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https://www.readbyqxmd.com/read/29908483/sex-differences-in-nicotine-dependency-and-depressive-tendency-among-smokers
#1
Maki Komiyama, Hajime Yamakage, Noriko Satoh-Asahara, Yuka Ozaki, Tatsuya Morimoto, Akira Shimatsu, Yuko Takahashi, Koji Hasegawa
Depressive tendency and nicotine dependency are factors related to the failure of smoking cessation. Women generally have a higher depressive tendency and difficulty in smoking cessation than men. However, the impact of sex differences on the relationship between nicotine dependency and depressive tendency remains unclear. We evaluated 727 patients (496 men and 231 women) who visited our outpatient clinic for smoking cessation therapy and compared various parameters measured between sexes during consultation...
June 9, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29908147/neurofilament-light-chain-as-disease-biomarker-in-a-rodent-model-of-chemotherapy-induced-peripheral-neuropathy
#2
Cristina Meregalli, Giulia Fumagalli, Paola Alberti, Annalisa Canta, Valentina Alda Carozzi, Alessia Chiorazzi, Laura Monza, Eleonora Pozzi, Åsa Sandelius, Kaj Blennow, Henrik Zetterberg, Paola Marmiroli, Guido Cavaletti
The objective of this study is to test the feasibility of using serum neurofilament light chain (NfL) as a disease biomarker in Chemotherapy Induced Peripheral Neuropathy (CIPN) since this easy accessible biological test may have a large impact on clinical management and safety of cancer patients. We performed this preclinical study using a well-characterized rat model based on repeated administration of the cytostatic drug vincristine (VCR, 0.2 mg/kg intravenously via the tail vein once/week for 4 times)...
June 13, 2018: Experimental Neurology
https://www.readbyqxmd.com/read/29907989/high-seroprevalence-of-dengue-virus-indicates-that-dengue-virus-infections-are-frequent-in-central-and-eastern-sudan
#3
Awadalkareem Adam, Tom Schüttoff, Sven Reiche, Christian Jassoy
OBJECTIVES: To determine the seroprevalence of dengue in central and eastern Sudan and the breadth of neutralizing antibody responses. METHODS: Blood was drawn from 483 patients with fever who visited outpatient clinics in Port Sudan, Red Sea state, in three towns in Kassala state and in El Obeid, North Kordofan in December 2012 and January 2013. Sera were tested for dengue virus IgG and IgM by ELISA (Panbio) and sera without serologic evidence of acute infection (IgM negative) were used for the analysis of the seroprevalence...
June 15, 2018: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29907736/development-of-a-quality-of-sexual-life-questionnaire-for-breast-cancer-survivors-in-mainland-china
#4
Li-Wei Jing, Chao Zhang, Feng Jin, Ai-Ping Wang
BACKGROUND There is a great need for a quality of sexual life questionnaire (QVS) in breast cancer survivors (BCSs) based on the Chinese social culture since the imported tools lack localization verification. To develop a QVS in BCSs and determine its validity and reliability. MATERIAL AND METHODS In the qualitative study, a total of 21 BCSs were interviewed by purposive sampling and snowball sampling; and in the quantitative study, a total of 249 BCSs, who were admitted and received outpatient follow-up, were investigated...
June 16, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29907664/ventilation-inhomogeneity-in-infants-with-recurrent-wheezing
#5
Zihang Lu, Rachel E Foong, Krzysztof Kowalik, Theo J Moraes, Ayanna Boyce, Aimee Dubeau, Susan Balkovec, Per Magnus Gustafsson, Allan B Becker, Piush J Mandhane, Stuart E Turvey, Wendy Lou, Felix Ratjen, Malcolm Sears, Padmaja Subbarao
BACKGROUND: The care of infants with recurrent wheezing relies largely on clinical assessment. The lung clearance index (LCI), a measure of ventilation inhomogeneity, is a sensitive marker of early airway disease in children with cystic fibrosis, but its utility has not been explored in infants with recurrent wheezing. OBJECTIVE: To assess ventilation inhomogeneity using LCI among infants with a history of recurrent wheezing compared with healthy controls. METHODS: This is a case-control study, including 37 infants with recurrent wheezing recruited from outpatient clinics, and 113 healthy infants from a longitudinal birth cohort, the Canadian Healthy Infant Longitudinal Development study...
