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https://www.readbyqxmd.com/read/29656346/hip-fracture-patients-who-experience-a-greater-fluctuation-in-rdw-during-hospital-course-are-at-heightened-risk-for-all-cause-mortality-a-prospective-study-with-2-year-follow-up
#1
P Yin, H Lv, Y Li, Y Meng, L Zhang, L Zhang, P Tang
This study aims to detect whether there remains valuable prognostic information in fluctuation of red cell distribution width (RDW) in hip fracture patients. Results show that this readily available parameter may provide a more effective strategy for assessment of mortality risk, therefore providing a reference for clinical planning and decision-making. INTRODUCTION: Prognostic values have been found in the fluctuation of some hematologic parameters. The red cell distribution width (RDW) routinely reported with all complete blood cell counts (CBC) has proven to be associated with poor outcomes in various diseases...
April 14, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29655966/secular-trends-in-the-epidemiology-of-clostridium-difficile-infection-cdi-at-a-tertiary-care-hospital-in-barcelona-2006-2015-a-prospective-observational-study
#2
Thais Larrainzar-Coghen, Dolors Rodríguez-Pardo, Nuria Fernández-Hidalgo, Mireia Puig-Asensio, Carles Pigrau, Carmen Ferrer, Virginia Rodríguez, Rosa Bartolomé, David Campany, Benito Almirante
OBJECTIVE: Describe secular trends in the epidemiology and outcome of Clostridium difficile infection (CDI) at a tertiary hospital. METHODS: All consecutive primary CDI episodes in adults (January 2006-December 2015) were included. CDI was diagnosed on the presence of diarrhoea and a positive stool test for C. difficile toxin A and/or B. To define trends, a time-series analysis was performed using yearly data on demographics, clinical characteristics, management, antimicrobial treatment, and outcome of CDI...
April 12, 2018: Anaerobe
https://www.readbyqxmd.com/read/29653218/comparing-ran-out-status-of-inhaled-short-acting-beta-agonists-in-emergency-department-patients-with-acute-asthma-1996-1998-versus-2015-2017
#3
Tadahiro Goto, Carlos A Camargo, Catalina Gimenez-Zapiola, Daniel J Pallin, Nathan I Shapiro, Thomas J Ferro, Carolyn Rainville, Stanislav Stoyanov, Kohei Hasegawa
BACKGROUND: Medication non-adherence including running out of inhaled asthma medications, is an important problem. OBJECTIVE: To examine the changes in the proportion of adults with acute asthma who ran out of their short-acting beta-agonist (SABA) inhalers before presenting to the emergency department (ED) between 1996-1998 and 2015-2017. METHODS: We analyzed data from prospective multicenter observational cohort studies of ED adult patients (aged 18-54 years) with acute asthma...
April 10, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29652440/long-term-visual-outcomes-for-treatment-of-submacular-hemorrhage-secondary-to-polypoidal-choroidal-vasculopathy
#4
Hyun Goo Kang, Hyunseung Kang, Suk Ho Byeon, Sung Soo Kim, Hyoung Jun Koh, Sung Chul Lee, Min Kim
IMPORTANCE: There is no consensus on the optimal management of submacular hemorrhage (SMH) secondary to polypoidal choroidal vasculopathy (PCV). BACKGROUND: To compare the long-term outcome of 3 treatment strategies for PCV with SMH. DESIGN: Retrospective case series at 2 tertiary hospitals. SAMPLES: A total of 48 consecutive eyes treated between July 2006 and March 2016. METHODS: Patients were grouped according to the treatment received: 22 eyes with intravitreal bevacizumab (IVB), 14 with a combination of IVB and pneumatic displacement (PD), and 12 with IVB and vitrectomy (TPPV)...
