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Age 27

Å Bakke, A T Tran, I Dalen, J G Cooper, K F Løvaas, A K Jenum, T J Berg, T V Madsen, K Nøkleby, B Gjelsvik, T Claudi, S Skeie, S Carlsen, S Sandberg, G Thue
AIMS: To assess population, general practitioner (GP) and practice characteristics associated with the performance of microvascular screening procedures and to propose strategies to improve Type 2 diabetes care. METHODS: A cross-sectional survey in Norway (281 GPs from 77 practices) identified 8246 people with a Type 2 diabetes duration of 1 year or more. We used multilevel regression models with either the recording of at least two of three recommended screening procedures (albuminuria, monofilament, eye examination) or each procedure separately as dependent variable (yes/no), and characteristics related to the person with diabetes, GP or practice as independent variables...
October 21, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
A S Adams, J A Schmittdiel, A Altschuler, E A Bayliss, R Neugebauer, L Ma, W Dyer, J Clark, B Cook, D Willyoung, M Jaffe, J D Young, E Kim, J M Boggs, L Prosser, E Wittenberg, B Callaghan, M Shainline, R M Hippler, R W Grant
AIMS: To evaluate the effectiveness of automated symptom and side effect monitoring on quality of life among individuals with symptomatic diabetic peripheral neuropathy. METHODS: We conducted a pragmatic, cluster randomized controlled trial (July 2014 to July 2016) within a large healthcare system. We randomized 1834 primary care physicians and prospectively recruited from their lists 1270 individuals with neuropathy who were newly prescribed medications for their symptoms...
October 21, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Christina Raae Hansen, Stephen Byrne, Denis O'Mahony, Patricia M Kearney, Laura J Sahm
PURPOSE: Older people are at risk of potentially inappropriate prescribing (PIP) due to polypharmacy arising from multi-morbidity. Despite available explicit criteria to reduce PIP, it is highly prevalent. Whilst community pharmacists have the required knowledge to help reduce PIP, they are not currently engaged with the problem. This study explores the views of community pharmacists on their potential involvement in reducing PIP and determines the challenges to its implementation. METHODS: Semi-structured interviews with pharmacists working in community pharmacies in Ireland...
October 20, 2018: European Journal of Clinical Pharmacology
S Gumina, V Candela, A Castagna, M Carnovale, D Passaretti, T Venditto, G Giannicola, C Villani
PURPOSE: Relationship between shoulder adhesive capsulitis (AC) and hypercholesterolemia is known. The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development of fibrous tissue. We assess whether the presence of the Apo-A1-G75A-polymorphism, which is correlated to an enhanced HDL function, could be a risk factor for the genesis and severity of AC...
October 2018: Musculoskeletal Surgery
Enikő Bóna, Zsuzsanna Szél, Dániel Kiss, V Anna Gyarmathy
AIM: In the present study, we aim to assess the prevalence and certain psychological and other correlates of orthorexic tendencies: health and exercise behaviors and demographic variables among gym attendees in Hungary. METHODS: Altogether, responses of 207 gym attendees who filled out an online questionnaire (03/2017-10/2017) were analyzed. The mean age was 31.9 years; most were female and college educated, and about half resided in the capital city. Frequencies and means were calculated for the sample; and univariate linear regression and ANOVA were carried out...
October 20, 2018: Eating and Weight Disorders: EWD
Grace Kong, Simona Grozinsky-Glasberg, Michael S Hofman, Tim Akhurst, Amichay Meirovitz, Ofra Maimon, Yodphat Krausz, Jeremy Godefroy, Michael Michael, David J Gross, Rodney J Hicks
PURPOSE: Rectal neuroendocrine neoplasia (NEN) is more common than other NEN origins, but is less commonly metastatic. However, when present, distant disease carries a particularly poor prognosis. Evidence guiding optimal treatment of such patients is lacking. We assessed PRRT outcomes in patients with somatostatin receptor (SSTR) positive metastatic rectal NEN from two referral centres. METHODS: Patients treated with PRRT were retrospectively reviewed. Morphologic (RECIST 1...
October 20, 2018: European Journal of Nuclear Medicine and Molecular Imaging
Mario Inacio, Rob Creath, Mark W Rogers
BACKGROUND: Age-related neuromuscular changes in the hip abductor-adductor muscles lead to reduced performance, especially in the rate of force development and power production. These alterations may impair weight transfer control and lateral balance recovery through protective stepping. This study compared the effects of eight weeks of low-dose hip abductor-adductor power and strength training on the performance of isometric maximal voluntary contractions, and lateral balance recovery at different initial weight-bearing conditions in older individuals...