June 15, 2018: Thorax
https://www.readbyqxmd.com/read/29907609/effects-of-centralizing-acute-stroke-services-a-prospective-cohort-study
#6
Sidsel Hastrup, Soren P Johnsen, Thorkild Terkelsen, Heidi H Hundborg, Paul von Weitzel-Mudersbach, Claus Z Simonsen, Niels Hjort, Anette T Møller, Thomas Harbo, Marika S Poulsen, Noella Ruiz de Morales Ayudarte, Dorte Damgaard, Grethe Andersen
OBJECTIVE: To investigate the effects of centralizing the acute stroke services in the Central Denmark Region (CDR). METHODS: The CDR (1.3 million inhabitants) centralized acute stroke care from 6 to 2 designated acute stroke units with 7-day outpatient clinics. We performed a prospective "before-and-after" cohort study comparing all strokes from the CDR with strokes in the rest of Denmark to discover underlying general trends, adopting a difference-in-differences approach...
June 15, 2018: Neurology
https://www.readbyqxmd.com/read/29907534/significant-infections-in-liver-transplant-recipients-undergoing-endoscopic-retrograde-cholangiography-are-few-and-unaffected-by-prophylactic-antibiotics
#7
Divyanshoo R Kohli, Tilak U Shah, Doumit S BouHaidar, Ravi Vachhani, M Shadab Siddiqui
INTRODUCTION: Current practice guidelines recommend prophylactic antibiotics prior to endoscopic retrograde cholangiopancreatography (ERCP) in liver transplant recipients (LTR). This study evaluated the risk of clinically significant infections after ERCP in LTR who received antibiotic prophylaxis compared to those who did not. METHODS: This retrospective case-cohort study evaluated all LTR who underwent elective, outpatient ERCP from 2008 to 2015. Hospitalized patients, pediatric allograft recipients and patients with cholangitis or incomplete biliary drainage were excluded...
May 28, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/29907532/relationship-between-medication-synchronization-and-antiretroviral-adherence
#8
Emily Ghassemi, Jennifer Smith, Laura Owens, Charles Herring, Melissa Holland
OBJECTIVES: To compare antiretroviral adherence (measured as the proportion of days covered [PDC]) and change in viral load in insured, HIV-infected, adult outpatients enrolled and not enrolled in a medication synchronization program. METHODS: This was a multicenter, retrospective, pilot cohort study. Fifty-eight insured, HIV-infected, outpatients at least 18 years of age receiving antiretroviral therapy (ART) for at least 3 months as of August 2015 were included...
June 12, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#9
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907358/anticoagulant-treatment-of-medical-patients-with-complex-clinical-conditions
#10
F Ruiz-Ruiz, F J Medrano, J M Santos-Lozano, P Rodríguez-Torres, A Navarro-Puerto, E J Calderón
There is scarce available information on the treatment or prophylaxis with anticoagulant drugs of outpatients with medical diseases and complex clinical conditions. There are no clinical practice guidelines and/or specific recommendations for this patient subgroup, which are frequently treated by internists. Complex clinical conditions are those in which, due to comorbidity, age, vital prognosis or multiple treatment with drugs, a clinical situation arises of disease-disease, disease-drug or drug-drug interactions that is not included within the scenarios that commonly generate the scientific evidence...
