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Frequent attenders

Ting Hway Wong, Zheng Yi Lau, Whee Sze Ong, Kelvin Bryan Tan, Yu Jie Wong, Mohamad Farid, Melissa Ching Ching Teo, Alethea Chung Pheng Yee, Hai V Nguyen, Marcus Eng Hock Ong, N Gopalakrishna Iyer
BACKGROUND: Cancer patients contribute significantly to emergency department (ED) utilization. The objective of this study was to identify factors associated with patients becoming ED frequent attenders (FA) after a cancer-related hospitalization. METHODS: A retrospective cohort study was conducted using national administrative, billing, and death records of Singapore residents discharged alive from Singapore public hospitals from January 2012 to December 2015, with a primary discharge diagnosis of cancer...
August 17, 2018: Cancer Medicine
Cosme Alvarado-Esquivel
Background: Very little is known about suicide attempts in middle-aged women in Mexico. The aims of this study were to determine: 1) the prevalence of suicidal ideation and suicide attempts in middle-aged women in Durango City, Mexico; and 2) the suicide attempt prevalence association with the sociodemographic, clinical, and behavioral characteristics of the women studied. Methods: Through a cross-sectional study, 395 middle-aged women were surveyed. Suicidal ideation, suicide attempt data, and the characteristics of the women were obtained with the aid of a questionnaire...
September 2018: Journal of Clinical Medicine Research
D Lyons, K Collins, C Hayes
AimsCognitive behavioural therapy (CBT) is effective for symptoms of mild to moderate depression yet access to such therapy is frequently limited. An alternative to traditional ways of delivering CBT is lower intensity methods based on self-help principles, using written CBT resources, in a group or class setting. Aware, the Irish National charity providing support to people experiencing depression, has implemented a 6-week CBT-based group programme which has been independently evaluated to demonstrate its effectiveness using quantitative and qualitative measures...
June 2018: Irish Journal of Psychological Medicine
Masood Jawaid, Syed J Ahmed
Objective Digital marketing is replacing traditional marketing strategies in the pharmaceutical industry. This study evaluated multiple aspects of the use of social media by the physicians of Pakistan, the current role of digital marketing in the pharmaceutical industry, and its impact on the change in clinical practice. Methods This cross-sectional study included physicians working in various clinical settings with at least five years of clinical experience. The participants were surveyed on social media tools used, knowledge of digital marketing tools, and the digital presence of themselves as physicians...
June 12, 2018: Curēus
Emily L Mailey, Carrie Mershon, Jillian Joyce, Brandon C Irwin
BACKGROUND: Military spouses are integral to the health of their families, but have demonstrated elevated levels of stress, depression, and anxiety. Participating in health behaviors such as physical activity and healthy eating may have a positive impact on spouses' physical and mental health, but emerging evidence suggests spouses' participation in these behaviors is scarce. Thus, the purpose of this study was to examine the most frequently reported barriers to health behaviors among military spouses...
August 15, 2018: BMC Public Health
Thierry Almont, Fadila Farsi, Ivan Krakowski, Rabih El Osta, Pierre Bondil, Éric Huyghe
PURPOSE: To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction. METHODS: We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France...
August 14, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Domenico D'Amico, Emanuela Sansone, Licia Grazzi, Ambra M Giovannetti, Matilde Leonardi, Silvia Schiavolin, Alberto Raggi
OBJECTIVES: Patients with chronic migraine (CM) display a considerable amount of comorbidities, particularly psychiatric and cardiovascular, and the presence of multiple comorbidities, i.e. the so-called multimorbidity, is a risk factor for migraine chronification or maintenance of CM. Our aim is to address the rate and impact of multimorbidity in patients with CM and medication overuse headache (MOH). MATERIALS & METHODS: In a sample of patients with CM attending a structured withdrawal for coexisting MOH, we defined multimorbidity as the presence of two or more conditions in addition to CM-MOH...
August 14, 2018: Acta Neurologica Scandinavica
Nanny N M Soetedjo, Susan M McAllister, Cesar Ugarte-Gil, Adela G Firanescu, Katharina Ronacher, Bachti Alisjahbana, Anca L Costache, Carlos Zubiate, Stephanus T Malherbe, Raspati C Koesoemadinata, Yoko V Laurence, Fiona Pearson, Sarah Kerry-Barnard, Rovina Ruslami, David A J Moore, Mihai Ioana, Leanie Kleynhans, Hikmat Pernama, Philip C Hill, Maria Mota, Gerhard Walzl, Hazel M Dockrell, Julia A Critchley, Reinout van Crevel
OBJECTIVE: To describe the characteristics and management of Diabetes mellitus (DM) patients from low- and middle-income countries (LMIC). METHODS: We systematically characterized consecutive DM patients attending public health services in urban settings in Indonesia, Peru, Romania and South Africa, collecting data on DM treatment history, complications, drug treatment, obesity, HbA1c, and cardiovascular risk profile; and assessing treatment gaps against relevant national guidelines...
