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R A Doomen, B Aydin, R Kuitert
The aim of this research was to evaluate the efficiency and effectiveness of an orthodontic treatment with clear-aligner systems, specifically with Invisalign®. In addition to a review of the literature, 4 orthodontists and 9 patients treated with fixed orthodontic therapy and Invisalign® were interviewed. The literature showed that it is difficult to correct an extrusion, rotation or overjet with clear aligners. Often 'refinement' (additional intervention during treatment) is necessary to achieve the best possible end result...
October 2018: Nederlands Tijdschrift Voor Tandheelkunde
Malin Ek, Bodil Roth, Peter M Nilsson, Bodil Ohlsson
OBJECTIVES: Endometriosis has been associated with a wide range of factors. The disease share immunological features with autoimmune diseases, and the prevalence of both hypo- and hyperthyroidism has been reported to be increased. However, the associations have to be confirmed and the mechanisms explored. The aim of this observational study was to investigate socioeconomic factors, lifestyle habits, and somatic and mental comorbidities in endometriosis compared to the general population...
October 6, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Aubrey L Carpenter, Donna B Pincus, Jami M Furr, Jonathan S Comer
Progress in evidence-based treatments for child anxiety has been hampered by limited accessibility of quality care. This study utilized a multiple baseline design to evaluate the pilot feasibility, acceptability, and preliminary efficacy of real-time, Internet-delivered, family-based cognitive-behavioral therapy for child anxiety delivered to the home setting via videoconferencing. Participants included 13 anxious youth (mean age = 9.85) with a primary/co-primary anxiety disorder diagnosis. Eleven participants (84...
November 2018: Behavior Therapy
Avani Shah, Martin Morthland, Forrest Scogin, Andrew Presnell, Elizabeth A DiNapoli, Jamie DeCoster, Xin Yang
The purpose of this study was to develop and explore the feasibility of audio-based (ACBT) and computer-based (CCBT) cognitive behavioral therapies for older adults with depressive symptoms. The audio program consisted of 8 compact discs and a workbook while the computer program consisted of 11 modules of similar duration provided on a tablet PC. Both interventions consisted of the following topics: identifying and changing unhelpful thoughts, addressing feelings, relaxation, engaging in pleasant events, assertiveness, and problem-solving...
November 2018: Behavior Therapy
Sandro René P S Miguel, Ana Flávia B S Lima, Luciane N Cruz, Mírian Cohen, Jacques J Zimmermann, Patrícia K Ziegelmann, Marcelo P A Fleck
OBJECTIVES: To evaluate the effectiveness of an algorithm for the treatment of mixed episodes in bipolar disorder (BD) using the medications available under the Unified Health System (Sistema Único de Saúde) in Brazil. METHODS: The study included 107 individuals with BD in a current mixed episode, assessed biweekly for the outcomes of response and remission. The subjects were randomly assigned to start treatment with lithium, valproic acid, or carbamazepine, following a clinical protocol at a public outpatient clinic...
October 10, 2018: Value in Health Regional Issues
Q Alkhubaizi, A Moule, M Al-Sane, J D Sorkin
AIM: To investigate the oral healthcare practices and knowledge of parents and nannies in Kuwait. METHODS: A cross-sectional interview-based survey was carried out on parents and nannies to explore their demographics, oral health care practices and knowledge. Independent t-test was used to assess differences in practice and knowledge between parents and nannies. Multiple linear regression compared practice and knowledge of parents and nannies, adjusting for age, time spent in childcare, national origin, education, governorate of residence and number of other children in the household...
October 12, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Anyie J Li, Nandini Sreenivasan, Umme Ruman Siddiqi, Sanya Tahmina, Kinley Penjor, Ly Sovann, Amila Gunesekera, Jesse D Blanton, Lea Knopf, Terri B Hyde
BACKGROUND: There are approximately 35,000 human deaths from rabies in Asia annually. Rabies can be prevented through timely post-exposure prophylaxis (PEP) consisting of wound washing, rabies vaccine, and in some cases, rabies immunoglobulin (RIG). However, access to rabies PEP often remains limited to urban areas and is cost-prohibitive. There is little information on procurement, distribution, monitoring, and reporting of rabies PEP. METHODS: We interviewed key informants in the public sector from various levels in Bangladesh, Bhutan, Cambodia, and Sri Lanka between March 2017 and May 2018 using a descriptive assessment tool to obtain information on procurement, distribution, monitoring, and reporting of rabies PEP...
