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Periodic health evaluation

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https://www.readbyqxmd.com/read/28548196/-declaration-of-the-chilean-academy-of-medicine-of-law-20-850-%C3%A2-on-clinical-trials-of-pharmaceutical-products-and-medical-devices%C3%A2-and-of-the-bylaw-that-will-regulate-its-application
#1
Gloria López S, Gloria Valdés S, Emilio Roessler B, Vicente Valdivieso D
In Chile, high cost treatments required by selected medical conditions are financed by the State, according to Law 20.850. A bylaw under discussion by the Senate regulates clinical trials, posing complex issues that will endanger local interest in front-line research: 1. The exclusive and mandatory control bestowed to the Institute of Public Health during all stages of the trials and also the surveillance of institutions performing clinical trials, overriding their Clinical Research Review Boards; 2.The 10 year period during which any adverse event is assumed to have been caused by the medication or devise evaluated by the trial, unless the contrary is proven in a judicial process; 3...
March 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/28547273/case-distribution-and-complications-of-mid-urethral-sling-surgery-in-a-canadian-city-before-and-after-the-health-canada-advisory-on-pelvic-floor-mesh
#2
Kevin Carlson, Richard Baverstock, Andrea Civitarese, R Trafford Crump
INTRODUCTION AND HYPOTHESIS: Increased incidences of complications related to the use of mid-urethral slings (MUS) for the treatment of stress urinary incontinence resulted in both the Food and Drug Administration (FDA) and Health Canada issuing advisories in 2008 and 2010 respectively. The purpose of this study was to assess the effect these advisories had on the number of surgeons performing MUS surgery and post-surgical complications in Calgary, Canada. METHODS: In this study, we conducted a retrospective analysis of administrative data between 2006 and 2011...
May 25, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28546977/how-much-elderly-people-of-isfahan-are-adherent-to-their-drug-therapy-regimens
#3
Parvaneh Abazari, Tayebe Arab Jafari, Ali Mohammad Sabzghabaee
BACKGROUND: The need for a correct follow-up for medical advices of health givers is the cornerstone for avoiding drug-related complications in especial period of elderly people life. There isn't any data about drug therapy regimens adherence of elderly people of Isfahan. In this study, we aimed to cover this deficit. MATERIALS AND METHODS: In this cross-sectional study which was carried out in Isfahan (Iran) in 2013 senior citizens (aged 65 or more) who were taking at least one medication and had no record of residency in nursing homes were included...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/28546848/estimation-of-maximal-oxygen-consumption-and-heart-rate-recovery-using-the-tecumseh-sub-maximal-step-test-and-their-relationship-to-cardiovascular-risk-factors
#4
Alun D Hughes, Nish Chaturvedi
BACKGROUND: Maximum aerobic capacity (VO2max) is associated with lower cardiovascular and total mortality. Step tests can be used to provide an estimate of (VO2max) in epidemiological or home-based studies. We compared different methods of estimation of VO2max and heart rate recovery and evaluated the relationship of these estimates with cardiovascular risk factors. METHODS: Data were analysed from 2286 participants in the Tecumseh Community Health Study (>16y and <70y) who performed a step test...
June 2017: Artery Research
https://www.readbyqxmd.com/read/28546665/proposing-a-hybrid-model-based-on-robson-s-classification-for-better-impact-on-trends-of-cesarean-deliveries
#5
Punit Hans, Renu Rohatgi
AIM AND OBJECTIVES: To construct a hybrid model classification for cesarean section (CS) deliveries based on the woman-characteristics (Robson's classification with additional layers of indications for CS, keeping in view low-resource settings available in India). METHODS: This is a cross-sectional study conducted at Nalanda Medical College, Patna. All the women delivered from January 2016 to May 2016 in the labor ward were included. Results obtained were compared with the values obtained for India, from secondary analysis of WHO multi-country survey (2010-2011) by Joshua Vogel and colleagues' study published in "The Lancet Global Health...
