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https://www.readbyqxmd.com/read/30112679/inpatient-glycemic-management-of-the-pregnant-patient
#1
REVIEW
Tiffany Yeh, Michele Yeung, Felicia A Mendelsohn Curanaj
PURPOSE OF REVIEW: There is a rising prevalence of type 1 diabetes (T1DM), type 2 diabetes (T2DM), and gestational diabetes (GDM) in pregnancy. Reaching and maintaining glycemic targets during and after this time are important for both the health of the mother and her baby. RECENT FINDINGS: Based on recently published guidelines from various societies, we review the diagnosis of diabetes in pregnancy, types of therapies available to maintain euglycemia, important keys to management of T1DM, T2DM, and GDM, and strategies for reaching inpatient glycemic targets during the peripartum period...
August 15, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/30108054/overdiagnosis-in-primary-care-framing-the-problem-and-finding-solutions
#2
REVIEW
Minal S Kale, Deborah Korenstein
Overdiagnosis, is defined as the diagnosis of a condition that, if unrecognized, would not cause symptoms or harm a patient during his or her lifetime, and it is increasingly acknowledged as a consequence of screening for cancer and other conditions. Because preventive care is a crucial component of primary care, which is delivered to the broad population, overdiagnosis in primary care is an important problem from a public health perspective and has far reaching implications. The scope of overdiagnosis as a result of services delivered in primary care is unclear, though overdiagnosis of indolent breast, prostate, thyroid, and lung cancers is well described and overdiagnosis of chronic kidney disease, depression, and attention-deficit/hyperactivity disorder is also recognized...
August 14, 2018: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/30100923/from-the-small-screen-to-breast-cancer-screening-examining-the-effects-of-a-television-storyline-on-awareness-of-genetic-risk-factors
#3
Erica L Rosenthal, Sandra de Castro Buffington, Galen Cole
Background: The topic of breast cancer genetics entered the public discourse following Angelina Jolie's 2013 announcement that she carries the BRCA1 mutation and underwent a prophylactic double mastectomy to reduce her breast cancer risk. A year prior to Jolie's announcement, the teen drama 90210 ran an eight-episode story arc on the BRCA gene mutations. This study focuses on an evaluation of the impact of this particular media text within the broader context of research on the persuasive effects of entertainment narratives (i...
2018: Journal of Communication in Healthcare
https://www.readbyqxmd.com/read/30099993/-impact-of-beauty-and-well-being-care-assessed-in-a-national-survey-including-1166-individuals
#4
Mahasti Saghatchian, Carole Bouleuc, Catherine Naudet, Sylvie Arnaud, Patrick Papazian, Florian Scotté, Ivan Krakowski
INTRODUCTION: Research has suggested a high level of satisfaction following beauty and well-being care in oncology. We aimed to assess perception of beauty and well-being care in a large sample of patients affected by cancer. METHODS: From June through August, 2017, a physical and online survey was conducted recruiting patients affected by cancer and their relatives. A questionnaire, established in a collaborative manner with healthcare providers and patients, collected general demographic and medical data, awareness and knowledge data, the experience of beauty and well-being care and perceived benefits...
July 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/30098875/factors-associated-with-adherence-to-mammography-screening-among-insured-women-differ-by-income-levels
#5
Wambui Gathirua-Mwangi, Andrea Cohee, Will L Tarver, Andrew Marley, Erika Biederman, Timothy Stump, Patrick Monahan, Susan Rawl, Celette Sugg Skinner, Victoria L Champion
BACKGROUND: Breast cancer is the second leading cause of cancer mortality, yet mammography screening rates remain less than optimal and differ by income levels. The purpose of this study was to compare factors predicting mammography adherence across income groups. METHODS: Women 41 to 75 years of age (N = 1,681) with health insurance and with no mammogram in the last 15 months were enrolled to participate in an interventional study. Binary logistic regression was used to estimate multivariable-adjusted odds ratios (ORs) for demographic and health belief factors predicting mammography adherence for each income group: 1) low, less than $30,000, 2) middle, $30,000 to 75,000, and 3) high, greater than $75,000 per year...
