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https://www.readbyqxmd.com/read/27909541/validation-of-the-has-bled-tool-in-atrial-fibrillation-patients-receiving-rivaroxaban
#1
Gorman Ew, Perkel D, Dennis D, Yates J, Heidel Re, Wortham D
Background: Atrial fibrillation (Afib) patients are at an increased risk of stroke. Patients at moderate to high risk of stroke typically receive antithrombotics, placing them at an increased risk of bleeding. The HAS-BLED tool has been validated in Afib patients receiving warfarin for prediction of major bleeding events. Although HAS-BLED has been researched in patients receiving warfarin, this tool has not been validated with the novel anticoagulant rivaroxaban. Methods: The trial design was retrospective case-control approved by the Institutional Review Board at University of Tennessee Medical Center...
August 2016: Journal of Atrial Fibrillation
https://www.readbyqxmd.com/read/27903080/inter-pregnancy-interval-and-adverse-outcomes-evidence-for-an-additional-risk-in-health-disparate-populations
#2
Shyama Appareddy, Jason Pryor, Beth Bailey
OBJECTIVE: Short interpregnancy interval (IPI), <18 months between pregnancies, is a potential cause of adverse delivery and birth outcomes, and may be a particular issue among those with other risks. Our goal was to examine IPI and delivery/infant complications in Tennessee. METHODS: Birth certificate/vital records data included 101,912 women with a previous delivery. IPI groups (<6, 6-12, 12-18, 18-60 months) were compared on outcomes. RESULTS: Thirty-nine percent of the deliveries had IPI <18 months, 9% were <6 months, rates 11% and 27% higher than nationally...
December 1, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27899846/board-of-directors-meeting-april-1-2016-nashville-tennessee
#3
(no author information available yet)
No abstract text is available yet for this article.
October 25, 2016: American Journal of Pharmaceutical Education
https://www.readbyqxmd.com/read/27894700/using-the-expected-detection-delay-to-assess-the-performance-of-different-multivariate-statistical-process-monitoring-methods-for-multiplicative-and-drift-faults
#4
Kai Zhang, Yuri A W Shardt, Zhiwen Chen, Kaixiang Peng
Using the expected detection delay (EDD) index to measure the performance of multivariate statistical process monitoring (MSPM) methods for constant additive faults have been recently developed. This paper, based on a statistical investigation of the T(2)- and Q-test statistics, extends the EDD index to the multiplicative and drift fault cases. As well, it is used to assess the performance of common MSPM methods that adopt these two test statistics. Based on how to use the measurement space, these methods can be divided into two groups, those which consider the complete measurement space, for example, principal component analysis-based methods, and those which only consider some subspace that reflects changes in key performance indicators, such as partial least squares-based methods...
November 25, 2016: ISA Transactions
https://www.readbyqxmd.com/read/27890344/community-level-moderators-of-a-school-based-childhood-sexual-assault-prevention-program
#5
Matthew C Morris, Chrystyna D Kouros, Kim Janecek, Rachel Freeman, Alyssa Mielock, Judy Garber
Childhood sexual abuse (CSA) is highly prevalent and associated with a wide variety of negative mental and physical health outcomes. School-based CSA education and prevention programs have shown promise, but it is unclear to what extent community-level characteristics are related to their effectiveness. The present cluster randomized controlled trial evaluated community-level moderators of the Safe@Lastprogramcomparedtoawaitlistcontrolcondition.(*) Knowledge gains from pre- to post-intervention were assessed in 5 domains: safe versus unsafe people; safe choices; problem-solving; clear disclosure; and assertiveness...
November 24, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27882051/glycated-hemoglobin-levels-in-patients-with-decompensated-cirrhosis
#6
Jeffrey Nadelson, Sanjaya K Satapathy, Satheesh Nair
Introduction. Aim of this study is to determine if HbA1c levels are a reliable predictor of glycemic control in patients with decompensated cirrhosis. Methods. 200 unique patients referred for liver transplantation at University of Tennessee/Methodist University Transplant Institute with a HbA1c result were included. Three glucose levels prior to the "measured" A1c (MA1c) were input into an HbA1c calculator from the American Diabetes Association website to determine the "calculated" A1c (CA1c). The differences between MA1c and CA1c levels were computed...
