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https://www.readbyqxmd.com/read/29347929/the-hiv-self-testing-debate-where-do-we-stand
#1
REVIEW
Marilou Gagnon, Martin French, Yamilee Hébert
BACKGROUND: Emphasis on HIV testing as a gateway to prevention, treatment and care has grown tremendously over the past decade. In turn, this emphasis on testing has created a demand for new policies, programs, and technologies that can potentially increase access to and uptake of HIV testing. HIV self-testing (HST) technologies have gained important momentum following the approval of the over-the-counter self-tests in the United States, the UK, and France. While the renewed interest in HST has given rise to a number of high quality reviews of empirical studies conducted on this topic, we have yet to find an article that captures the extent of the debate on HST...
January 18, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29345207/thresholds-and-interpretations-how-clinical-competency-committees-identify-pediatric-residents-with-performance-concerns
#2
Daniel J Schumacher, Catherine Michelson, Sue Poynter, Michelle M Barnes, Su-Ting T Li, Natalie Burman, Daniel J Sklansky, Lynn Thoreson, Sharon Calaman, Beth King, Alan Schwartz, Sean Elliott, Tanvi Sharma, Javier Gonzalez Del Rey, Kathleen Bartlett, Shannon E Scott-Vernaglia, Kathleen Gibbs, Jon F McGreevy, Lynn C Garfunkel, Caren Gellin, John G Frohna
BACKGROUND: Clinical competency committee (CCC) identification of residents with performance concerns is critical for early intervention. METHODS: Program directors and 94 CCC members at 14 pediatric residency programs responded to a written survey prompt asking them to describe how they identify residents with performance concerns. Data was analyzed using thematic analysis. RESULTS: Six themes emerged from analysis and were grouped into two domains...
January 2018: Medical Teacher
https://www.readbyqxmd.com/read/29343914/symptomatic-lower-urinary-tract-dysfunction-in-sacral-agenesis-potentially-high-risk
#3
Sanjay Sinha, Mehul A Shah, Dilip M Babu
Introduction: Sacral agenesis (SA) is a caudal regression anomaly that can cause neurogenic bladder but is not generally recognized as high risk. We studied the clinical presentation, upper urinary tract, bone and spine abnormalities, and urodynamic findings in patients with SA and compared them with related high-risk conditions, anorectal malformation (ARM), and cloacal malformation. Materials and Methods: Patient records between May 2011 and December 2015 were identified and grouped into isolated SA without an overt anomaly (Group I), SA with overt caudal regression anomalies (Group II), and ARM or cloacal malformation without the SA (Group III)...
January 2018: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/29336735/effect-of-low-cost-resistance-training-on-lower-limb-strength-and-balance-in-institutionalized-seniors
#4
Seyedeh Ameneh Motalebi, Loke Seng Cheong, Jamileh Amirzadeh Iranagh, Fatemeh Mohammadi
Background/Study Context: Given the rapid increase in the aging population worldwide, fall prevention is of utmost importance. It is essential to establish an efficient, simple, safe, and low-cost intervention method for reducing the risk of falls. This study examined the effect of 12 weeks of progressive elastic resistance training on lower-limb muscle strength and balance in seniors living in the Rumah Seri Kenangan, social welfare home in Cheras, Malaysia. METHODS: A total of 51 subjects qualified to take part in this quasi-experimental study...
January 2018: Experimental Aging Research
https://www.readbyqxmd.com/read/29336697/understanding-knowledge-attitudes-and-behaviors-toward-west-nile-virus-prevention-a-survey-of-high-risk-adults-in-maryland
#5
Kimberly C Mitchell, Patricia Ryan, Donna E Howard, Katherine A Feldman
OBJECTIVE: To assess knowledge, attitudes, and behaviors toward West Nile virus (WNV) prevention among Maryland adults ≥60 years old who are at increased risk of severe WNV disease utilizing the health belief model. METHODS: Using a stratified random sample of households from zip codes with ≥2 human WNV cases, we conducted a telephone survey of 211 Maryland adults ≥60 years old between October and December 2012. RESULTS: Participants expressing worry about WNV were over thrice more likely to use insect repellent in the prior 90 days (adjusted odds ratio [aOR] = 3...