August 8, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/30097040/the-quality-of-life-of-croatian-women-after-mastectomy-a-cross-sectional-single-center-study
#6
Stana Pačarić, Jozo Kristek, Jure Mirat, Goran Kondža, Tajana Turk, Nikolina Farčić, Želimir Orkić, Ana Nemčić
BACKGROUND: Measuring the quality of life (QoL) of women with breast cancer is an important aspect of measuring treatment success. In Croatia, no QoL studies have been carried out with a focus on patients after mastectomy. The aim of this study was to examine QoL 1 month and 1 year after mastectomy. METHODS: This cross-sectional single-center study of quality of life was conducted in 101 patients, 50 of whom had undergone a mastectomy 1 month prior, and 51 of whom had undergone a mastectomy 1 year prior...
August 10, 2018: BMC Public Health
https://www.readbyqxmd.com/read/30095288/breastfeeding-experiences-of-mothers-of-children-with-down-syndrome
#7
Rebeca Barros da Silva, Maria do Céu Barbieri-Figueiredo, Marcia Van Riper
Children with Down syndrome are less likely to be breastfed than typically developing children, and breastfeeding has a lower duration compared to recommendations of the World Health Organization. The aim of this study was to understand the breastfeeding experiences of mothers of children with Down syndrome, including their perceptions of the breastfeeding process and their specific practices. This is a qualitative study with 10 participants, mothers of children aged between 2 months and 9 years. Snowball sampling was used for participants' selection, and semi-structured interviews conducted in participants' households...
August 10, 2018: Comprehensive Child and Adolescent Nursing
https://www.readbyqxmd.com/read/30089949/fnac-versus-cnb-who-wins-the-match-in-breast-lesions
#8
Indranil Chakrabarti
The triple test lies at the heart of preoperative diagnosis of breast lesions. Raised awareness and self-assessment have significantly increased the rate of detection of breast pathologies. The managing clinicians usually decide the imaging and pathological modalities to the best interest of the patients. Core needle biopsy (CNB), cell-block studies, and fine needle aspiration cytology (FNAC) coupled with rapid on-site evaluation (ROSE) have significantly increased the accuracy of preoperative diagnosis. Immunocytochemistry, immunohistochemistry on cell blocks, and other ancillary studies give confidence to the clinicians to decide the best treatment strategies...
July 2018: Journal of Cytology
https://www.readbyqxmd.com/read/30088418/in-vitro-evaluation-of-cytotoxic-activities-of-marketed-herbal-products-in-ghana
#9
Sylvester Languon, Isaac Tuffour, Emmanuel Ekow Quayson, Regina Appiah-Opong, Osbourne Quaye
There are numerous herbal products on the Ghanaian market that are purported to cure various ailments, including cancer. However, scientific investigations on efficacy and toxicity of most of these products are not done. The aim of the study was to assess the anticancer potentials of herbal products on the Ghanaian market. Antiproliferative effects of Kantinka BA (K-BA), Kantinka Herbaltics (K-HER), Centre of Awareness (COA), a stomach (STO) and multicancer (MUT) product were evaluated in vitro using liver (Hep G2), breast (MCF-7), prostate (PC-3 and LNCaP), and blood (Jurkat) cancer cell lines...
January 2018: Journal of evidence-based integrative medicine
https://www.readbyqxmd.com/read/30088226/the-effect-of-counseling-on-breast-cancer-awareness-in-rural-iranian-women-a-randomized-controlled-clinical-trial
#10
Parvin Alizadeh Sabeg, Esmat Mehrabi, Roghaiyeh Nourizadeh, Hamid Poursharifi, Saeed Mousavi
In a community such as Iran where late presentation is predominant and the majority of breast cancer patients are diagnosed at advanced stages of the disease, there is an urgent need for improving the level of awareness about breast cancer and early detection measures. Given that rural residents are at higher risk for late diagnosis of breast cancer because they have less education, income, and access to advanced screening technologies, this study was conducted to determine the effect of counseling on breast cancer awareness of rural Iranian women...