October 9, 2018: Vaccine
Clémence Bourély, Nicolas Fortané, Didier Calavas, Agnès Leblond, Émilie Gay
For public health reasons, increasing attention has focused on more rational use of antimicrobials in farm animals. Guidance concerning the prescription of antibiotics and antimicrobial susceptibility testing (antibiograms in this case) are beneficial tools to help control the development of antimicrobial resistance. Nevertheless, even though there are already several qualitative studies analysing the determinants of antimicrobial prescription and use in veterinary medicine, little is known about decision-making concerning the use of antibiograms...
November 1, 2018: Preventive Veterinary Medicine
Susan E Levy, Jennifer A Pinto-Martin, Chyrise B Bradley, Jesse Chittams, Susan L Johnson, Juhi Pandey, Alison Pomykacz, AnnJosette Ramirez, Ann Reynolds, Eric Rubenstein, Laura A Schieve, Stuart K Shapira, Aleda Thompson, Lisa Young, Tanja V E Kral
OBJECTIVE: To assess contributing factors to increased obesity risk, by comparing children with autism spectrum disorder (ASD), developmental delays/disorders, and general population controls in weight status, and to examine associations between weight status and presence of co-occurring medical, behavioral, developmental, or psychiatric conditions across groups and ASD severity among children with ASD. STUDY DESIGN: The Study to Explore Early Development is a multisite cross-sectional study of children, 2-5 years of age, classified as children with ASD (n = 668), children with developmental delays/disorders (n = 914), or general population controls (n = 884)...
October 9, 2018: Journal of Pediatrics
Fredrick Dermawan Purba, Joke A M Hunfeld, Reinier Timman, Aulia Iskandarsyah, Titi Sahidah Fitriana, Sawitri S Sadarjoen, Jan Passchier, Jan J V Busschbach
OBJECTIVES: To explore the test-retest reliability of the composite time trade-off (C-TTO) and discrete choice experiment (DCE) used in the Indonesian five-level EuroQol five-dimensional questionnaire (EQ-5D-5L) valuation study. METHODS: A representative sample aged 17 years and older was recruited from the Indonesian general population by stratified quota sampling with respect to residence, sex, and age. Trained interviewers conducted computer-assisted face-to-face interviews using the EuroQol valuation technology...
October 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Stephen L Brown, Juliet Bell, Richard J Shaw
OBJECTIVE: Greater time that patients take to present symptoms to health care providers (HCPs) increases the likelihood of later stage cancer, which increases mortality and morbidity in symptomatic cancers. The common-sense model (CSM) is used to understand time to first consultation with a healthcare provider, but inconsistencies exisy between its current use and important empirical findings. METHOD: To resolve inconsistencies, we conducted a qualitative examination to determine how the CSM could be revised to better account for these findings...
November 2018: Journal of Psychosomatic Research
Nathalie Moise, Ravi N Shah, Susan Essock, Amy Jones, Jay Carruthers, Margaret A Handley, Lauren Peccoralo, Lloyd Sederer
BACKGROUND: In a large statewide initiative, New York State implemented collaborative care (CC) from 2012 to 2014 in 32 primary care settings where residents were trained and supported its sustainability through payment reforms implemented in 2015. Twenty-six clinics entered the sustainability phase and six opted out, providing an opportunity to examine factors predicting continued CC participation and fidelity. METHODS: We used descriptive statistics to assess implementation metrics in sustaining vs...
October 12, 2018: Implementation Science: IS
Allison Marie Slater, Fatima Estrada, Leticia Suarez-Lopez, Elvia de la Vara-Salazar, Lourdes Campero
BACKGROUND: Studies of user satisfaction with family planning services (FPSs) have been conducted in different countries, and have been employed to identify ways of improving health, reducing costs and implementing reforms. The present work is the first-ever study undertaken in Mexico on the subject. Our objective was to identify how overall user satisfaction with FPSs in Mexico was related to: healthcare logistics, the functional value of services and the quality of interpersonal relations...