August 14, 2018: Tropical Medicine & International Health: TM & IH
Ahmed Elgendy, Sherif Shehata, Ahmed Medhat Zaki, Sameh Shehata
This study aims to investigate the management of Wilms tumor by the Egyptian pediatric surgical association (EPSA) consultants. After approval of the EPSA executive board, a questionnaire was distributed individually to all consultants attending the general assembly of EPSA 2017 annual congress. Of 88 consultants, responses were received from 61. Palpable abdominal mass was indicated by 72.13% of respondents as the commonest presenting symptom. Concerning the imaging requested, computed tomography was reported by 80...
August 10, 2018: Journal of Pediatric Hematology/oncology
Lidia Mínguez-Alarcón, Audrey J Gaskins, Yu-Han Chiu, Carmen Messerlian, Paige L Williams, Jennifer B Ford, Irene Souter, Russ Hauser, Jorge E Chavarro
STUDY QUESTION: Is self-reported type of underwear worn associated with markers of testicular function among men at a fertility center? SUMMARY ANSWER: Men who reported most frequently wearing boxers had higher sperm concentration and total count, and lower FSH levels, compared to men who did not. WHAT IS KNOWN ALREADY: Elevated scrotal temperatures are known to adversely affect testicular function. However, the epidemiologic literature on type of underwear, as a proxy of scrotal temperature, and male testicular function is inconsistent...
August 8, 2018: Human Reproduction
Emilia Prospero, Sara Galmozzi, Valentina Paris, Gessica Felici, Pamela Barbadoro, Antonella D'Alleva, Gemma Zocco, Andrea Ciavattini
BACKGROUND: Pregnant women are at increased risk of influenza complications. Influenza vaccine provides them a substantial protection. The aim of this study was to investigate determinants associated with non-adherence to influenza vaccine recommendations in pregnant women in Italy. METHODS: A cross-sectional study has been carried out among pregnant women attending their follow-up visit in some mother and child services in a Region of Italy from October 2016 to January 2017...
August 12, 2018: Influenza and Other Respiratory Viruses
Diamanti Antonella, Cereda Emanuele, Capriati Teresa, Giorgio Daniela, Brusco Carla, Liguori Alessandra, Raponi Massimiliano
BACKGROUND: Information on disease-related malnutrition and related outcomes in pediatric patients with chronic diseases in different settings of care is not available. METHODS: Consecutive eligible patients attending the out-patient clinic (n = 177) or admitted to the day-hospital clinic (n = 163) or to hospital (n = 201) were screened for the presence of malnutrition (BMI and/or height/length for age z-scores < -2). We recorded data on emergency care admissions to hospital that occurred during the 3 years before screening and related total days of stay, as well as data on emergency care admissions to hospital occurring within 6 months after screening...
July 27, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Ekaterina Viteva, Zahari Zahariev
OBJECTIVES: The objective of this study is to perform an open, prospective study on various aspects of comparative effectiveness of newer-generation antiepileptic drugs as add-on therapy in Bulgarian patients with drug-resistant epilepsy. METHODS: The study was performed with the participation of 1259 patients with epilepsy who attended the Clinic of Neurology at the University Hospital in Plovdiv, Bulgaria for regular visits and completed diaries about seizure frequency, severity, and adverse events...
August 7, 2018: Epilepsy & Behavior: E&B
Arritxu Etxeberria, Josune Iribar, Rafael Rotaeche, Kalliopi Vrotsou, Iosu Barral
BACKGROUND AND OBJECTIVE: Several interventions have been shown to reduce polypharmacy and potentially inappropriate prescription (PIP). The objective of the study was to evaluate the number of drugs and PIP before and after an educational intervention with the Primary Care physician (PCP), with electronic identification of PIP and structured medication review, in elderly patients with excessive polypharmacy (≥10 drugs). MATERIAL AND METHODS: A before-after intervention study was conducted in the Gipuzkoa district of Osakidetza (Basque Country Health System), in a random sample of patients older than 80 years taking ≥ 10 drugs, and whose PCP attended training sessions...
