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https://www.readbyqxmd.com/read/30540411/screening-prevention-and-management-of-osteoporosis-among-canadian-adults
#1
Siobhan O'Donnell
INTRODUCTION: This study provides a benchmark for the nationwide use of osteoporosis screening, prevention and management strategies among Canadians aged 40 years and older (40+) using data collected one year prior to the release of Osteoporosis Canada's latest (2010) clinical practice guidelines. METHODS: Data are from the 2009 Canadian Community Health Survey-Osteoporosis Rapid Response Component. The study sample (n = 5704) was divided into four risk subgroups: (1) osteoporosis diagnosis and major fracture; (2) osteoporosis diagnosis only; (3) major fracture only; or (4) neither osteoporosis diagnosis nor major fracture...
December 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/30537367/long-term-consequences-of-the-chernobyl-radioactive-fallout-an-exploration-of-the-aggregate-data
#2
Francesca Marino, Luca Nunziata
Policy Points Policymakers should invest more on researching the long-term health effects of low-ionizing radiation exposure, as we are far from reaching a consensus on a topic that is of enormous importance for public health and safety. Public policies such as those limiting the import of contaminated food from areas hit by a radioactive disaster or those regulating the resident population's access to such areas should follow a precautionary approach. Neoplasm diagnosis and medical care should be designed in order to take into account the possible role of long-term, low-dose radiation exposure...
December 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/30532561/molecular-detection-of-vana-and-vanb-genes-among-vancomycin-resistant-enterococci-in-icu-hospitalized-patients-in-ahvaz-in-southwest-of-iran
#3
Mojtaba Moosavian, Hosein Ghadri, Zahra Samli
Objective: Nosocomial infections due to vancomycin-resistant enterococci (VRE) are known as a source of spreading these bacteria. The aim of this prospective study was molecular detection of vanA and vanB genes among VRE isolated from patients admitted to intensive care units (ICUs) in Ahvaz in southwest of Iran. Materials and methods: Overall, 243 non-duplicate rectal swab specimens were collected from ICU-hospitalized patients in teaching hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences, Iran...
2018: Infection and Drug Resistance
https://www.readbyqxmd.com/read/30531955/non-gvhd-ocular-complications-after-hematopoietic-cell-transplantation-expert-review-from-the-late-effects-and-quality-of-life-working-committee-of-the-cibmtr-and-transplant-complications-working-party-of-the-ebmt
#4
REVIEW
Yoshihiro Inamoto, Igor Petriček, Linda Burns, Saurabh Chhabra, Zack DeFilipp, Peiman Hematti, Alicia Rovó, Raquel Schears, Ami Shah, Vaibhav Agrawal, Aisha Ahmed, Ibrahim Ahmed, Asim Ali, Mahmoud Aljurf, Hassan Alkhateeb, Amer Beitinjaneh, Neel Bhatt, Dave Buchbinder, Michael Byrne, Natalie Callander, Kristina Fahnehjelm, Nosha Farhadfar, Robert Peter Gale, Siddhartha Ganguly, Gerhard C Hildebrandt, Erich Horn, Ann Jakubowski, Rammurti T Kamble, Jason Law, Catherine Lee, Sunita Nathan, Olaf Penack, Ravi Pingali, Pinki Prasad, Drazen Pulanic, Seth Rotz, Aditya Shreenivas, Amir Steinberg, Khalid Tabbara, André Tichelli, Baldeep Wirk, Jean Yared, Grzegorz W Basak, Minoo Battiwalla, Rafael Duarte, Bipin N Savani, Mary E D Flowers, Bronwen E Shaw, Nuria Valdés-Sanz
Non-graft-vs.-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation...
December 7, 2018: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/30530720/prescribing-and-testing-by-primary-care-providers-to-assess-adherence-to-the-choosing-wisely-canada-recommendations-a-retrospective-cohort-study
#5
Alexander Singer, Leanne Kosowan, Alan Katz, Kheira Jolin-Dahel, Karen Appel, Lisa M Lix
BACKGROUND: Choosing Wisely Canada is an initiative to reduce overprescribing and overtesting. This study assessed adherence to 4 Choosing Wisely Canada recommendations for interventions commonly performed in primary care: (a) antibiotic prescriptions for infections that are probably viral in origin, (b) routine vitamin D tests in low-risk adults, (c) annual screening blood tests and (d) prescriptions of antipsychotic medication to treat symptoms of dementia. METHODS: We conducted a retrospective cohort study of data from the electronic medical records of patients who had an encounter between 2014 and 2016 with a participating Manitoba Primary Care Research Network primary care provider in Manitoba, Canada...
