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https://www.readbyqxmd.com/read/28651394/-relationship-between-sleep-status-and-the-risk-of-diabetes-in-adults
#1
J Su, R Tao, J Y Zhou, J Yang, Y Qin, Y H Hu, Y Lu, J R Jin, Z Bian, Y Guo, Z M Chen, L M Li, M Wu
Objective: To explore the relationship between sleep status and the risk of diabetes in adults. Methods: The baseline data of 53 260 subjects who were aged 30-79 years and had been enrolled into China Kadoorie Biobank (CKB) study from Suzhou, Jiangsu province were analyzed. Multiple logistic regression models were used to investigate the association between sleep status and diabetes after adjusting for potential confounders. Results: Among 53 260 subjects, 5.3% had diabetes. The proportions of difficultly falling asleep, early morning arousal and snoring frequently was 7...
May 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28651031/assessment-of-fall-characteristics-from-depth-sensor-videos
#2
Jennifer J O'Connor, Lorraine J Phillips, Bunmi Folarinde, Gregory L Alexander, Marilyn Rantz
Falls are a major source of death and disability in older adults; little data, however, are available about the etiology of falls in community-dwelling older adults. Sensor systems installed in independent and assisted living residences of 105 older adults participating in an ongoing technology study were programmed to record live videos of probable fall events. Sixty-four fall video segments from 19 individuals were viewed and rated using the Falls Video Assessment Questionnaire. Raters identified that 56% (n = 36) of falls were due to an incorrect shift of body weight and 27% (n = 17) from losing support of an external object, such as an unlocked wheelchair or rolling walker...
July 1, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28650919/a-sudden-death-risk-score-specifically-for-hypertension-based-on-25%C3%A2-648-individual-patient-data-from-six-randomized-controlled-trials
#3
Hai-Ha Le, Fabien Subtil, Marc Cerou, Ivanny Marchant, Muaamar Al-Gobari, Mor Fall, Yanis Mimouni, Behrouz Kassaï, Lars Lindholm, Lutgarde Thijs, François Gueyffier
OBJECTIVE: To construct a sudden death risk score specifically for hypertension (HYSUD) patients with or without cardiovascular history. METHODS: Data were collected from six randomized controlled trials of antihypertensive treatments with 8044 women and 17 604 men differing in age ranges and blood pressure eligibility criteria. In total, 345 sudden deaths (1.35%) occurred during a mean follow-up of 5.16 years. Risk factors of sudden death were examined using a multivariable Cox proportional hazards model adjusted on trials...
June 24, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28650846/dosimetric-verification-in-water-of-a-monte-carlo-treatment-planning-tool-for-proton-helium-carbon-and-oxygen-ion-beams-at-the-heidelberg-ion-beam-therapy-center
#4
Thomas Tessonnier, Till Tobias Boehlen, Francesco Cerutti, Alfredo Ferrari, Paola Roberta Sala, Stephan Brons, Thomas Haberer, Juergen Debus, Katia Parodi, Andrea Mairani
The introduction of "new" ion species in particle therapy needs to be supported by a thorough assessment of their dosimetric properties and by treatment planning comparisons with clinically used proton and carbon ion beams. In addition to the latter two ions, helium and oxygen ion beams are foreseen at the Heidelberg Ion beam Therapy (HIT) center as potential assets for improving clinical outcomes in the near future. We present in this study a dosimetric validation of a FLUKA-based Monte Carlo Treatment Planning tool (MCTP) for protons, helium, carbon and oxygen ions for spread-out Bragg peaks...
June 26, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28650786/alveolar-fracture-caused-by-tooth-extraction-at-home
#5
Fabrício Kitazono de Carvalho, Thaís Aparecida Xavier, Nicole Gonçalves Lima, Alexandra Mussolino de Queiroz, Marcilene Coelho Vinhorte, Paulo Nelson-Filho
Injuries to the teeth and surrounding structures are relatively common. Although traumatic injuries caused by falls or activities related to sports are widely discussed, the same cannot be said regarding accidents arising from non-professional extraction of primary teeth. The present study reports a 6-year-old male child who underwent mandibular alveolar bone fracture during non-professional extraction of his central lower left incisor at home, performed by his 30-year-old aunt. The root of the tooth was with an irregular physiological resorption, which acted as a lever component for the mechanical force applied, leading to bone fracture...
2017: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/28650764/dorsal-fracture-dislocation-of-the-tarsal-navicularcase-report-and-review-of-a-rare-injury
#6
Isidro Jimenez, Juan Pedro Rodriguez-Alvarez, Ricardo Navarro-Navarro
Fracture-dislocations of the tarsal navicular are rare and highly complex injuries to the midfoot. The only published data on this type of fracture are clinical case reports. These injuries are normally caused by high-energy trauma, and their pathophysiology and most appropriate treatment remain unclear. We report a clinical case of a dorsal fracture-dislocation of the tarsal navicular bone associated with a medial swivel dislocation of the Chopart joint caused by a bicycle fall in a 20-year-old healthy man...