April 13, 2018: Clinical & Experimental Ophthalmology
https://www.readbyqxmd.com/read/29651955/increases-in-peripheral-systolic-pressure-levels-and-z-score-associate-gradual-aortic-pressure-increase-and-functional-arterial-impairment-in-children-and-adolescents
#5
Yanina Zocalo, Mariana Marin, Santiago Curcio, Victoria Garcia-Espinosa, Pedro Chiesa, Gustavo Giachetto, Edmundo I Cabrera-Fischer, Daniel Bia
BACKGROUND: Arterial changes associated with children and adolescents high blood pressure (HBP) states would vary depending on the arterial type, arterial indexes considered and/or on blood pressure (BP) levels. AIMS: To determine in children and adolescents: 1) if there is gradual structural-functional arterial impairment associated with gradual peripheral (brachial) systolic BP (pSBP) level or z-score increases, and 2) whether subjects with HBP levels and those with normal BP differ in the profiles of arterial changes associated with pSBP deviations...
April 13, 2018: Current Hypertension Reviews
https://www.readbyqxmd.com/read/29651918/updated-report-on-incidence-of-infusion-site-reactions-associated-with-peripheral-intravenous-administration-of-fosaprepitant
#6
Eric Chau, Jordan Lundberg, Gary Phillips, Michael Berger, Robert Wesolowski
Purpose Fosaprepitant (Emend®) is an antiemetic frequently used for the prevention of chemotherapy-induced nausea and vomiting. We previously documented an overall 28.7% incidence of infusion-site reactions in patients receiving fosaprepitant via peripheral venous access. These data resulted in a practice change within our institution; fosaprepitant is administered in more dilute concentrations over 30 min to prevent these adverse events. This retrospective study explored the impact of this practice change on the incidence of infusion-site reactions...
January 1, 2018: Journal of Oncology Pharmacy Practice
https://www.readbyqxmd.com/read/29651631/sleep-and-self-care-correlates-before-and-after-implantation-of-a-left-ventricular-assist-device-lvad
#7
Jesus M Casida, Jean E Davis, Francis D Pagani, James E Aikens, Celeste Williams, James J Yang
The impact of sleep on LVAD patients' self-care behaviors is unknown. This study examined the patterns and changes of patients sleep quality (SQ), daytime sleepiness (DS), instrumental activities of daily living (IADL), and self-care capability (SCC) before and after LVAD. In addition, the relationships among these variables were explored. This observational study consisted of 38 subjects from two VAD Centers in Michigan. The subjects completed self-reported demographics and psychometrically sound SQ, DS, IADL, and SCC questionnaires before LVAD implant and at 1, 3, and 6 months after implant...
April 13, 2018: Journal of Artificial Organs: the Official Journal of the Japanese Society for Artificial Organs
https://www.readbyqxmd.com/read/29651392/the-effect-of-rhythmic-breathing-on-pain-of-dressing-change-in-patients-with-burns-referred-to-ayatollah-mousavi-hospital
#8
Mehri Bozorg-Nejad, Hammed Azizkhani, Fatimah Mohaddes Ardebili, Sayed Kazem Mousavi, Farzad Manafi, Agha Fatemeh Hosseini
BACKGROUND: Burn is the worst tragedy among modern societies that individuals may experience. One of the most important problems of burns is pain; particularly at the time of treatment including burn dressings, debridement, surgical incisions and physiotherapy. The aim of this study was to determine the effect of rhythmic breathing on pain of dressing change in patients with burns. METHODS: This semi-experimental clinical trial study with a control group was conducted on 60 eligible burn patients who were selected using convenient sampling method and allocated randomly in two groups of test and control (each n=30)...