October 2018: CMAJ Open
https://www.readbyqxmd.com/read/30530458/development-and-validation-of-a-diabetic-retinopathy-screening-modality-using-a-hand-held-nonmydriatic-digital-retinal-camera-by-physician-graders-at-a-tertiary-level-medical-clinic-protocol-for-a-validation-study
#6
Mapa Mudiyanselage Prabhath Nishantha Piyasena, Venkata S Murthy Gudlavalleti, Clare Gilbert, Jennifer Ly Yip, Tunde Peto, David MacLeod, Charith Fonseka, Aruna Kulatunga, Bgwmkcb Bandutilake, Mangala Dhanapala, Lalani Pathirana, Heshani Dissanayake
BACKGROUND: Visual impairment and blindness from diabetic retinopathy (DR), which can be reduced by early screening and treatment, is an emerging public health concern in low-income and middle-income countries (LMICs) owing to the increasing prevalence of diabetes mellitus (DM). However, no systematic screening exists in most LMIC settings. The Western province of Sri Lanka has the highest prevalence of DM (18.6%) in the country. A situational analysis identified a marked gap in DR screening (DRS) and treatment services uptake in this region; only opportunistic screening is practiced currently...
December 10, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/30526544/lung-cancer-screening-assessment-of-health-literacy-and-readability-of-online-educational-resources
#7
Kevin Haas, Christie Brillante, Lisa Sharp, Ahmed K Elzokaky, Mary Pasquinelli, Lawrence Feldman, Kevin L Kovitz, Min Joo
BACKGROUND: Lung cancer screening can reduce mortality but can be a complex, multi-step process. Poor health literacy is associated with unfavorable outcomes and decreased use of preventative services, so it is important to address barriers to care through efficient and practical education. The readability of lung cancer screening materials for patients is unknown and may not be at the recommended 6th grade reading level set by the American Medical Association. Our goals were to: (1) measure the health literacy of a lung cancer screening population from an urban academic medical center, and (2) examine the readability of online educational materials for lung cancer screening...
December 7, 2018: BMC Public Health
https://www.readbyqxmd.com/read/30521975/non-gvhd-ocular-complications-after-hematopoietic-cell-transplantation-expert-review-from-the-late-effects-and-quality-of-life-working-committee-of-the-cibmtr-and-transplant-complications-working-party-of-the-ebmt
#8
REVIEW
Yoshihiro Inamoto, Igor Petriček, Linda Burns, Saurabh Chhabra, Zack DeFilipp, Peiman Hematti, Alicia Rovó, Raquel Schears, Ami Shah, Vaibhav Agrawal, Aisha Ahmed, Ibrahim Ahmed, Asim Ali, Mahmoud Aljurf, Hassan Alkhateeb, Amer Beitinjaneh, Neel Bhatt, Dave Buchbinder, Michael Byrne, Natalie Callander, Kristina Fahnehjelm, Nosha Farhadfar, Robert Peter Gale, Siddhartha Ganguly, Gerhard C Hildebrandt, Erich Horn, Ann Jakubowski, Rammurti T Kamble, Jason Law, Catherine Lee, Sunita Nathan, Olaf Penack, Ravi Pingali, Pinki Prasad, Drazen Pulanic, Seth Rotz, Aditya Shreenivas, Amir Steinberg, Khalid Tabbara, André Tichelli, Baldeep Wirk, Jean Yared, Grzegorz W Basak, Minoo Battiwalla, Rafael Duarte, Bipin N Savani, Mary Ed Flowers, Bronwen E Shaw, Nuria Valdés-Sanz
Non-graft-versus-host disease (non-GVHD) ocular complications are generally uncommon after hematopoietic cell transplantation (HCT), but can cause prolonged morbidity affecting activities of daily living and quality of life. Here we provide an expert review of non-GVHD ocular complications in a collaboration between transplant physicians and ophthalmologists through the Late Effects and Quality of Life Working Committee of the Center for International Blood and Marrow Transplant Research and the Transplant Complications Working Party of the European Society of Blood and Marrow Transplantation...