October 12, 2018: Reproductive Health
Youn-Jung Son, Kyounghoon Lee, Donald E Morisky, Bo-Hwan Kim
Background : Medication adherence after percutaneous coronary intervention (PCI) is essential to preventing the risk of restenosis. Even though Type D personality and depression have been known to affect medication non-adherence, their combined influence on PCI patients remains unclear. Aim : We aimed to identify how both Type D personality and depression were associated with medication non-adherence for 3 months after successful PCI. Methods : This prospective cohort study included 257 PCI patients, who took 3 or more cardiac medications, at a university hospital...
October 11, 2018: International Journal of Environmental Research and Public Health
N A Karoli, A V Borodkin, N A Kosheleva, A P Rebrov
AIM: To identify markers of adverse outcomes in patients with a combination of chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). MATERIALS AND METHODS: 35 patients with COPD (without an anamnesis of coronary heart disease), 68 patients with COPD and CHF, 28 patients with CHF of ischemic genesis who were on treatment at the State Regional Clinical Hospital of Saratov were examined. The levels of the N-terminal fragment of the natriuretic peptide, galectin-3, the highly sensitive C-reactive protein, the proteins that bind fatty acids, the stiffness parameters of the arterial wall were determined; echocardiography was performed, calculated the index of comorbidity of Charlson...
2018: Kardiologiia
Caroline Bradbury-Jones, Peter Ogik, Jane Betts, Julie Taylor, Patricia Lund
Albinism includes a group of inherited conditions that result in reduced melanin production. It has been documented across the world, with a high frequency in sub-Saharan Africa. There is very little published research about the lives of people with albinism, but available evidence shows that myths abound regarding their condition. They are feared, viewed with suspicion and believed to have supernatural powers. In this study we explored the links between beliefs, myths, traditions and positive/negative attitudes that surround people with albinism in Uganda...
2018: PloS One
Casey Walsh, Jennifer Currin-McCulloch, Pamela Simon, Brad Zebrack, Barbara Jones
PURPOSE: This study was designed to identify and explore the social support needs and preferences of young adult cancer patients during the transition process from active treatment to survivorship care. METHODS: Semi-structured qualitative interviews were conducted with study participants (n = 13, ages 17-25 at the time of cancer diagnosis) within ∼6 months of completion of active treatment and again 3 months later. Participants completed a sociodemographic questionnaire at the first study visit...
October 12, 2018: Journal of Adolescent and Young Adult Oncology
Veronica Decker, Alla Sikorskii, Charles W Given, Barbara A Given, Eric Vachon, John C Krauss
OBJECTIVE: This manuscript assesses association between depressive symptoms and symptoms from cancer and its treatment during the first 12 weeks of a new oral oncolytic treatment. METHODS: This secondary analysis used data from a recently completed trial of an intervention to improve adherence to oral oncolytic treatment and manage symptoms. Following the initiation of the new oral oncolytic medication, 272 patients were interviewed at intake and weeks 4, 8, and 12 to assess depressive symptoms, and symptoms from cancer and its treatment...
October 12, 2018: Psycho-oncology
Karyn Fulcher, Leah Shumka, Eric Roth, Nathan Lachowsky
From a health perspective, group sex parties represent risk environments, as multiple sexual partners and polysubstance use associated with these parties may present risk practices for sexually transmitted infection (STI) transmission. At the same time, group sex parties exemplify sex as recreation, expressed in contemporary sociological theory as sex as leisure or play. In this paper, we report on the findings of an exploratory qualitative study conducted with group sex party attendees and hosts/organisers in a mid-sized Canadian city...
October 12, 2018: Culture, Health & Sexuality
Angela R Bazzi, Dea L Biancarelli, Ellen Childs, Mari-Lynn Drainoni, Alberto Edeza, Peter Salhaney, Matthew J Mimiaga, Katie B Biello
People who inject drugs (PWID) experience sexual and injection-related HIV risks, but uptake of pre-exposure prophylaxis (PrEP) for HIV prevention among PWID has been low. Improving PrEP uptake in this population will require understanding of PrEP knowledge and interest. In 2017, we conducted in-depth, semistructured interviews with HIV-uninfected PWID and key informants (PrEP and harm reduction providers) in the US Northeast. Thematic analysis of coded data explored PrEP knowledge and the factors that influence PrEP interest...
October 11, 2018: AIDS Patient Care and STDs
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