January 2018: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/29651269/self-reported-risk-and-delinquent-behavior-and-problem-behavioral-intention-in-hong-kong-adolescents-the-role-of-moral-competence-and-spirituality
#9
Daniel T L Shek, Xiaoqin Zhu
Based on the six-wave data collected from Grade 7 to Grade 12 students ( N = 3,328 at Wave 1), this pioneer study examined the development of problem behaviors (risk and delinquent behavior and problem behavioral intention) and the predictors (moral competence and spirituality) among adolescents in Hong Kong. Individual growth curve models revealed that while risk and delinquent behavior accelerated and then slowed down in the high school years, adolescent problem behavioral intention slightly accelerated over time...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29651224/racial-differences-in-transitions-to-marriage-for-unmarried-mothers
#10
Gerald Eric Daniels, Venoo Kakar, Anoshua Chaudhuri
Unlike prior studies that have explained racial differences in the transitions to marriage among unmarried women, our study used the Fragile Families and Child Wellbeing Study to examine racial differences in the transitions to marriage among unmarried women following a non-marital birth. We found that Black mothers were 60-65% more likely to delay marriage after a non-marital birth compared to White mothers and these racial gaps were only partially explained by economic, demographic and attitudinal factors...
September 2017: Journal of Family and Economic Issues
https://www.readbyqxmd.com/read/29650328/-cardiac-manifestations-in-the-acute-phase-of-kawasaki-disease-in-a-third-level-children-s-hospital-in-mexico-city
#11
Luis Martín Garrido-García, Rocío Alejandra Peña-Juárez, Marco Antonio Yamazaki-Nakashimada
OBJECTIVES: To describe the cardiac manifestations in the acute phase of patients with Kawasaki disease treated in a third level Children's hospital in Mexico City, Mexico. METHODS: A cross-sectional study was conducted in patients with a diagnosis of Kawasaki disease treated in this hospital from August 1995 to December 2016. Information included patient demographics, clinical features, treatment used, electrocardiographic findings, extra-coronary echocardiographic findings, and the development of coronary artery aneurysms in the acute phase of the disease...
April 9, 2018: Archivos de Cardiología de México
https://www.readbyqxmd.com/read/29650011/physical-activity-and-chronic-diseases-among-older-people-in-a-mid-size-city-in-china-a-longitudinal-investigation-of-bipolar-effects
#12
Peiling Zhou, Anne K Hughes, Sue C Grady, Li Fang
BACKGROUND: While previous studies have shown that regular physical activity can delay the onset of certain chronic diseases; less is known about the changes in physical activity practices following chronic disease diagnoses. China is experiencing a rapid aging transition, with physical activity an important routine in many older people's lives. This study utilizes the Health Belief Model to better understand the bidirectional relationships and bipolar effects between physical activity and chronic disease burden in Huainan City, a mid-sized city in China...
April 12, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29649991/interpersonal-communication-regarding-pregnancy-related-services-friends-versus-health-professionals-as-conduits-for-information
#13
Leanne Dougherty, Emily Stammer, Thomas W Valente
BACKGROUND: Social network characteristics influence a wide range of health behaviors but few studies examine the relationship between social network characteristics and pregnancy-related outcomes. METHODS: Using a baseline survey from a behavior change pilot project in the Upper West region of Ghana, we examine four outcomes: (1) early antenatal care, (2) having at least four antenatal care visits, (3) skilled birth attendance, and (4) postpartum care. We collected demographic and network data from 1606 women of reproductive age who had a child in the five years preceding the survey...
April 12, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29649053/bilateral-congenital-cholesteatoma
#14
Chang Ho Lee, Mi Kyung Kim, Hyoung-Mi Kim, Cheongse Won, Tae Hyun Shin, So Young Kim
OBJECTIVE: To report the first large case series of extremely rare bilateral congenital cholesteatoma (CC). STUDY DESIGN: A retrospective cohort study. SETTING: University hospital otology referral clinic. PATIENTS: Six hundred four children with surgically confirmed CC. MAIN OUTCOME MEASURES: The bilateral CCs were compared with the unilateral CCs. RESULTS: The incidence of bilateral CC was 3...