August 7, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/30079361/breast-self-examination-awareness-and-practices-in-young-women-in-developing-countries-a-survey-of-female-students-in-karachi-pakistan
#11
Ayesha Ahmed, Ibrahim Zahid, Zoya Fatima R Ladiwala, Rija Sheikh, Amjad S Memon
BACKGROUND: Breast cancer is a leading cause of deaths worldwide. In Pakistan, one in every nine women develops breast cancer some time in her life. This high incidence of breast cancer and the poor socioeconomic conditions of Pakistan make breast self-examination (BSE) the best tool for the prevention and early diagnosis of breast cancer. Therefore, the aim of the study was to assess the knowledge, attitude, and practice of BSE among female college students of Karachi, Pakistan. METHODS: A cross-sectional study was conducted on 1000 students from June to December 2016...
2018: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/30077363/respiratory-failure-due-to-plant-poisoning-nicotiana-glauca-graham
#12
Yalçınlı Sercan, Kıyan Güçlü Selahattin
BACKGROUND: Cases of human poisoning associated with Nicotiana glauca Graham are quite rare. Patients may consume the plant by mistaking it for spinach or use it as a folk remedy. The toxin stimulates the acetylcholine receptors in the central and autonomic nervous systems. A prompt and appropriate supportive treatment is crucial for survival. CASE REPORT: A 72-year-old female with a known breast cancer was brought to our emergency department (ED) with complaints of nausea and vomiting...
August 1, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30066117/impact-of-practice-facilitation-in-primary-care-on-chronic-disease-care-processes-and-outcomes-a-systematic-review
#13
Andrew Wang, Teresa Pollack, Lauren A Kadziel, Samuel M Ross, Megan McHugh, Neil Jordan, Abel N Kho
BACKGROUND: More than 100 million individuals in the USA have been diagnosed with a chronic disease, yet chronic disease care has remained fragmented and of inconsistent quality. Improving chronic disease management has been challenging for primary care and internal medicine practitioners. Practice facilitation provides a comprehensive approach to chronic disease care. The objective is to evaluate the impact of practice facilitation on chronic disease outcomes in the primary care setting...
July 31, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30051242/understanding-and-practices-of-gynaecologists-related-to-breast-cancer-screening-detection-treatment-and-common-breast-diseases-a-study-from-india
#14
Gitika N Singh, Aastha Agarwal, Vinod Jain, Priti Kumar
BACKGROUND: The knowledge of breast cancer risk factors and screening practices in a community is largely influenced by the practising gynaecologist in that area. We assessed the understanding and knowledge of gynaecologists about breast cancer: screening, risk factors, clinical signs, management and common benign breast diseases. METHODOLOGY: This cross-sectional study was carried out in Uttar Pradesh, India, from April to September 2017. One hundred and fifty-two gynaecologists were assessed using a self-designed and validated questionnaire to assess the knowledge of risk factors, clinical signs, screening practices and management of breast cancer as well as common benign breast diseases...
July 26, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/30050709/malignant-phyllodes-tumor-of-the-breast-with-metastasis-to-the-pancreas-a-case-report-and-review-of-literature
#15
R A Amir, Rola S Rabah, S S Sheikh
Phyllodes tumor (PT) is a rare tumor of the breast accounting for approximately 1% of all breast neoplasms. In 1838, J. Muller coined the term "cystosarcoma phyllodes" based on the leaf-like projections of the tumor extending into the cystic spaces and sarcomatous stromal growth. However, seeing as up to 70% of phyllodes tumors are benign, "cystosarcoma" was removed, and the tumor is now recognized simply as phyllodes tumor. It is mainly seen in females between the ages of 35 and 55. Although most phyllodes tumors are benign, malignant cases do uncommonly occur, 22% of which have distant metastasis typically to the lungs and bones...