May 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28650255/patient-navigation-for-traumatic-brain-injury-promotes-community-re-integration-and-reduces-re-hospitalizations
#7
Emily R Rosario, Laura Espinoza, Stephanie Kaplan, Sepehr Khonsari, Earl Thurndyke, Melissa Bustos, Kayla Vickers, Brittney Navarro, Bonnie Scudder
OBJECTIVE: To determine the effectiveness of a Navigation programme for patients with traumatic brain injury. DESIGN: Prospective programme evaluation. SETTING: Inpatient rehabilitation facility and community settings. PARTICIPANTS: Eighteen individuals who suffered a traumatic brain injury (TBI), were between the ages of 16-70 years, and had a Rancho Score greater than IV. INTERVENTION: Patient navigation programme focused on identifying and addressing barriers to positive outcomes, including coordination of care and facilitating communication among the family and healthcare providers, psychosocial support, caregiver support, adherence to treatment, education, community resources and financial issues...
June 26, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28650251/managed-care-peer-led-teaching-an-innovative-learning-approach-outside-the-college-of-pharmacy-core-curriculum
#8
SyHui Tang, Julia Smith, Wilson Lau, Isaac Tse, Christine Tan, Ryan Cotten, Amy Pittenger
BACKGROUND: Managed care pharmacy is a growing field, but there are still limited educational opportunities available in pharmacy school core curricula. Students often seek self-directed learning opportunities to further explore the field. OBJECTIVES: To (a) evaluate practicality and effectiveness of a student-designed managed care pharmacy elective and (b) determine emerging best practices for design and sustainability of peer-led, self-directed courses. METHODS: A managed care elective course was designed as a student, peer-led course during the 2012-2013 school year at the University of Minnesota College of Pharmacy...
July 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28650182/buried-layers-on-the-origins-rise-and-fall-of-stratification-theories
#9
Martin Wieser
This article presents a historical analysis of the origins, rise, and demise of theories of stratification (Schichtentheorien). Following their roots in the ancient metaphysical idea of the "great chain of being," Aristotle's scala naturae, the medieval "Jacob's ladder," and Leibniz's concept of the lex continua, I argue that theories of stratification represent the modern heir to the ancient cosmological idea of a harmonious, hierarchical, and unified universe. Theories of stratification reached their heyday during the interwar period within German academia, proliferating over a vast number of disciplines and rising to special prominence within personality psychology, feeding the hope for a unitary image of the world and of human beings, their biological and mental development, their social organization and cultural creations...
June 26, 2017: History of Psychology
https://www.readbyqxmd.com/read/28650105/psychological-symptoms-in-late-adolescence-and-long-term-risk-of-suicide-and-suicide-attempt
#10
Carl Hogstedt, Yvonne Forsell, Tomas Hemmingsson, Ingvar Lundberg, Andreas Lundin
Mental disorders in the general population are associated with increased risk of suicidality, but less is known about the independent predictive ability of self-reported psychological symptoms. We followed 49,321 screened and interviewed Swedish conscripts through 36-year follow-up to test whether psychological symptoms predicted suicide and hospitalization for suicide attempts. There were 619 suicides and 1,230 suicide attempts during the follow-up period. After excluding subjects with any psychiatric diagnoses (n = 5,691, 12%) and controlling for other psychological symptoms, severe symptoms of anger, trouble falling asleep, and feeling down predicted suicide...
June 26, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28649786/polypharmacy-and-gait-performance-in-community-dwelling-older-adults
#11
Claudene George, Joe Verghese
OBJECTIVES: To examine the relationship between polypharmacy and gait performance during simple (normal walk (NW)) and complex (walking while talking (WWT)) locomotion. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Community-dwelling older adults (N = 482). MEASUREMENTS: Polypharmacy, defined as use of five or more medications and a cohort-specific alternate definition of eight or more medications, was examined...
June 26, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28649109/-aging-and-homeostasis-prevention-and-treatment-of-locomotive-syndrome
#12
Naohisa Miyakoshi
Locomotive syndrome is defined as a condition of reduced mobility due to impairment of the locomotive organs. With the increased aging of society, the demand for the prevention and treatment of locomotive syndrome to improve healthy life expectancy is increasing. Studies have shown that exercise programs including balance training and resistance training are effective in preventing falls. Resistance training also improves walking ability(gait speed)in older adults. In Japan, 'locomotion training' consisting of one-leg standing and squatting exercise is recommended to prevent locomotive syndrome...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28649108/-aging-and-homeostasis-prevention-and-treatment-of-sarcopenia-and-frailty
#13
Hidenori Arai
Frailty and sarcopenia are geriatrics syndromes that are increasing in the super aged society and are an important risk factor for the outcomes such as disability, falls, falls/fractures, and death. Although aging is a major factor in both syndromes, muscle weakness is accelerated by malnutrition such as protein and vitamin D deficiency and lack of exercise in a sedentary lifestyle. Therefore, nutritional guidance and exercise instruction are extremely important as well as management of diseases in older people...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/28648981/leptin-s-physiologic-role-does-the-emperor-of-energy-balance-have-no-clothes
#14
REVIEW
Jeffrey S Flier, Eleftheria Maratos-Flier
The discovery of the obese gene and the demonstration that its encoded protein leptin can reverse obesity due to genetic deficiency of the hormone were landmark discoveries in endocrinology and metabolism. Regarding leptin's role in physiology, it is now established that falling leptin levels are a key signal of the starved state in mice and humans. Repleting leptin reverses the starvation signal both in physiologic starvation and in obesity resulting from genetic leptin deficiency. Since its discovery, it has also been hypothesized that rising leptin levels caused by overfeeding provide a physiologic signal that orchestrates resistance to obesity...
