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https://www.readbyqxmd.com/read/28551075/diagnostic-accuracy-of-post-mortem-ct-with-targeted-coronary-angiography-versus-autopsy-for-coroner-requested-post-mortem-investigations-a-prospective-masked-comparison-study
#1
Guy N Rutty, Bruno Morgan, Claire Robinson, Vimal Raj, Mini Pakkal, Jasmin Amoroso, Theresa Visser, Sarah Saunders, Mike Biggs, Frances Hollingbury, Angus McGregor, Kevin West, Cathy Richards, Laurence Brown, Rebecca Harrison, Roger Hew
BACKGROUND: England and Wales have one of the highest frequencies of autopsy in the world. Implementation of post-mortem CT (PMCT), enhanced with targeted coronary angiography (PMCTA), in adults to avoid invasive autopsy would have cultural, religious, and potential economic benefits. We aimed to assess the diagnostic accuracy of PMCTA as a first-line technique in post-mortem investigations. METHODS: In this single-centre (Leicester, UK), prospective, controlled study, we selected cases of natural and non-suspicious unnatural death referred to Her Majesty's (HM) Coroners...
May 24, 2017: Lancet
https://www.readbyqxmd.com/read/28551001/persistent-digital-divide-in-access-to-and-use-of-the-internet-as-a-resource-for-health-information-results-from-a-california-population-based-study
#2
Amy Nguyen, Sasan Mosadeghi, Christopher V Almario
OBJECTIVES: Access to the Internet has grown dramatically over the past two decades. Using data from a population-based survey, we aimed to determine the prevalence and predictors of (i) access to the Internet, and (ii) use of the Internet to search for health information. METHODS: We analyzed data from the 2011-12 California Health Interview Survey (CHIS) and included all individuals 18 years of age and older. Our outcomes were (i) prior use of the Internet, and (ii) use of the Internet to find health or medical information within the past year...
July 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28550806/lettuce-facing-microcystins-rich-irrigation-water-at-different-developmental-stages-effects-on-plant-performance-and-microcystins-bioaccumulation
#3
Efi Levizou, George Statiris, Theodoti Papadimitriou, Chrysi S Laspidou, Konstantinos Ar Kormas
This study investigated the microcystins (MCs)-rich irrigation water effect on lettuce of different developmental stages, i.e. during a two months period, covering the whole period from seed germination to harvest at marketable size of the plant. We followed four lettuce plant groups receiving MCs-rich water (1.81μgl(-1) of dissolved MCs), originating from the Karla Reservoir, central Greece: 1) from seeds, 2) the cotyledon, 3) two true leaves and 4) four true leaves stages, all of which were compared to control plants that received tap water...
May 24, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28550518/racial-ethnic-differences-in-perception-of-need-for-mental-health-treatment-in-a-us-national-sample
#4
Joshua Breslau, Matthew Cefalu, Eunice C Wong, M Audrey Burnam, Gerald P Hunter, Karen R Florez, Rebecca L Collins
PURPOSE: To resolve contradictory evidence regarding racial/ethnic differences in perceived need for mental health treatment in the USA using a large and diverse epidemiologic sample. METHODS: Samples from 6 years of a repeated cross-sectional survey of the US civilian non-institutionalized population were combined (N = 232,723). Perceived need was compared across three non-Hispanic groups (whites, blacks and Asian-Americans) and two Hispanic groups (English interviewees and Spanish interviewees)...
May 26, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/28550081/randomized-controlled-trial-for-the-effect-of-vitamin-d-supplementation-on-vascular-stiffness-in-ckd
#5
Adeera Levin, Mila Tang, Taylor Perry, Nadia Zalunardo, Monica Beaulieu, Joshua A Dubland, Kelly Zerr, Ognjenka Djurdjev
BACKGROUND AND OBJECTIVES: Vitamin D is implicated in vascular health in CKD. This study compared placebo, calcifediol, and calcitriol treatment with changes in vascular stiffness, BP, proteinuria, mineral metabolism parameters, C-reactive protein, and fibroblast growth factor 23 in patients with stable CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a double-blind, randomized controlled trial in outpatient CKD clinics in Vancouver, Canada, from February of 2011 to August of 2014, enrolling 119 patients with an eGFR of 15-45 ml/min per 1...