April 11, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29648692/multimodality-imaging-for-evaluation-of-chest-pain-using-strain-analysis-at-rest-and-peak-exercise
#15
Mohamad Jihad Mansour, Wael AlJaroudi, Omar Hamoui, Sarah Chaaban, Elie Chammas
BACKGROUND: Exercise stress echocardiography (SE) is commonly used for diagnosing coronary artery disease (CAD). The use of quantitative echocardiographic measures such as strain imaging is expected to improve the sensitivity of conventional SE which relies on the visual diagnosis of wall-motion abnormalities (WMAs). This study is set to demonstrate the added value of resting and exercise strain analysis to detect underlying microangiopathy and inducible myocardial ischemia during a resting and SE in comparison with the results of coronary computed tomographic angiogram (CCTA)...
April 12, 2018: Echocardiography
https://www.readbyqxmd.com/read/29644581/exploring-health-beliefs-among-hispanic-adults-with-prediabetes
#16
Kyle Shaak, Melanie B Johnson, Jessecae K Marsh, Susan E Hansen, Elaine Seaton Banerjee, Brian Stello, Beth A Careyva
Diabetes and prediabetes are increasing in prevalence, corresponding to epidemic rates of obesity. Hispanic adults with prediabetes are 1.7 times more likely than non-Hispanic whites to progress to diabetes. We set out to understand health beliefs of Hispanic adults and, with that knowledge, facilitate tailored messaging to promote patient activation and lifestyle change. Using the Risk Perception Survey for Developing Diabetes along with demographic and lifestyle intervention interest questions, a 34-question survey was mailed to a registry of Hispanic adults with a diagnosis of prediabetes and an HbA1c between 5...
April 11, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29644503/inequalities-in-child-immunization-coverage-in-ghana-evidence-from-a-decomposition-analysis
#17
Derek Asuman, Charles Godfred Ackah, Ulrika Enemark
Childhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Using data from the recent two waves of the Ghana Demographic and Health Survey, we examine the probability that a child between 12 and 59 months receives the required vaccinations and proceed to decompose the sources of inequalities in the probability of full immunization between rural and urban areas...
April 11, 2018: Health Economics Review
https://www.readbyqxmd.com/read/29642970/work-aggravated-asthma-in-great-britain-a-cross-sectional-postal-survey
#18
Lisa Bradshaw, Jade Sumner, Julian Delic, Paul Henneberger, David Fishwick
OBJECTIVE: Work aggravated asthma (WAA), asthma made worse by but not caused by workplace exposures, can have a negative impact on personal, social, financial and societal costs. There is limited data on prevalence levels of WAA in Great Britain (GB). The objective of this study was to estimate the prevalence of WAA in GB, and to assess its potential causes.Materials and methodsA cross-sectional postal questionnaire study was carried out. A total of 1620 questionnaires were sent to three populations of adults with asthma...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642916/longitudinal-measurement-invariance-and-explanatory-irt-models-for-adolescents-oral-health-related-quality-of-life
#19
David T W Yau, May C M Wong, K F Lam, Colman McGrath
BACKGROUND: Longitudinal invariance is a perquisite for a valid comparison of oral health-related quality of life (OHRQoL) scores over time. Item response theory (IRT) models can assess measurement invariance and allow better estimation of the associations between predictors and latent construct. By extending IRT models, this study aimed to investigate the longitudinal invariance of the two 8-item short forms of the Child Perception Questionnaire (CPQ11-14 ) regression short form (RSF:8) and item-impact short form (ISF:8) and identify factors associated with adolescents' OHRQoL and its change...
April 11, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29642657/exploring-demographic-and-environmental-factors-related-to-unintentional-pesticide-poisonings-in-children-and-adolescents-in-texas
#20
Amber Trueblood, Daikwon Han, Eva Shipp, Leslie Cizmas
There is limited literature on the frequency and distribution of pesticide exposures, specifically with respect to demographic and environmental factors in the United States. The purpose of this exploratory study was to investigate geographic trends and factors associated with unintentional pesticide exposures in children and adolescents in Texas. The study used an ecological design with secondary data. A spatial scan statistic, based on a Poisson regression model, was employed to identify spatial clusters of unintentional pesticide-related poison center exposures...
March 26, 2018: Environmental Health and Toxicology
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