2018: Case Reports in Oncological Medicine
https://www.readbyqxmd.com/read/30045213/acog-committee-opinion-no-747-gynecologic-issues-in-children-and-adolescent-cancer-patients-and-survivors
#16
(no author information available yet)
The diagnosis of cancer in females younger than 20 years is rare, with the incidence of 17 cases per 100,000 individuals per year in the United States. Although advancements in cancer therapy have dramatically improved childhood cancer survival, gynecologists should be aware of the increased risk of adverse reproductive health effects from each type of therapy. Cancer and its treatment may have immediate or delayed adverse effects on reproductive health. Gynecologists may be consulted for the following issues: pubertal concerns; menstrual irregularities; heavy menstrual bleeding and anemia; sexuality; contraception; ovarian function, including fertility preservation; breast and cervical cancer screening; hormone therapy; and graft-versus-host disease...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30045207/acog-committee-opinion-no-747-summary-gynecologic-issues-in-children-and-adolescent-cancer-patients-and-survivors
#17
(no author information available yet)
The diagnosis of cancer in females younger than 20 years is rare, with the incidence of 17 cases per 100,000 individuals per year in the United States. Although advancements in cancer therapy have dramatically improved childhood cancer survival, gynecologists should be aware of the increased risk of adverse reproductive health effects from each type of therapy. Cancer and its treatment may have immediate or delayed adverse effects on reproductive health. Gynecologists may be consulted for the following issues: pubertal concerns; menstrual irregularities; heavy menstrual bleeding and anemia; sexuality; contraception; ovarian function, including fertility preservation; breast and cervical cancer screening; hormone therapy; and graft-versus-host disease...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30036236/characteristics-of-state-policies-impact-health-care-delivery-an-analysis-of-mammographic-dense-breast-notification-and-insurance-legislation
#18
Michal Horný, Michael Shwartz, Richard Duszak, Cindy L Christiansen, Alan B Cohen, James F Burgess
BACKGROUND: Increased breast tissue density may mask cancer and thus decrease the diagnostic sensitivity of mammography. A patient group advocacy led to the implementation of laws to increase the awareness of breast tissue density and to improve access to supplemental imaging in many states. Given limited evidence about best practices, variation exists in several characteristics of adopted policies. OBJECTIVE: To identify which characteristics of state-level policies with regard to dense breast tissue were associated with increased use of downstream breast ultrasound...
September 2018: Medical Care
https://www.readbyqxmd.com/read/30034251/evaluation-of-the-snapchat-mobile-social-networking-application-for-breast-cancer-awareness-among-saudi-students-in-the-dammam-region-of-the-kingdom-of-saudi-arabia
#19
Turki M Alanzi, Alanoud Alobrah, Reem Alhumaidi, Shahad Aloraifi
Purpose: The main aim of this study was to investigate the feasibility and the effectiveness of the SnapChat social networking mobile application in increasing the awareness of breast cancer among the Saudi female students in the Dammam region of Saudi Arabia. Patients and methods: An intervention study was carried out with 200 participants divided among 2 groups: a control group and an intervention group. The control group did not receive any awareness materials, and the intervention group received awareness about breast cancer through SnapChat using videos, texts, and pictures...
2018: Breast Cancer: Targets and Therapy
https://www.readbyqxmd.com/read/30033631/unmet-need-for-clinician-engagement-regarding-financial-toxicity-after-diagnosis-of-breast-cancer
#20
Reshma Jagsi, Kevin C Ward, Paul H Abrahamse, Lauren P Wallner, Allison W Kurian, Ann S Hamilton, Steven J Katz, Sarah T Hawley
BACKGROUND: Little is known regarding whether growing awareness of the financial toxicity of a cancer diagnosis and its treatment has increased clinician engagement or changed the needs of current patients. METHODS: The authors surveyed patients with early-stage breast cancer who were identified through population-based sampling from 2 Surveillance, Epidemiology, and End Results (SEER) regions and their physicians. The authors described responses from approximately 73% of surgeons (370 surgeons), 61% of medical oncologists (306 medical oncologists), 67% of radiation oncologists (169 radiation oncologists), and 68% of patients (2502 patients)...
July 23, 2018: Cancer
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