May 26, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28549595/mental-health-service-utilization-among-lesbian-gay-bisexual-and-questioning-or-queer-college-students
#6
Michael S Dunbar, Lisa Sontag-Padilla, Rajeev Ramchand, Rachana Seelam, Bradley D Stein
PURPOSE: College students are at high risk for mental health problems, yet many do not receive treatment even when services are available. Treatment needs may be even higher among sexual minority students, but little is known about how these students differ from heterosexual peers in terms of mental health needs and service utilization. METHODS: A total of 33,220 California college students completed an online survey on mental health needs (e.g., current serious psychological distress and mental health-related academic impairment) and service utilization...
May 23, 2017: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28549275/understanding-the-relationships-between-water-quality-recreational-fishing-practices-and-human-health-in-phoenix-arizona
#7
E Pulford, B A Polidoro, M Nation
Across the United States, recreational freshwater fisheries are not only an important leisure activity, but can also provide a relatively inexpensive source of protein in local diets. However, recreational freshwater fisheries are generally not well-monitored in terms of fish consumption vs. catch and release, nor are all recreational surface waters regularly monitored for the presence of potentially harmful contaminants in water or fishes. In six urban lakes that support recreational fisheries in Phoenix, Arizona, a majority of surveyed anglers reported eating recreationally caught fishes, even though they thought the water might be polluted...
May 23, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28547735/the-burden-of-headache-disorders-in-ethiopia-national-estimates-from-a-population-based-door-to-door-survey
#8
Mehila Zebenigus, Redda Tekle-Haimanot, Dawit K Worku, Hallie Thomas, Timothy J Steiner
BACKGROUND: Headache disorders are the third-highest cause of disability worldwide, with migraine and medication-overuse headache (MOH) the major contributors. In Ethiopia we have shown these disorders to be highly prevalent: migraine 17.7%, TTH 20.6%, probable MOH (pMOH) 0.7%, any headache yesterday (HY) 6.4%. To inform local health policy, we now estimate disability and other burdens attributable to headache in this country. METHODS: In a cross-sectional survey using cluster-randomized sampling, we visited households unannounced in four diverse regions (urban and rural) of Ethiopia...
December 2017: Journal of Headache and Pain
https://www.readbyqxmd.com/read/28547663/pediatric-predispositional-genetic-risk-communication-potential-utility-for-prevention-and-control-of-melanoma-risk-as-an-exemplar
#9
Yelena P Wu, Darren Mays, Wendy Kohlmann, Kenneth P Tercyak
Predispositional genetic testing among minor children is intensely debated due to the potential benefits and harms of providing this type of genetic information to children and their families. Existing guidelines on pediatric genetic testing state that predispositional testing could be appropriate for minors if preventive services exist that mitigate children's risk for or severity of the health condition in question. We use the example of hereditary melanoma to illustrate the rationale for and potential application of genetic risk communication for an adult-onset cancer to a pediatric population where childhood behaviors may reduce risk of disease later in life...
May 25, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28546095/puberty-suppression-in-transgender-children-and-adolescents
#10
REVIEW
Simone Mahfouda, Julia K Moore, Aris Siafarikas, Florian D Zepf, Ashleigh Lin
The World Professional Association for Transgender Health's standards of care recommend suspending puberty, preferably with the use of gonadotropin-releasing hormone agonists, in certain gender non-conforming minors (aged under 18 years) who have undergone a psychiatric assessment and have reached at least Tanner stage II of puberty. This approach seeks to lessen the discordance between assigned natal sex and gender identity by temporarily halting the development of secondary sexual characteristics, essentially widening the temporal window for gender clarification...