December 3, 2018: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/30516809/prevention-and-treatment-of-opioid-misuse-and-addiction-a-review
#9
Nora D Volkow, Emily B Jones, Emily B Einstein, Eric M Wargo
Importance: More than 42 000 Americans died of opioid overdoses in 2016, and the fatalities continue to increase. This review analyzes the factors that triggered the opioid crisis and its further evolution, along with the interventions to manage and prevent opioid use disorder (OUD), which are fundamental for curtailing the opioid crisis. Observations: Opioid drugs are among the most powerful analgesics but also among the most addictive. The current opioid crisis, initially triggered by overprescription of opioid analgesics, which facilitated their diversion and misuse, has now expanded to heroin and illicit synthetic opioids (fentanyl and its analogues), the potency of which further increases their addictiveness and lethality...
December 5, 2018: JAMA Psychiatry
https://www.readbyqxmd.com/read/30516445/screening-of-healthcare-workers-for-latent-tuberculosis-infection-in-the-low-tuberculosis-burden-country-quantiferon-tb-gold-in-tube-test-or-tuberculin-skin-test
#10
Sepideh Keshavarz Valian, Shima Mahmoudi, Babak Pourakbari, Mohammad Reza Abdolsalehi, Hamid Eshaghi, Setareh Mamishi
Healthcare workers (HCWs) are an important group at increased risk for exposure to various infectious agents including Mycobacterium tuberculosis. Unfortunately, there is very limited data on the prevalence of latent tuberculosis infection (LTBI) among HCWs in Iran. The aim of this study was to analyze the prevalence of LTBI among HCW's of Children Medical Center (CMC), an Iranian referral hospital, and to compare the feasibility of using tuberculin skin test (TST) and QuantiFERON-TB gold in tube test (QFT-GIT) to screen the LTBI among this population...
December 5, 2018: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/30511516/adverse-events-identified-by-the-global-trigger-tool-at-a-university-hospital-a-retrospective-medical-record-review
#11
Qiaozhi Hu, Bin Wu, Mei Zhan, Weiguo Jia, Yimei Huang, Ting Xu
OBJECTIVES: The purpose of this study was to describe the level, preventability and categories of adverse events (AEs) in Chinese geriatric patients identified by medical record review using the Global Trigger Tool. The applicability of the GTT was also assessed to explore possible modifications for trigger tools. METHODS: The study was conducted at a 4300-bed tertiary teaching hospital. Twenty randomly-selected medical records for patients over 60 were reviewed every 2 weeks from January 1 2015 to December 31st, 2015...
December 3, 2018: Journal of Evidence-based Medicine
https://www.readbyqxmd.com/read/30510428/noncardiac-lebanese-hospitalized-adult-patients-awareness-of-their-coronary-artery-disease-risk-factors
#12
Fatima Ghaddar, Pascale Salameh, Nadine Saleh, Firas Farhat, Ramez Chahine, Nathalie Lahoud, Mira Hleyhel, Rouba K Zeidan
Background: Noncommunicable diseases are the leading cause of death in Lebanon, with cardiovascular diseases accounting for almost half of the annual deaths. Purpose: We aimed to determine awareness of noncardiac Lebanese hospitalized patients for their coronary artery disease risk factors, their level of adherence to medications or lifestyle modifications, and assess factors associated with awareness. Materials and methods: A cross-sectional study was conducted in 14 hospitals with a total of 382 patients...
2018: Vascular Health and Risk Management
https://www.readbyqxmd.com/read/30507767/successfully-changing-a-state-s-climate-to-increase-blood-lead-level-testing
#13
Gail Coppins Gettens, Beverly Baer Drouin
Childhood lead poisoning continues to be a persistent environmental pediatric health problem in New Hampshire (NH). In 2015, 660 (4.9%) children younger than 6 years had blood lead levels of 5 µg/dL or more, the Centers for Disease Control and Prevention's recommended level for public health action. Yet, only 16.8% of NH children younger than 6 years were tested. NH's Healthy Homes and Lead Poisoning Prevention Program (HHLPPP) identified 2 barriers to blood lead testing and the opportunities to resolve them: (1) venous testing had lower compliance and resulted in costly follow-up time for providers and (2) lack of understanding in the medical community about the importance of blood lead testing...
January 2019: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/30501993/magnesium-sulphate-replacement-therapy-in-cardiac-surgery-patients-a-systematic-review
#14
REVIEW
Rebecca M Jedwab, Alison M Hutchinson, Bernice Redley
OBJECTIVE: The objective of this review was to identify evidence to inform clinical practice guidelines for magnesium sulphate (MgSO4 ) replacement therapy for postoperative cardiac surgery patients. DATA SOURCES: Three databases were systematically searched: CINAHL Complete, MEDLINE Complete, and EmBase. REVIEW METHOD USED: A systematic literature review method was used to locate, appraise, and synthesise available evidence for each step of the medication management cycle (indication, prescription, preparation, administration, and monitoring) for MgSO4 replacement therapy...