June 2017: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/28546627/exploring-the-potential-value-of-using-data-on-dental-extractions-under-general-anaesthesia-dga-to-monitor-the-impact-of-dental-decay-in-children
#6
A Mortimore, R Wilkinson, J H John
Aim To explore the value of DGA data as an indicator of the impact and inequalities associated with child dental decay (caries) in Southampton.Design Data from the local DGA provider in Southampton was used to investigate trends in child (17 years and under) DGAs between 2006/7 and 2014/15. Retrospective analysis of anonymised child-level 2013/14 and 2014/15 data from the same service was carried out to identify any inequalities with respect to deprivation, impact on school attendance and cost to the health economy...
May 26, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28546372/inhaled-pulmonary-vasodilators-are-there-indications-within-the-pediatric-icu
#7
Bradley A Kuch, Alvin L Saville, Joan Sanchez De Toledo, Shekhar T Venkataraman
Inhaled nitric oxide (INO) is only FDA-cleared for neonates (> 34 weeks gestation) with hypoxic respiratory failure-associated pulmonary hypertension. Off-label use of INO is common in the pediatric population despite a lack of evidence regarding survival benefit, questioning whether the therapy should be considered outside the neonatal period. A lack of definitive evidence combined with increasing health-care costs has led to the use of less costly inhaled prostacyclin as an alternative to INO, presenting unique patient safety concerns...
June 2017: Respiratory Care
https://www.readbyqxmd.com/read/28545500/strengthening-capacity-to-research-the-social-determinants-of-health-in-low-and-middle-income-countries-lessons-from-the-intrec-programme
#8
Nicholas Henschke, Anna Mirny, Joke A Haafkens, Heribert Ramroth, Siwi Padmawati, Martin Bangha, Lisa Berkman, Laksono Trisnantoro, Yulia Blomstedt, Heiko Becher, Osman Sankoh, Peter Byass, John Kinsman
BACKGROUND: The INDEPTH Training & Research Centres of Excellence (INTREC) collaboration developed a training programme to strengthen social determinants of health (SDH) research in low- and middle-income countries (LMICs). It was piloted among health- and demographic researchers from 9 countries in Africa and Asia. The programme followed a blended learning approach and was split into three consecutive teaching blocks over a 12-month period: 1) an online course of 7 video lectures and assignments on the theory of SDH research; 2) a 2-week qualitative and quantitative methods workshop; and 3) a 1-week data analysis workshop...
May 25, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28545423/determinants-of-tuberculosis-transmission-and-treatment-abandonment-in-fortaleza-brazil
#9
Guy Harling, Antonio S Lima Neto, Geziel S Sousa, Marcia M T Machado, Marcia C Castro
BACKGROUND: Tuberculosis (TB) remains a public health problem, despite recent achievements in reducing incidence and mortality rates. In Brazil, these achievements were above the worldwide average, but marked by large regional heterogeneities. In Fortaleza (5th largest city in Brazil), the tuberculosis cure rate has been declining and treatment abandonment has been increasing in the past decade, despite a reduction in incidence and an increase in directly observed therapy (DOT). These trends put efforts to eliminate tuberculosis at risk...
May 25, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28544740/interannual-study-of-spot-urine-evaluated-sodium-excretion-in-young-japanese-women
#10
Kenichiro Yasutake, Ririko Moriguchi, Tomomi Kajiyama, Hitomi Miyazaki, Shimako Abe, Takashi Masuda, Katsumi Imai, Masako Iwamoto, Hiroko Tsuda, Masayo Obe, Hisaya Kawate, Hiromi Ueno, Misaki Ono, Ryoko Goromaru, Kenji Ohe, Munechika Enjoji, Takuya Tsuchihashi, Shuji Nakano
The authors investigated interannual differences in the sodium excretion levels of young healthy Japanese women as estimated from spot urine analysis at Nakamura Gakuen University from 1995 to 2015. Participants included 4931 women aged 18 to 20 years who were classified into three time periods according to year of health check: first (1995-2001), second (2002-2007), and third (2008-2015). Estimated daily urinary sodium and potassium excretion levels and the sodium to potassium ratio were 120.6±31.9 mmol, 35...