2016: International Journal of Endocrinology
https://www.readbyqxmd.com/read/27881692/monitoring-of-urate-lowering-therapy-among-us-veterans-following-the-2012-american-college-of-rheumatology-guidelines-for-management-of-gout
#7
Jonathan C Hughes, Jessica L Wallace, Candace L Bryant, Brent E Salvig, T Neal Fourakre, William J Stone
BACKGROUND: With the prevalence of and hospitalizations for gout increasing, optimizing care for patients with gout is imperative. The 2012 American College of Rheumatology gout guidelines emphasize that timely monitoring is key to achieving serum urate (SUA) goals. Few studies have examined this metric following the 2012 update, and to our knowledge, none have examined a veteran population. OBJECTIVE: To evaluate adherence to urate-lowering therapy (ULT) monitoring guidelines in a veteran population...
November 22, 2016: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/27874910/short-versus-long-cephalomedullary-nails-for-pertrochanteric-hip-fracture
#8
Nicholas B Frisch, Nickolas J Nahm, Jad G Khalil, Clifford M Les, Stuart T Guthrie, Michael A Charters
This study compared patients who underwent treatment with short or long cephalomedullary nails with integrated cephalocervical screws and linear compression. Patients with AO/OTA 31-A2 or A3 pertrochanteric fractures treated with either short (n=72) or long (n=97) InterTAN (Smith & Nephew, Memphis, Tennessee) cephalomedullary nails were reviewed. Information on perioperative measures (estimated blood loss, surgical time, and fluoroscopy time) and postoperative orthopedic complications (infection, implant failure, screw cutout, and periprosthetic femur fracture) was included...
November 22, 2016: Orthopedics
https://www.readbyqxmd.com/read/27868166/the-use-of-e-cigarettes-among-school-going-adolescents-in-a-predominantly-rural-environment-of-central-appalachia
#9
Daniel Owusu, Jocelyn Aibangbee, Candice Collins, Crystal Robertson, Liang Wang, Mary A Littleton, Rafie Boghozian, Vicki Casenburg, Hadii M Mamudu
E-cigarette use among youth in the United States (U.S.) continues to increase. In the rural Northeast Tennessee, where prevalence of tobacco use is higher than national and state averages, there is no literature on e-cigarette use to inform policies and programs. This study aimed to estimate the prevalence of e-cigarette use and examine association of e-cigarette use with two tobacco products among school-going adolescents. Data from 894 participants of a school-based survey conducted in 2016 in Northeast Tennessee were analyzed...
November 21, 2016: Journal of Community Health
https://www.readbyqxmd.com/read/27852814/spontaneous-proliferative-and-neoplastic-lesions-in-thyroid-and-parathyroid-glands-of-nondomestic-felids
#10
Jenny P Pope, James Steeil, Edward C Ramsay, Danielle Reel, Shelley J Newman
Based on microscopic and immunohistochemical characterization, we documented spontaneous proliferative and neoplastic lesions in the thyroid and parathyroid glands of nondomestic felids. Ten animals (4 leopards, 3 tigers, and 3 cougars), all with a previous diagnosis of thyroid neoplasia were identified from the University of Tennessee College of Veterinary Medicine database. The mean age of affected animals was 15.9 y. Twelve neoplasms were identified; 2 animals had 2 concurrent neoplasms. After immunohistochemical characterization using a panel of chromogranin A, thyroglobulin, and calcitonin, 7 of the former thyroid neoplasms were diagnosed as thyroid adenomas, 1 was diagnosed as a thyroid carcinoma, and 4 were diagnosed as parathyroid adenomas...