January 16, 2018: Vector Borne and Zoonotic Diseases
https://www.readbyqxmd.com/read/29326087/a-multicomponent-exercise-program-improves-physical-function-in-long-term-nursing-home-residents-a-randomized-controlled-trial
#6
Haritz Arrieta, Chloe Rezola, Idoia Zarrazquin, Iñaki Echeverria, Jose Javier Yanguas, Miren Iturburu, Susana Maria Gil, Ana Rodriguez-Larrad, Jon Irazusta
To investigate the impact of a multicomponent exercise program on anthropometry, physical function, and physical activity on older adults living in long-term nursing homes (LTNH), we conducted a randomized controlled trial involving 112 participants aged 84.9 ± 6.9 years. Participants were randomly assigned to an intervention (IG) or control group (CG). The IG participated in a 3-month multicomponent exercise intervention focused on strength, balance, stretching exercises, and walking recommendations...
January 8, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29325885/9-aminoacridine-based-agents-impair-the-bovine-viral-diarrhea-virus-bvdv-replication-targeting-the-rna-dependent-rna-polymerase-rdrp
#7
Roberta Loddo, Valeria Francesconi, Erik Laurini, Silvia Boccardo, Suzana Aulic, Maurizio Fermeglia, Sabrina Pricl, Michele Tonelli
Bovine viral diarrhea virus (BVDV) infection is still a plague that causes important livestock pandemics. Despite the availability of vaccines against BVDV, and the implementation of massive eradication or control programs, this virus still constitutes a serious agronomic burden. Therefore, the alternative approach to combat Pestivirus infections, based on the development of antiviral agents that specifically inhibit the replication of these viruses, is of preeminent actuality and importance. Capitalizing from a long-standing experience in antiviral drug design and development, in this work we present and characterize a series of small molecules based on the 9-aminoacridine scaffold that exhibit potent anti-BVDV activity coupled with low cytotoxicity...
January 4, 2018: Bioorganic & Medicinal Chemistry
https://www.readbyqxmd.com/read/29322867/implementing-voluntary-medical-male-circumcision-using-an-innovative-integrated-health-systems-approach-experiences-from-21-districts-in-zimbabwe
#8
Caryl Feldacker, Batsirai Makunike-Chikwinya, Marrianne Holec, Aaron F Bochner, Abby Stepaniak, Robert Nyanga, Sinokuthemba Xaba, Peter H Kilmarx, Amy Herman-Roloff, Taurayi Tafuma, Mufuta Tshimanga, Vuyelwa T Sidile-Chitimbire, Scott Barnhart
BACKGROUND: Despite increased support for voluntary medical male circumcision (VMMC) to reduce HIV incidence, current VMMC progress falls short. Slow progress in VMMC expansion may be partially attributed to emphasis on vertical (stand-alone) over more integrated implementation models that are more responsive to local needs. In 2013, the ZAZIC consortium began implementation of a 5-year, integrated VMMC program jointly with Ministry of Health and Child Care (MoHCC) in Zimbabwe. OBJECTIVE: To explore ZAZIC's approach emphasizing existing healthcare workers and infrastructure, increasing program sustainability and resilience...
2018: Global Health Action
https://www.readbyqxmd.com/read/29322310/relationship-between-sagittal-spinal-curves-geometry-and-isokinetic-trunk-muscle-strength-in-adults
#9
Walaa Elsayed, Ahmed Farrag, Qassim Muaidi, Nora Almulhim
PURPOSE: Sagittal spinal deviation has been reported to be a significant musculoskeletal problem affecting both genders and could develop at any age. Factors triggering this issue are still not well defined. The purpose of this study was to investigate the relationship between sagittal spine angles and isokinetic peak, average torque, and power of trunk muscles in asymptomatic adults. METHODS: A convenient sample of 79 subjects with asymptomatic spine participated in this study...