May 23, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28544391/the-experience-sampling-method-as-an-mhealth-tool-to-support-self-monitoring-self-insight-and-personalized-health-care-in-clinical-practice
#11
Jim van Os, Simone Verhagen, Anne Marsman, Frenk Peeters, Maarten Bak, Machteld Marcelis, Marjan Drukker, Ulrich Reininghaus, Nele Jacobs, Tineke Lataster, Claudia Simons, Richel Lousberg, Sinan Gülöksüz, Carsten Leue, Peter C Groot, Wolfgang Viechtbauer, Philippe Delespaul
BACKGROUND: The experience sampling method (ESM) builds an intensive time series of experiences and contexts in the flow of daily life, typically consisting of around 70 reports, collected at 8-10 random time points per day over a period of up to 10 days. METHODS: With the advent of widespread smartphone use, ESM can be used in routine clinical practice. Multiple examples of ESM data collections across different patient groups and settings are shown and discussed, varying from an ESM evaluation of a 6-week randomized trial of mindfulness, to a twin study on emotion dynamics in daily life...
May 23, 2017: Depression and Anxiety
https://www.readbyqxmd.com/read/28544102/a-multicenter-retrospective-case-cohort-study-of-the-epidemiology-and-risk-factors-for-clostridium-difficile-infection-among-cord-blood-transplant-recipients
#12
Carolyn D Alonso, David A Braun, Ishan Patel, Mona Akbari, Daniel Jungmyung Oh, Tomi Jun, Malgorzata McMasters, Sarah P Hammond, Brett Glotzbecker, Corey Cutler, Daniel Leffler, Karen K Ballen, Ciarán P Kelly
BACKGROUND: Clostridium difficile infection (CDI) is the leading cause of health-care associated infectious diarrhea. The aim of this study was to evaluate the epidemiology and risk factors for CDI in the 100 days following umbilical cord blood transplantation (UCBT) at three Boston hospitals. METHODS: We performed a multicenter, retrospective, case-cohort study of 226 UCBT recipients at Beth Israel Deaconess Medical Center, Massachusetts General Hospital, and Dana Farber/Brigham and Women's Cancer Center from 2003-2012...
May 24, 2017: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/28542556/an-inactivated-hand-foot-and-mouth-disease-vaccine-using-the-enterovirus-71-c4a-strain-isolated-from-a-korean-patient-induces-a-strong-immunogenic-response-in-mice
#13
Hyun Ju In, Heeji Lim, Jung-Ah Lee, Hye Jin Kim, Jin-Won Kim, Ji-Yeon Hyeon, Sang-Gu Yeo, June-Woo Lee, Jung Sik Yoo, Young Ki Choi, Sang-Won Lee
Enterovirus 71 (EV71) is a major causative agent of hand-foot-and-mouth disease (HFMD) frequently occurring in children. HFMD induced by EV71 can cause serious health problems and has been reported worldwide, particularly in the Asia-Pacific region. In this study, we assessed the immunogenicity of a formalin-inactivated HFMD vaccine using an EV71 strain (FI-EV71 C4a) isolated from a Korean patient. The vaccine candidate was evaluated in mice to determine the vaccination doses and vaccine schedules. BALB/c mice were intramuscularly administered 5, 10, or 20 μg FI-EV71 vaccine, followed by a booster 2 weeks later...
2017: PloS One
https://www.readbyqxmd.com/read/28542362/a-window-dea-based-efficiency-evaluation-of-the-public-hospital-sector-in-greece-during-the-5-year-economic-crisis
#14
Angeliki Flokou, Vassilis Aletras, Dimitris Niakas
The main objective of this study was to apply the non-parametric method of Data Envelopment Analysis (DEA) to measure the efficiency of Greek NHS hospitals between 2009-2013. Hospitals were divided into four separate groups with common characteristics which allowed comparisons to be carried out in the context of increased homogeneity. The window-DEA method was chosen since it leads to increased discrimination on the results especially when applied to small samples and it enables year-by-year comparisons of the results...
2017: PloS One
https://www.readbyqxmd.com/read/28541588/effects-of-low-intensity-exercise-in-older-adults-with-chronic-heart-failure-during-the-transitional-period-from-hospital-to-home-in-china-a-randomized-controlled-trial
#15
Li Xueyu, Yu Hao, Xu Shunlin, Li Rongbin, Gao Yuan
The transitional period from hospital to home is critical to decreasing rates of preventable, poor post-discharge outcomes. Older adults with chronic heart failure (CHF) may be challenged to exercise during the transitional period. The purpose of the current study was to test the effects of low-intensity exercise on health-related quality of life (HRQoL), physical function, and heart function in Chinese older adults with CHF during the transitional period. The study was randomized, single-blinded, and controlled...