May 22, 2017: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/28546040/early-carotid-endarterectomy-provides-a-better-neurological-outcome-in-symptomatic-patients-a-single-center-experience
#11
Gianfranco Varetto, Lorenzo Gibello, Francesca Sperti, Alessandra Trevisan, Edoardo Frola, Paolo Garneri, Pietro Rispoli
INTRODUCTION: Many studies confirmed the role of early carotid endarterectomy to prevent recurrent stroke or transient ischemic attack however the mid-long term neurological benefit is still not completely investigated. The purpose of the study is to evaluate the role of early carotid endarterectomy on the peri and post-operative stroke/death complications of patients with a symptomatic carotid stenosis Material and methods: ninety consecutive patients were referred to our center for a symptomatic carotid stenosis...
May 22, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28545774/integrating-faith-based-and-community-based-participatory-research-approaches-to-adapt-the-korean-parent-training-program
#12
Eunjung Kim, Doris Boutain, Sangho Kim, Jin-Joo Chun, Hyesang Im
PUEPOSE: Faith and community based inquiry approaches are rarely used to develop research interventions. The purpose of this article is to present how a research team worked with six Korean American Christian churches to revise the prototype Korean Parent Training Program (KPTP), based upon the Bright Futures Parenting Program. The collaboration was sought to better integrate and align the KPTP with Korean culture and faith. The KPTP was developed to promote positive parenting practices and decrease mental health disparities of Korean American children...
May 22, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28545429/awareness-knowledge-perceptions-and-attitudes-towards-genetic-testing-for-cancer-risk-among-ethnic-minority-groups-a-systematic-review
#13
Katie E J Hann, Madeleine Freeman, Lindsay Fraser, Jo Waller, Saskia C Sanderson, Belinda Rahman, Lucy Side, Sue Gessler, Anne Lanceley
BACKGROUND: Genetic testing for risk of hereditary cancer can help patients to make important decisions about prevention or early detection. US and UK studies show that people from ethnic minority groups are less likely to receive genetic testing. It is important to understand various groups' awareness of genetic testing and its acceptability to avoid further disparities in health care. This review aims to identify and detail awareness, knowledge, perceptions, and attitudes towards genetic counselling/testing for cancer risk prediction in ethnic minority groups...
May 25, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28545336/design-of-a-cluster-randomized-minority-recruitment-trial-recruit
#14
Barbara C Tilley, Arch G Mainous, Daniel W Smith, M Diane McKee, Rossybelle P Amorrortu, Jennifer Alvidrez, Vanessa Diaz, Marvella E Ford, Maria E Fernandez, Robert A Hauser, Carlos Singer, Veronica Landa, Aron Trevino, Stacia M DeSantis, Yefei Zhang, Elvan Daniels, Derrick Tabor, Sally W Vernon
BACKGROUND: Racial/ethnic minority groups remain underrepresented in clinical trials. Many strategies to increase minority recruitment focus on minority communities and emphasize common diseases such as hypertension. Scant literature focuses on minority recruitment to trials of less common conditions, often conducted in specialty clinics and dependent on physician referrals. We identified trust/mistrust of specialist physician investigators and institutions conducting medical research and consequent participant reluctance to participate in clinical trials as key-shared barriers across racial/ethnic groups...
June 2017: Clinical Trials: Journal of the Society for Clinical Trials
https://www.readbyqxmd.com/read/28541521/informative-patterns-of-health-care-utilization-prior-to-the-diagnosis-of-pancreatic-ductal-adenocarcinoma
#15
Gregory A Coté, Huiping Xu, Jeffery J Easler, Timothy D Imler, Evgenia Teal, Stuart Sherman, Murray Korc
Early detection tests for pancreatic ductal adenocarcinoma (PDAC) are needed. Since a hypothetical screening test would be applied during antecedent clinical encounters, we sought to define the variability in health care utilization leading up to the PDAC diagnosis. This was a retrospective cohort study that included patients diagnosed with PDAC in the Indianapolis area between 1999-2013 with at least one health care encounter during the 36-month antecedent period (n = 1,023). Patients were classified by unique patterns of care utilization using a group-based trajectory model...