November 15, 2016: Journal of Veterinary Diagnostic Investigation
https://www.readbyqxmd.com/read/27852795/modifiable-lifestyle-factors-associated-with-risk-of-sessile-serrated-polyps-conventional-adenomas-and-hyperplastic-polyps
#11
James R Davenport, Timothy Su, Zhiguo Zhao, Helen G Coleman, Walter E Smalley, Reid M Ness, Wei Zheng, Martha J Shrubsole
OBJECTIVE: To identify modifiable factors associated with sessile serrated polyps (SSPs) and compare the association of these factors with conventional adenomas (ADs) and hyperplastic polyps (HPs). DESIGN: We used data from the Tennessee Colorectal Polyp Study, a colonoscopy-based case-control study. Included were 214 SSP cases, 1779 AD cases, 560 HP cases and 3851 polyp-free controls. RESULTS: Cigarette smoking was associated with increased risk for all polyps and was stronger for SSPs than for ADs (OR 1...
November 15, 2016: Gut
https://www.readbyqxmd.com/read/27848110/changing-agricultural-practices-potential-consequences-to-aquatic-organisms
#12
Peter J Lasier, Matthew L Urich, Sayed M Hassan, Whitney N Jacobs, Robert B Bringolf, Kathleen M Owens
Agricultural practices pose threats to biotic diversity in freshwater systems with increasing use of glyphosate-based herbicides for weed control and animal waste for soil amendment becoming common in many regions. Over the past two decades, these particular agricultural trends have corresponded with marked declines in populations of fish and mussel species in the Upper Conasauga River watershed in Georgia/Tennessee, USA. To investigate the potential role of agriculture in the population declines, surface waters and sediments throughout the basin were tested for toxicity and analyzed for glyphosate, metals, nutrients, and steroid hormones...
December 0: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/27845157/strategic-and-integrated-planning-for-healthy-connected-cities-chattanooga-case-study
#13
Holly Elwell, Bianca Shulaker, Jasmin Rippon, Rick Wood
The United States is facing unprecedented health challenges - such as obesity and cardiovascular disease - many of which are related to a lack of or insufficient physical activity. Maintaining or creating parks and other public recreation facilities that promote physical activity is particularly important for combating these. This brief describes a strategic planning initiative, known as "Healthy, Connected Chattanooga." The City of Chattanooga, Tennessee, partnered with The Trust for Public Land, a national nonprofit organization, to analyze the city for physical activity opportunities and identify areas where interventions were of highest need...
November 11, 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27831548/a-novel-more-efficient-staged-approach-for-critical-congenital-heart-disease-screening
#14
J Mouledoux, S Guerra, J Ballweg, Y Li, W Walsh
OBJECTIVE: Screening for critical congenital heart disease (CCHD) using pulse oximetry has been endorsed by the American Academy of Pediatrics and the American Heart Association. The recommended screening requires two saturation readings. We sought to determine the incidence of undetected CCHD in Tennessee for the 2 years following implementation of an algorithm that assigned an immediate pass to a single lower extremity saturation of 97% or higher. STUDY DESIGN: State Genetic Screening records and reports of missed cases from the Tennessee Initiative for Perinatal Quality Care were used to determine if CCHD cases were missed by the new screening algorithm...
November 10, 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27816884/authentication-of-whisky-due-to-its-botanical-origin-and-way-of-production-by-instrumental-analysis-and-multivariate-classification-methods
#15
Paulina Wiśniewska, Ricard Boqué, Eva Borràs, Olga Busto, Waldemar Wardencki, Jacek Namieśnik, Tomasz Dymerski
Headspace mass-spectrometry (HS-MS), mid infrared (MIR) and UV-vis spectroscopy were used to authenticate whisky samples from different origins and ways of production ((Irish, Spanish, Bourbon, Tennessee Whisky and Scotch). The collected spectra were processed with partial least-squares discriminant analysis (PLS-DA) to build the classification models. In all cases the five groups of whiskies were distinguished, but the best results were obtained by HS-MS, which indicates that the biggest differences between different types of whisky are due to their aroma...