May 1, 2017: Research in Gerontological Nursing
https://www.readbyqxmd.com/read/28541430/implementation-and-evaluation-of-a-prototype-consumer-reporting-system-for-patient-safety-events
#16
Saul N Weingart, Joel S Weissman, Karen P Zimmer, Robert C Giannini, Denise D Quigley, Lauren E Hunter, M Susan Ridgely, Eric C Schneider
Objective: No methodologically robust system exists for capturing consumer-generated patient safety reports. To address this challenge, we developed and pilot-tested a prototype consumer reporting system for patient safety, the Health Care Safety Hotline. Design: Mixed methods evaluation. Setting: The Hotline was implemented in two US healthcare systems from 1 February 2014 through 30 June 2015. Participants: Patients, family members and caregivers associated with two US healthcare systems...
May 24, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28541410/contribution-of-socioeconomic-status-at-three-lifecourse-periods-to-late-life-memory-function-and-decline-early-and-late-predictors-of-dementia-risk
#17
Jessica R Marden, Eric J Tchetgen Tchetgen, Ichiro Kawachi, M Maria Glymour
Both early life and adult socioeconomic status (SES) predict late life level of memory; however, evidence is mixed on the relationship between SES and rate of memory decline. Further, the relative importance of different lifecourse periods for rate of late life memory decline has not been evaluated. We examined associations between lifecourse SES and late life memory function and decline. Health and Retirement Study participants (n = 10,781) were interviewed biennially from 1998-2012. SES measures for childhood (composite score including parents' educational attainment), early adulthood (high school or college completion), and older adulthood (income, mean age 66) were all dichotomized...
May 24, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28541243/czy-smog-ma-wp%C3%A5-yw-na-cz%C3%A4-sto%C3%A5-%C3%A4-wyst%C3%A4-powania-zaostrze%C3%A5-przewlek%C3%A5-ego-zapalenia-krtani-analiza-na-przyk%C3%A5-adzie-mieszka%C3%A5-c%C3%A3-w-wojew%C3%A3-dztwa-ma%C3%A5-opolskiego
#18
Remigiusz Ziarno, Anna Suska, Wojciech Kulinowski, Aleksandra Grudzień-Ziarno, Magdalena Kostrzon, Magdalena Paciorek, Jacek Składzień
INTRODUCTION: Due to dynamic industrialisation smog became a frequent phenomenon in most developing cities. According to the last WHO report from Global Urban Ambient Air Pollution Database, Krakow has been classified in the 11th place among the most polluted cities in Europe. It seems to be an urgent issue because of the influence of air pollution on the condition of upper respiratory tract. Materials & Methods: In December 2015 there were 141 patients aged 17-91 years with upper respiratory tract diseases admitted to the phoniatric outpatient clinic in the University Hospital in Cracow...
June 30, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28541234/psychiatric-specialty-training-in-greece
#19
EDITORIAL
M Margariti, V Kontaxakis, D Ploumpidis
The reform and development of psychiatric services require, in addition to financial resources, reserves in specialized human resources. The role of psychiatrists in this process, and at reducing the consequences of mental morbidity is evident. Psychiatrists are required to play a multifaceted role as clinicians, as experts in multidisciplinary team environments and as advisors in the recognition of public needs in mental health issues, as teachers and mentors for students and other health professionals, as researchers in order to enrich our knowledge in the scientific field of psychiatry, and as public health specialists in the development of the mental health services system...
January 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28540615/clinical-evaluation-of-marketed-orthodontic-products-are-researchers-behind-the-times-a-meta-epidemiological-study
#20
Jadbinder Seehra, Nikolaos Pandis, Padhraig S Fleming
BACKGROUND: The role of marketing and industry in the treatment decisions of orthodontists has received increasing attention in recent years with clinical research typically undertaken subsequent to established use of these devices and often failing to confirm the promise of manufacturers' claims. This meta-epidemiological study was undertaken to assess the proportion of clinical trials in orthodontics evaluating commercially marketed products and to evaluate the direction of the results of these studies...
December 2017: Progress in Orthodontics
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