah et al., 2016). While the Lancet Neurology Commission has suggested that even minor advances to delay progression or ameliorate symptoms might have substantial financial and societal benefits (Winblad et al...
February 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29448281/-evaluation-of-factor-structure-and-construct-validity-of-the-12-item-short-version-of-the-opd-structure-questionnaire-opd-sqs-in-psychosomatic-patients
#18
Alexander Obbarius, Nina Obbarius, Felix Fischer, Gregor Liegl, Matthias Rose
BACKGROUND: Screening for personality dysfunction is regarded as increasingly important for treatment planning in clinical settings as this allows to determine specific clinical pathways in an early stage. Recently, the 12-item OPD Structure Questionnaire (OPD-SQS) was developed for this purpose and initial results of the factor structure and validity have been published. This study aimed to investigate and validate the OPD-SQS in further patient samples beyond the team of developers and to provide reference values...
February 15, 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29447405/the-representation-of-vulnerable-populations-in-quality-improvement-studies
#19
Asaph Rolnitsky, Maksim Kirtsman, Hanna R Goldberg, Michael Dunn, Chaim M Bell
Purpose: A mapping review to quantify representation of vulnerable populations, who suffer from disparity and often inequitable healthcare, in quality improvement (QI) research. Data sources: Studies published in 2004-2014 inclusive from Medline, Embase and Cochrane databases for English language research with the terms 'quality improvement' or 'quality control' or 'QI' and 'plan-do-study-act' or 'PDSA' in the years 2004-2014 inclusively. Study selection: Published clinical research that was a QI-themed, as identified by its declared search terms, MESH terms, abstract or title...
February 13, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29447211/malaria-severity-possible-influence-of-the-e670g-pcsk9-polymorphism-a-preliminary-case-control-study-in-malian-children
#20
Charles Arama, Issa Diarra, Bourèma Kouriba, Francine Sirois, Olesya Fedoryak, Mahamadou A Thera, Drissa Coulibaly, Kirsten E Lyke, Christopher V Plowe, Michel Chrétien, Ogobara K Doumbo, Majambu Mbikay
AIM: Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) is a hepatic secretory protein which promotes the degradation of low-density lipoprotein receptors leading to reduced hepatic uptake of plasma cholesterol. Non-synonymous single-nucleotide polymorphisms in its gene have been linked to hypo- or hyper- cholesterolemia, depending on whether they decrease or increase PCSK9 activity, respectively. Since the proliferation and the infectivity of Plasmodium spp. partially depend on cholesterol from the host, we hypothesize that these PCSK9 genetic polymorphisms could influence the course of malaria infection in individuals who carry them...
2018: PloS One
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