October 13, 2018: Clinical Biomechanics
Marie Semaan, Pierric Mora, Simon Bernard, Franck Launay, Cédric Payan, Philippe Lasaygues, Martine Pithioux, Cécile Baron
The assessment of the anisotropic elastic properties of non-pathological child cortical bone remains a challenge for the biomechanical engineering community and an important clinical issue. Resonant ultrasound spectroscopy (RUS) can be used to determine bone stiffness coefficients from the mechanical resonances of bone specimens. Here, a RUS protocol was used on 7 fibula specimens from children (mean age 14 ± 3 years) to estimate the whole elastic stiffness tensor of non-pathological child cortical bone considered as orthotropic...
October 2, 2018: Journal of the Mechanical Behavior of Biomedical Materials
Lannah L Lua, Heidi E Kosiorek, Megan N Wasson
STUDY OBJECTIVE: Determine the feasibility of oophorectomy at the time of vaginal hysterectomy in patients with pelvic organ prolapse and define prognostic factors and perioperative morbidity associated with the procedure. DESIGN: Retrospective cohort study (Canadian Task Force Classification II-2). SETTING: Academic medical center. PATIENTS: All women who underwent total vaginal hysterectomy for treatment of pelvic organ prolapse over 5 years were considered for inclusion in the study...
October 18, 2018: Journal of Minimally Invasive Gynecology
Cheng-En Hsieh, Robert Kuo-Kuang Lee, Fang-Ju Sun, Ryh-Sheng Li, Shyr-Yeu Lin, Ming-Huei Lin, Yuh-Ming Hwu
OBJECTIVE: The aim of this study was to assess whether the early blastulation (EB) of day 4 embryo is a useful predictor for outcomes in fresh elective single embryo transfer (eSET) cycles. MATERIALS AND METHODS: We retrospectively enrolled patients undergoing fresh SET cycles in our hospital from April 2014 to September 2016 and met with the following criteria: 1) age <38 years, 2) first IVF/ICSI cycle, 3) at least two blastocysts with morphological grading better than or equal to 4BB...
October 2018: Taiwanese Journal of Obstetrics & Gynecology
Li-Jie Xiang, Yan Wang, Guo-Yuan Lu, Qin Huang
OBJECTIVE: Microangiopathy is common after a long duration in type 1 diabetes mellitus (T1DM). Pregnancies with end-age vascular complications are a big challenge to multidisciplinary physicians. The objective of this study was to assess the risk of microangiopathy for adverse pregnancy outcome in T1DM. MATERIALS AND METHODS: PubMed, EMBASE, and Cochrane Library databases were searched for relevant articles appearing in the literature up to October 1, 2017. Analysis of cohort studies were performed with Review Manager 5...
October 2018: Taiwanese Journal of Obstetrics & Gynecology
Binbin Yan, Yingchen Hou, Dong Chen, Jianye He, Yu Jiang
BACKGROUND: Central lymph node metastasis(CLNM) is common in papillary thyroid carcinoma(PTC). LNM is related to local recurrence and adverse prognosis. The extent of prophylactic central lymph node dissection(pCLND) is not well defined. We aim to investigate the prevalence and risk factors for contralateral central lymph node metastasis (CCLNM) in unilateral clinical node-negative (cN0) PTC patients to determine the appropriate extent of pCLND. METHODS: A systematic literature search was performed using PubMed and Embase databases until May 2018...
October 17, 2018: International Journal of Surgery
Mohamed A Hussein, Priscilla Lopez
PURPOSE: To evaluate the effect of perioperative dexamethasone, presumed to reduce edema, on the success rate of nasolacrimal duct obstruction (NLDO) treatment by balloon dacryoplasty. METHODS: The medical records of patients treated for NLDO using balloon dacryoplasty were reviewed retrospectively. Infants with <6 months' follow-up, genetic diseases, prior NLDO surgery, or anomalous nasolacrimal duct system were excluded. Patients either received intravenous dexamethasone perioperatively at a dose of 0...
October 17, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
O Olén, J Askling, M C Sachs, P Frumento, M Neovius, K E Smedby, A Ekbom, P Malmborg, J F Ludvigsson
BACKGROUND & AIMS: Childhood onset inflammatory bowel disease (IBD) is believed to be a more severe disease than adult-onset IBD, but there is little information on all-cause and cause-specific mortality in patients with childhood-onset IBD. We performed a population-based cohort study, with 50 years of follow up, to estimate absolute and relative risks for overall and cause-specific mortality in patients with childhood-onset IBD, during childhood and adulthood. METHODS: We identified children with a diagnosis of IBD (less than 18 years old) in the Swedish nationwide health registers (1964-2014; n=9442) and individuals from the general population matched for sex, age, calendar year, and place of residence (reference group; n=93,180)...