May 24, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28540768/daily-stressors-trauma-exposure-and-mental-health-among-stateless-rohingya-refugees-in-bangladesh
#16
Andrew Riley, Andrea Varner, Peter Ventevogel, M M Taimur Hasan, Courtney Welton-Mitchell
The Rohingya of Myanmar are a severely persecuted minority who form one of the largest groups of stateless people; thousands of them reside in refugee camps in southeastern Bangladesh. There has been little research into the mental health consequences of persecution, war, and other historical trauma endured by the Rohingya; nor has the role of daily environmental stressors associated with continued displacement, statelessness, and life in the refugee camps, been thoroughly researched. This cross-sectional study examined: trauma history, daily environmental stressors, and mental health outcomes for 148 Rohingya adults residing in Kutupalong and Nayapara refugee camps in Bangladesh...
June 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28540367/lived-lives-a-pavee-perspective-an-arts-science-community-intervention-around-suicide-in-an-indigenous-ethnic-minority
#17
Kevin M Malone, Seamus G McGuinness, Eimear Cleary, Janis Jefferies, Christabel Owens, Cecily C Kelleher
Background: Suicide is a significant public health concern, which impacts on health outcomes. Few suicide research studies have been interdisciplinary. We combined a psychobiographical autopsy with a visual arts autopsy, in which families donated stories, images and objects associated with the lived life of a loved one lost to suicide. From this interdisciplinary research platform, a mediated exhibition was created (Lived Lives) with artist, scientist and families, co-curated by communities, facilitating dialogue, response and public action around suicide prevention...
April 13, 2017: Wellcome Open Research
https://www.readbyqxmd.com/read/28540336/unmet-primary-care-needs-in-diabetic-patients-with-multimorbidity-in-a-medically-underserved-area
#18
Bianca M Jackson, Mary Lou Gutierrez, George E Relyea, Erik L Carlton, SangNam Ahn, Bonnie L Binkley, James E Bailey
BACKGROUND: Diabetic patients with multimorbidity in medically underserved minority communities are less engaged in primary care and experience high emergency department (ED) utilization. This study assesses unmet primary care needs among diabetic patients in a medically underserved area (MUA). COMMUNITY CONTEXT: A suburb of Memphis-Whitehaven, Tennessee (Shelby County, ZIP codes 38109 and 38116)-majority African American (96.6%) with 30.5% below the poverty level...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28540263/associations-between-korean-adolescents-sexual-orientation-and-suicidal-ideation-plans-attempts-and-medically-serious-attempts
#19
Yeunhee Kwak, Ji-Su Kim
BACKGROUND: Despite growing interest in the public health of sexual minority, youth around the world due to the high rates of suicidal ideation and attempts in this population, few studies on the sexual orientation of Korean adolescents have been conducted. Therefore, this study investigated the relationship between the sexual orientation of Korean adolescents and their suicide-related behavior. METHODS: Raw data from the tenth Korea Youth Risk Behavior Web-based Survey were analyzed by logistic regression analysis...
April 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28536759/psychosocial-determinants-of-adherence-to-preventive-dental-attendance-for-preschool-children-among-filipino-immigrants-in-edmonton-alberta
#20
Parvaneh Badri, Ruth Wolfe, Anna Farmer, Maryam Amin
Barriers to accessing oral healthcare are public health concerns faced by minorities and immigrants due to socioeconomic marginalization. Therefore, we explored how immigrant parents in Alberta-Edmonton's Filipino community experience adherence to preventive dental attendance (PDA) for their preschool children and the psychosocial factors influencing parental adherence. METHODS: We employed a qualitative focused ethnography design. Data were collected through interviews and focus groups...
May 23, 2017: Journal of Immigrant and Minority Health
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