January 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29319713/adaptable-liquid-crystal-elastomers-with-transesterification-based-bond-exchange-reactions
#10
Drew W Hanzon, Nicholas A Traugutt, Matthew K McBride, Christopher N Bowman, Christopher M Yakacki, Kai Yu
Adaptable liquid crystal elastomers (LCEs) have recently emerged to provide a new and robust method to program monodomain LCE samples. When a constant stress is applied with active bond exchange reactions (BERs), polymer chains and mesogens gradually align in the strain direction. Mesogen alignment is maintained after removing the BER stimulus (e.g. by lowering the temperature) and the programmed LCE samples exhibit free-standing two-way shape switching behavior. Here, a new adaptable main-chain LCE system was developed with thermally induced transesterification BERs...
January 10, 2018: Soft Matter
https://www.readbyqxmd.com/read/29316273/pilot-project-physiologic-responses-to-a-high-intensity-active-video-game-with-copd-patients-tools-for-home-rehabilitation
#11
Andrée-Anne Parent, Vincent Gosselin-Boucher, Marilyn Houle-Peloquin, Claude Poirier, Alain-Steve Comtois
INTRODUCTION: Chronic Obstructive Pulmonary Disease (COPD) is a respiratory condition that causes a significant deterioration of the quality of life. However, exercise can improve the quality of life for COPD patients and it is for this reason previous study observed the effects of active video games to increase exercise. Using motion capture devices with short bursts of exercise never been tried with COPD patients. OBJECTIVES: The objective was to observe the feasibility of using this device safely and easily with COPD patients...
January 8, 2018: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29302511/need-of-department-of-general-practice-family-medicine-at-aiims-all-india-institute-of-medical-sciences-why-the-apex-medical-institute-in-india-should-also-contribute-towards-training-and-education-of-general-practitioners-and-family-physicians
#12
EDITORIAL
Ranabir Pal, Raman Kumar
Family medicine or general practice is the practicing discipline of the majority doctors in India, however formal academic departments of general practice (or family medicine) do not exist in India, as it is not a mandatory requirement as prescribed by the Medical Council of India; the principal regulator of medical education. Currently India has capacity to produce more than 60,000 medical graduates per year, majority of whom are expected to become general practitoners or primary care doctors without under going any vocational training in general practice or family medicine...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29300423/effects-of-low-dose-dairy-protein-plus-micronutrient-supplementation-during-resistance-exercise-on-muscle-mass-and-physical-performance-in-older-adults-a-randomized-controlled-trial
#13
S Seino, K Sumi, M Narita, Y Yokoyama, K Ashida, A Kitamura, S Shinkai
OBJECTIVES: To investigate whether supplementation with low-dose dairy protein plus micronutrients augments the effects of resistance exercise (RE) on muscle mass and physical performance compared with RE alone among older adults. DESIGN: Randomized controlled trial. SETTING: Tokyo, Japan. PARTICIPANTS: Eighty-two community-dwelling older adults (mean age, 73.5 years) were randomly allocated to an RE plus dairy protein and micronutrient supplementation group or an RE only group (n = 41 each)...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29300348/when-veterinarians-support-canine-therapy-bidirectional-benefits-for-clinics-and-therapy-programs
#14
John-Tyler Binfet, Haley J Silas, Sean W Longfellow, Katrina Widmaier-Waurechen
This paper proposes a mutually beneficial model of collaboration between veterinarians and canine therapy programs. Veterinarians and the clinics for whom they work routinely establish collaborations with multiple and varied stakeholders. This might include a laboratory for processing samples and the corresponding courier company needed to deliver samples to the lab or a partnership with a local dog rescue organization for whom discounted rates are offered. One community partnership that stands to benefit both the clinic and the community agency, is for veterinarians to work in tandem with a local canine-assisted therapy program...