October 17, 2018: Gastroenterology
Nitesh Negi, Jatinder Mokta, Brij Sharma, Rajesh Sharma, Anupam Jhobta, Vishal Bodh, Asha Ranjan
Background: Prospective and population-based studies on the incidence of acute pancreatitis (AP) are lacking. We aimed to determine the incidence, etiology, severity, and outcome of AP. Materials and Methods: This was an observational prospective study done on 123 patients with AP during one year period in IGMC, Hospital Shimla. Detailed Clinical history was recorded and examination and lab investigations were done. Severity of AP was assessed using modified Atlanta classification...
March 2018: Journal of the Association of Physicians of India
Amy K Otto, Emily C Soriano, Scott D Siegel, Stefanie T LoSavio, Jean-Philippe Laurenceau
PURPOSE: The purpose of this study was to determine whether fear of cancer recurrence (FCR) is associated with greater health care utilization (HCU) in early-stage breast cancer survivors. METHODS: Three hundred early-stage breast cancer survivors diagnosed within the past 7 years reported on FCR as well as calls and visits to oncology providers and primary care providers during the preceding 3 months. Participants also reported on use of mental health services and psychotropic medications since diagnosis...
October 19, 2018: Journal of Cancer Survivorship: Research and Practice
Ping Song, Fa-Liang Duan, Qiang Cai, Jing-Lei Wu, Xiao-Bin Chen, Yuan Wang, Cong-Gang Huang, Ji-Qiang Li, Zhu-Qiang He, Qiao-Chun Huang, Mei Liu, Yan-Gao Zhang, Ming Luo
The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventricular hemorrhage (IVH) were explored and compared. From Jan. 2015 to Dec. 2016, the clinical data of 42 cases of IVH were retrospectively analyzed, including 18 patients undergoing endoscopic hematoma evacuation (group A), and 24 patients receiving EVD (group B). The hematoma clearance rate was calculated by 3D Slicer software, and complications and outcomes were compared between the two groups...
October 2018: Current medical science
Xavier Untereiner, Audrey Cagniet, Riccardo Memeo, Zineb Cherkaoui, Tullio Piardi, François Severac, Didier Mutter, Reza Kianmanesh, Taiga Wakabayashi, Daniele Sommacale, Patrick Pessaux
OBJECTIVES: The aim of this study was to compare the results between laparoscopic hepatectomy and open hepatectomy in two French university hospitals, for the management of hepatocellular carcinoma (HCC) using a propensity score matching. MATERIALS AND METHODS: A patient in the laparoscopic surgery group (LA) was randomly matched with another patient in the open approach group (OA) using a 1:1 allocated ratio with the nearest estimated propensity score. Matching criteria included age, presence of comorbidities, American Society of Anesthesiologists score, and resection type (major or minor)...
October 19, 2018: World Journal of Surgery
Justin D Lee, Eric J Kuo, Lin Du, Michael W Yeh, Masha J Livhits
BACKGROUND: Patients with renal hyperparathyroidism (RHPT) are susceptible to major electrolyte fluctuations following parathyroidectomy, which may predispose them to early readmission. The purpose of this study is to evaluate risk factors for readmission in patients undergoing parathyroidectomy for RHPT. METHODS: Patients with renal failure who underwent parathyroidectomy were abstracted from the California Office of Statewide Health Planning and Development (1999-2012)...
October 19, 2018: World Journal of Surgery
Brianna F Moore, Anne P Starling, Sheryl Magzamen, Curtis S Harrod, William B Allshouse, John L Adgate, Brandy M Ringham, Deborah H Glueck, Dana Dabelea
BACKGROUND: Previous studies have modeled the association between fetal exposure to tobacco smoke and body mass index (BMI) growth trajectories, but not the timing of catch-up growth. Research on fetal exposure to maternal secondhand smoking is limited. OBJECTIVES: To explore the associations between fetal exposure to maternal active and secondhand smoking with body composition at birth and BMI growth trajectories through age 3 years. METHODS: We followed 630 mother-child pairs enrolled in the Healthy Start cohort through age 3 years...
October 19, 2018: International Journal of Obesity: Journal of the International Association for the Study of Obesity
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