October 27, 2016: Spectrochimica Acta. Part A, Molecular and Biomolecular Spectroscopy
https://www.readbyqxmd.com/read/27816541/pharmacy-services-after-a-tank-car-derailment-and-toxic-chemical-release-in-blount-county-tennessee
#16
Heath Ford, Shane Trent, Stephen Wickizer
OBJECTIVES: To assess the impact of an accidental release of volatilized acrylonitrile on pharmacy services in Blount County, Tennessee. METHODS: A paper questionnaire was mailed to all pharmacies located in Blount County, Tennessee. The questionnaire assessed 5 domains relevant to pharmacy services after the derailment disaster: (1) disaster preparedness, (2) disaster response, (3) disaster information source awareness, (4) Pharmacy Practice Act amendment preference, and (5) pharmacy impact...
November 2, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27815427/assessing-the-accuracy-of-generalized-inferences-from-comparison-group-studies-using-a-within-study-comparison-approach-the-methodology
#17
Andrew P Jaciw
BACKGROUND: Various studies have examined bias in impact estimates from comparison group studies (CGSs) of job training programs, and in education, where results are benchmarked against experimental results. Such within-study comparison (WSC) approaches investigate levels of bias in CGS-based impact estimates, as well as the success of various design and analytic strategies for reducing bias. OBJECTIVES: This article reviews past literature and summarizes conditions under which CGSs replicate experimental benchmark results...
June 2016: Evaluation Review
https://www.readbyqxmd.com/read/27813342/effect-of-solute-temperature-in-the-measurement-of-cardiac-output-in-children-using-the-thermodilution-technique
#18
Shyam Sathanandam, Pooja Kashyap, David Zurakowski, Lindsey Bird, Vera McGhee, Jeffrey Towbin, Benjamin Rush Waller
OBJECTIVES: The primary aim of this study was to compare thermodilution (TD) cardiac index (TDCi) measured by injecting cold saline (C-TDCi) to saline at room temperature (R-TDCi). The secondary aim was to assess the change in body temperature with cold saline injections in children. DESIGN: This is a prospective, case control study. SETTING: Cardiac catheterization lab at Le Bonheur Children's Hospital, Memphis, Tennessee. PATIENTS: Eighty-six children ≤18 years of age that underwent cardiac catheterization between April 2013 and April 2015, excluding patients with admixing lesions, on inotropic support and with ejection fraction < 30%...
November 4, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27795338/clinical-microbiology-laboratories-adoption-of-culture-independent-diagnostic-tests-are-a-threat-to-food-borne-disease-surveillance-in-the-united-states
#19
Shari Shea, Kristy A Kubota, Hugh Maguire, Stephen Gladbach, Amy Woron, Robyn Atkinson-Dunn, Marc Roger Couturier, Melissa B Miller
In November, 2015, the Centers for Disease Control and Prevention (CDC) sent a letter to State and Territorial epidemiologists, State and Territorial public health laboratory directors, and State and Territorial health officials. In this letter, culture independent diagnostic tests (CIDTs) for detection for enteric pathogens were characterized as "a serious and current threat to public health surveillance, particularly for Shiga toxin-producing E. coli (STEC) and Salmonella." The document says CDC and its public health partners are approaching this issue, in part, by "reviewing regulatory authority in public health agencies to require culture isolates or specimen submission if CIDTs are used...
October 19, 2016: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/27781167/divergent-relationship-of-circulating-ctrp3-levels-between-obesity-and-gender-a-cross-sectional-study
#20
Roy Marshal Wagner, Kamesh Sivagnanam, William Andrew Clark, Jonathan M Peterson
: C1q TNF Related Protein 3 (CTRP3) is a novel adipose tissue derived secreted factor, or adipokine, which has been linked to a number of beneficial biological effects on metabolism, inflammation, and survival signaling in a variety of tissues. However, very little is known about CTRP3 in regards to human health. The purpose of this project was to examine circulating CTRP3 levels in a clinical population, patients with symptoms requiring heart catheterization in order to identify the presence of obstructive coronary artery disease (CAD)...
2016: PeerJ
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