January 4, 2018: Veterinary Sciences
https://www.readbyqxmd.com/read/29299814/randomized-trial-of-chronic-pain-self-management-program-in-the-community-or-clinic-for-low-income-primary-care-patients
#15
Barbara J Turner, Yuanyuan Liang, Maureen J Simmonds, Natalia Rodriguez, Raudel Bobadilla, Zenong Yin
BACKGROUND: Patients with chronic pain often lack the skills and resources necessary to manage this disease. OBJECTIVE: To develop a chronic pain self-management program reflecting community stakeholders' priorities and to compare functional outcomes from training in two settings. DESIGN: A parallel-group randomized trial. PARTICIPANTS: Eligible subjects were 35-70 years of age, with chronic non-cancer pain treated with opioids for >2 months at two primary care and one HIV clinic serving low-income Hispanics...
January 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29295031/college-students-beliefs-about-domestic-violence-a-replication-and-extension
#16
Shelly M Wagers, Jennifer Wareham, Denise Paquette Boots
In recent decades, significant effort and money have been spent to change social and legal responses to domestic violence and affect public perceptions. A small body of research has examined individuals' opinions about what behaviors are considered domestic violence. Using a sample of college students, the present study examined a modified version of a somewhat popular instrument used to measure beliefs about domestic violence, extending previous work done by Carlson and Worden. Results indicated beliefs about domestic violence are multidimensional, depending on the nature of the behavior and, in part, the gender of the perpetrator...
December 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29289407/an-integrated-nurse-practitioner-run-subspecialty-referral-program-for-incontinent-children
#17
Kimberly S Jarczyk, Pam Pieper, Lori Brodie, Kelly Ezzell, Tina D'Alessandro
INTRODUCTION: Evidence suggests that urinary and fecal incontinence and abnormal voiding and defecation dynamics are different manifestations of the same syndrome. This article reports the success of an innovative program for care of children with incontinence and dysfunctional elimination. This program is innovative because it is the first to combine subspecialty services (urology, gastroenterology, and psychiatry) in a single point of care for this population and the first reported independent nurse practitioner-run specialty referral practice in a free-standing pediatric ambulatory subspecialty setting...
December 28, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29284811/caregiver-burden-in-medical-versus-psychiatric-patients-a-cross-sectional-comparative-study
#18
Anu Kant Mital, Sayali Ganesh Sabnis, Vrushali Vishal Kulkarni
Background: An informal care-giver is generally an unpaid individual who looks after the personal and medical needs of the patient. India being a country of traditions and family values, this informal care-giver is usually a family member. These care-givers, being untrained in this job undergo tremendous stress. Available research studies the burden individually in the relatives of chronically medically ill patients and those of psychiatrically ill patients. Furthermore the previous research targets the burden in individual diseases...
November 2017: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29284462/estimating-peer-density-effects-on-oral-health-for-community-based-older-adults
#19
Bibhas Chakraborty, Michael J Widener, Sedigheh Mirzaei Salehabadi, Mary E Northridge, Susan S Kum, Zhu Jin, Carol Kunzel, Harvey D Palmer, Sara S Metcalf
BACKGROUND: As part of a long-standing line of research regarding how peer density affects health, researchers have sought to understand the multifaceted ways that the density of contemporaries living and interacting in proximity to one another influence social networks and knowledge diffusion, and subsequently health and well-being. This study examined peer density effects on oral health for racial/ethnic minority older adults living in northern Manhattan and the Bronx, New York, NY...
December 29, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/29282230/deconstructing-risk-management-in-psychotherapy-supervision
#20
Jerome Kroll, Jennifer Radden
In the ongoing controversy over how much regulation and standardization to impose on clinical practice and research, it is not surprising that the activity of psychotherapy supervision should be swept up in the drive for uniformity. The managers amongst us want to regulate and institutionalize all aspects of practice. In opposition, many clinicians resist the relentless march toward the safety of uniformity travel alongside managerial imposition of regulations. Psychotherapy supervision's method of a close apprenticeship relationship between supervisor and trainee and its focus on the process and ethics of professional interaction stand at the humanistic core of what is otherwise becoming an increasingly mechanistic model of providing care to persons with mental illness...
December 2017: Journal of the American Academy of Psychiatry and the Law
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