June 19, 2017: Cell Metabolism
https://www.readbyqxmd.com/read/28648902/self-reported-unsteadiness-predicts-fear-of-falling-activity-restriction-falls-and-disability
#15
Orna A Donoghue, Annalisa Setti, Neil O'Leary, Rose Anne Kenny
OBJECTIVE: To determine if self-reported unsteadiness during walking is associated with fear of falling (FOF), fear-related activity restriction, falls, and disability over 2 years in community-dwelling adults. DESIGN: Data were obtained from the first 2 waves of The Irish Longitudinal Study on Ageing, a population-based study. SETTING: Participants completed a home-based interview and a center-based health assessment at baseline and a home-based interview at 2 years follow-up...
July 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28648550/individual-housing-based-socioeconomic-status-predicts-risk-of-accidental-falls-among-adults
#16
Euijung Ryu, Young J Juhn, Philip H Wheeler, Matthew A Hathcock, Chung-Il Wi, Janet E Olson, James R Cerhan, Paul Y Takahashi
PURPOSE: Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. METHODS: Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments...
June 8, 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/28647957/-long-term-effectiveness-of-transvaginal-high-uterosacral-ligament-suspension
#17
L Duan, Y X Lu, W J Shen, X Liu, J X Liu, Y H Zhang, J Ge, Y Zhao, K Niu, W Y Wang
Objective: To assess the long-term effectiveness of the transvaginal high uterosacral ligament suspension (HUS) in women suffering from advanced pelvic organ prolapse (POP). Methods: A retrospective review of records identified 118 women who underwent transvaginal HUS with or without additional concomitant anterior and (or) posterior repairs from June 2003 to August 2009 in the First Affiliated Hospital, General Hospital of People's Liberation Army. Of 118 women, 104 women completed the follow-up during study period; these 104 women were analysed...
June 25, 2017: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/28647892/postprandial-hypotension-in-neurological-disorders-systematic-review-and-meta-analysis
#18
REVIEW
Antun Pavelić, Magdalena Krbot Skorić, Luka Crnošija, Mario Habek
PURPOSE: Postprandial hypotension (PPH) has been associated with increased risk of syncope, falls, stroke, angina and mortality. As the majority of patients with PPH are asymptomatic, the diagnosis is often overlooked. The aim of this study was to perform a systematic review and meta-analysis of available scientific evidence on the likelihood of PPH in neurological diseases. METHODS: A systematic review of the literature (PubMed library, Cochrane Database for Systematic Reviews and Cochrane Central Register of Controlled Trials for results up to January 2017) identified 327 studies, of which 11 reported the frequency of PPH in patients with neurological diseases compared to healthy controls...
June 24, 2017: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
https://www.readbyqxmd.com/read/28647739/antipsychotic-induced-dopamine-supersensitivity-psychosis-pharmacology-criteria-and-therapy
#19
Guy Chouinard, Anne-Noël Samaha, Virginie-Anne Chouinard, Charles-Siegfried Peretti, Nobuhisa Kanahara, Masayuki Takase, Masaomi Iyo
The first-line treatment for psychotic disorders remains antipsychotic drugs with receptor antagonist properties at D2-like dopamine receptors. However, long-term administration of antipsychotics can upregulate D2 receptors and produce receptor supersensitivity manifested by behavioral supersensitivity to dopamine stimulation in animals, and movement disorders and supersensitivity psychosis (SP) in patients. Antipsychotic-induced SP was first described as the emergence of psychotic symptoms with tardive dyskinesia (TD) and a fall in prolactin levels following drug discontinuation...
June 24, 2017: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/28647551/factors-predicting-falls-and-mobility-outcomes-in-patients-with-stroke-returning-home-after-rehabilitation-who-are-at-risk-of-falling
#20
Mandy Man-Di Ng, Keith D Hill, Frances Batchelor, Elissa Burton
OBJECTIVE: To identify factors predicting falls and limited mobility in people with stroke at 12 months after returning home from rehabilitation. DESIGN: Observational cohort study with 12 month follow-up. SETTING: Community. PARTICIPANTS: People with stroke (n=144) and increased falls risk discharged home from rehabilitation. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Falls were measured using monthly calendars completed by participants, and mobility was assessed using gait speed over five metres (high mobility (>0...
June 21, 2017: Archives of Physical Medicine and Rehabilitation
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