August 7, 2018: Revista Española de Geriatría y Gerontología
Christopher Imokhuede Esezobor, Patricia Akintan, Uche Nwaogazie, Edna Akinwunmi, Edamisan Temiye, Adebola Akinsulie, Rasheed Gbadegesin
BACKGROUND: No large studies have examined the prevalence of enuresis, its various forms and risk factors in children with sickle cell anaemia (SCA) in Sub-Saharan Africa using standardised definitions. We determined age and gender-specific prevalence of enuresis and compared the nature of enuresis in children with and without SCA. We also identified predictors of enuresis in children with SCA. METHODS: Caregivers of children with SCA attending a tertiary centre haematology clinic in Nigeria were interviewed using a questionnaire...
2018: PloS One
Beatriz Pola-Bibian, Javier Dominguez-Ortega, Gemma Vilà-Nadal, Ana Entrala, Lourdes González-Cavero, Pilar Barranco, Nataly Cancelliere, Mariana Díaz-Almirón, Santiago Quirce
BACKGROUND: Patients with asthma exacerbations and frequent relapses that require admission to the emergency department (ED) often have more severe disease, worse quality of life, and higher use of health care resources. OBJECTIVE: The aim of this study was to identify potential predictors of relapse after patients are treated in an ED for an asthma exacerbation. METHODS: A retrospective, noninterventional cohort study was conducted in adult patients who attended the ED of a tertiary hospital in 2014 for an asthma exacerbation...
July 1, 2018: Allergy and Asthma Proceedings:
Natasha Das, Saurendra Das
Aim: The number of scientific papers published from India each year is low. We tried to determine how often Indian surgeons publish in biomedical journals, challenges preventing them from publishing more often, their awareness of the international guidelines that acknowledge professional medical writing as an ethical service, and their willingness to hire medical writers for their publications. Materials and Methods: A convenience sample of 100 of the surgeons attending a national conference were explained about the survey and asked to complete a survey questionnaire...
July 2018: Perspectives in Clinical Research
Mercè Pascual, Jordi de Batlle, Ferran Barbé, Anabel L Castro-Grattoni, Josep M Auguet, Lydia Pascual, Manel Vilà, Anunciación Cortijo, Manuel Sánchez-de-la-Torre
OBJECTIVES: Obstructive sleep apnea (OSA) is among the least studied risk factors for erectile dysfunction (ED). We aimed to determine ED prevalence in newly-diagnosed OSA patients, describe their main characteristics and assess continuous positive airway pressure (CPAP) effects on ED. METHODS: Cross-sectional study assessing ED prevalence in OSA patients and open-label, parallel, prospective randomized controlled trial evaluating 3-month CPAP treatment effects on sexual function, satisfaction, and psychological, hormonal and biochemical profiles...
2018: PloS One
Anita K Kambhampati, Zachary A Marsh, Michele C Hlavsa, Virginia A Roberts, Antonio R Vieira, Jonathan S Yoder, Aron J Hall
Background: Approximately 14 million children attend more than 14000 US camps every year. Shared accommodations and activities can facilitate acute gastroenteritis (AGE) outbreaks. Methods: We analyzed data from the National Outbreak Reporting System on US youth camp-associated AGE outbreaks that occurred between 2009 and 2016. We also conducted a systematic literature search of youth camp-associated AGE outbreaks that have occurred around the world and a gray literature search for existing recommendations on outbreak prevention and control at camps worldwide...
August 2, 2018: Journal of the Pediatric Infectious Diseases Society
Fausto Roila, Guglielmo Fumi, Benedetta Ruggeri, Andrea Antonuzzo, Carla Ripamonti, Sonia Fatigoni, Luigi Cavanna, Stefania Gori, Alessandra Fabi, Nicola Marzano, Claudio Graiff, Vitaliana De Sanctis, Aurora Mirabile, Samantha Serpentini, Chiara Bocci, Maria Simona Pino, Giuseppina Cilenti, Claudio Verusio, Enzo Ballatori
BACKGROUND: Fatigue is one of the most distressing symptoms of cancer patients. Its characteristics and impact on quality of life have not been fully explored and treatment of cancer-related fatigue in Italian oncological centers has not been codified. METHODS: A cross-sectional study was carried out on all patients attending for any reason the 24 participating centers in two non-consecutive days. Patients with fatigue filled out the Brief Fatigue Inventory (BFI) questionnaire and reported any pharmacological or non-pharmacological treatment for fatigue...
August 6, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
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