November 27, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30501624/clinical-and-other-specialty-services-offered-by-pharmacists-in-the-community-the-international-arena-and-israel
#15
Eyal Schwartzberg, Joseph P Nathan, Sivan Avron, Eli Marom
The community pharmacy setting is a venue that is readily accessible to the public. In addition, it is staffed by a pharmacist, who is a healthcare provider, trained and capable of delivering comprehensive pharmaceutical care. As such, community pharmacists have a colossal opportunity to serve as key contributors to patients' health by ensuring appropriate use of medications, preventing medication misadventures, identifying drug-therapy needs, as well as by being involved in disease management, screening, and prevention programs...
December 1, 2018: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/30499824/maternal-prenatal-screening-and-serologies
#16
Timothy M Snow, Melissa Coble
BACKGROUND: Maternal prenatal screening is essential in preventing pregnancy complications as well as preventing and/or predicting neonatal and infant medical issues after delivery that are due to certain communicable diseases. PURPOSE: This article is aimed at gathering and presenting the most recent information regarding the most common prenatal screening laboratory studies and the implications with the various diseases. METHODS/SEARCH STRATEGY: An extensive medical database search was performed and the most relevant medical texts regarding the subject of prenatal screening were obtained...
December 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30499488/-a-clinical-and-genetic-study-of-impulsive-compulsive-disorders-in-patients-with-parkinson-s-disease
#17
N N Shipilova, N V Titova, Z G Kokaeva, A S Fedosova, E A Klimov, E A Katunina
AIM: To evaluate the frequency and spectrum of impulsive-compulsive disorders (ICDs) in patients with Parkinson's disease (PD) without dopaminergic medication and among patients receiving dopaminergic replacement therapy, depending on personality type, genetic factors, and to determine the influence of ICDs on the development of other non-motor manifestations of the disease. MATERIAL AND METHODS: Three hundred and eighty-six consecutive patients with idiopathic PD, including untreated patients with PD (de novo) and patients receiving dopaminergic replacement therapy during one year, were examined...
2018: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/30498306/assessment-of-knowledge-attitude-and-practices-toward-prevention-of-hepatitis-b-infection-among-medical-students-in-a-high-risk-setting-of-a-newly-established-medical-institution
#18
Akanksha Rathi, Vikas Kumar, Jitendra Majhi, Shalini Jain, Panna Lal, Satyavir Singh
BACKGROUND: India is in the intermediate hepatitis B virus endemicity zone with hepatitis B surface antigen prevalence among the general population ranges from 2% to 8%. Among health-care workers, seroprevalence is two to four times higher than that of the general population. AIM: The aim of the study was done to assess the knowledge, attitude, and practices (KAPs) of medical students regarding hepatitis B. MATERIALS AND METHODS: This is a cross-sectional study that was conducted from March to April 2018...
October 2018: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/30497102/study-design-process-and-outcome-indicators-of-post-authorization-studies-aiming-at-evaluating-the-effectiveness-of-risk-minimization-measures-in-the-eu-pas-register
#19
REVIEW
Andreea Farcas, Madalina Huruba, Cristina Mogoșan
Risk minimization measures (RMMs) represent an essential tool for preventing the occurrence of safety related outcomes. RMMs effectiveness evaluation is essential to prove their success and protection of public health. The aim of this qualitative review was to assess the design, process and outcome indicators used for attesting successful implementation of RMMs. We searched the EU Post-Authorization Studies Register until June 30, 2018, for studies having the scope defined as 'effectiveness evaluation'. Study titles and objectives were screened to select the ones evaluating the effectiveness of RMMs...
November 29, 2018: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/30497094/glove-change-to-reduce-the-risk-of-surgical-site-infection-or-prosthetic-joint-infection-in-arthroplasty-surgeries-a-systematic-review
#20
REVIEW
Katy Kim, Mark Zhu, Jacob T Munro, Simon W Young
BACKGROUND: Microbiological contamination of surgical gloves occurs during surgery, which may warrant glove change during orthopaedic surgeries. However, no systematic review of this topic has previously been published. Therefore, this review evaluated whether changing gloves during arthroplasty surgeries reduces the risk of surgical site infection/prosthetic joint infection (SSI/PJI) and the optimal frequency of glove change. METHODS: Search terms such as surgical gloves, surgical site infections, prosthesis-related infections, arthroplasty were used, including Medical Subject Headings terms...
November 29, 2018: ANZ Journal of Surgery
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