June 12, 2018: Revista Clínica Española
https://www.readbyqxmd.com/read/29907085/long-term-persistence-of-withdrawal-of-temazepam-zopiclone-and-zolpidem-in-older-adults-a-3-year-follow-up-study
#11
Juha Puustinen, Ritva Lähteenmäki, Janne Nurminen, Tero Vahlberg, Pertti Aarnio, Markku Partinen, Ismo Räihä, Pertti J Neuvonen, Sirkka-Liisa Kivelä
BACKGROUND: Studies on persistence of benzodiazepine agonist (BZDA) withdrawal in older outpatients are few, and few studies on long-term persistence over years have yet been published. To describe the persistence of temazepam, zolpidem, and zopiclone (BZDA) withdrawal among older outpatients at 3 years from the beginning of withdrawal, as well as any changes in use of other medications. METHODS: 92 outpatients (≥55 years) with primary insomnia, long-term BZDA use as hypnotics (mean duration of BZDA use 9...
June 15, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29906380/points-pearls-managing-shoulder-injuries-in-the-emergency-department-fracture-dislocation-and-overuse
#12
Richard Pescatore, Andrew Nyce, Nachi Gupta, Jeffrey Nusbaum
The complex structures of the shoulder can be injured by fracture, dislocation, and overuse, and correctly identifying and classifying injury is essential to avoiding pain, disability, and life- and limb-threatening complications. This issue presents a systematic approach to classifying shoulder injuries based on the mechanism of injury and clinical presentation, choosing appropriate imaging, and determining the best strategies for treatment, including reduction, surgical consultation, or outpatient referral...
June 1, 2018: Emergency Medicine Practice
https://www.readbyqxmd.com/read/29906305/pilot-evaluation-of-home-delivery-programme-in-haemophilia
#13
J E Megías-Vericat, E Monte-Boquet, M Martín-Cerezuela, M J Cuéllar-Monreal, M V Tarazona-Casany, P Pérez-Huertas, S Bonanad, J L Poveda-Andrés
WHAT IS KNOWN AND OBJECTIVES: Most of the clotting factor (CF) dispensations to haemophiliac patients are centralized in a few haemophilia treatment centres, necessitating frequent visits and long travel distances. The aim was to evaluate the home delivery programme developed by the Outpatient Pharmaceutical Care Unit (OPCU) through the association of patients (ASHECOVA). METHODS: A specific software programme was designed to communicate the individual CF requirements...
June 15, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29906287/a-combination-of-quantitative-and-qualitative-methods-in-investigating-risk-factors-for-lost-to-follow-up-for-tuberculosis-treatment-in-japan-are-physicians-and-nurses-at-a-particular-risk
#14
Lisa Kawatsu, Kazuhiro Uchimura, Akihiro Ohkado, Seiya Kato
BACKGROUND: The treatment success rate of pulmonary tuberculosis (PTB) patients aged 64 years and below in Japan, a tuberculosis (TB) middle-burden country with a notification of 13.9 per 100,000 populations in 2016, has been fluctuating around 70% for some years. In order to improve treatment outcome, it is critical to address those lost to follow-up (LTFU). The objective of the study therefore was to describe the characteristics of, and analyze the risk factors for those LTFU among pulmonary TB patients aged between 15 and 64, and discuss policy implications...
2018: PloS One
https://www.readbyqxmd.com/read/29905662/can-religious-coping-and-depressive-symptoms-predict-clinical-outcome-and-quality-of-life-in-panic-disorder-a-brazilian-longitudinal-study
#15
Rogério R Zimpel, Raquel Gehrke Panzini, Denise Ruschel Bandeira, Elizeth Heldt, Gisele Gus Manfro, Marcelo P Fleck, Neusa Sica da Rocha
Few studies have investigated the relationship between spiritual/religious coping (S/R coping) and panic disorder (PD). This Brazilian longitudinal study evaluated if S/R coping and depressive symptoms can predict PD remission and improved quality of life (QoL). There were 101 outpatients with PD who were followed up for 12 to 16 weeks. The prevalence ratio (PR) between positive S/R coping and negative S/R coping and PD remission was assessed, as well as the association between positive S/R coping and negative S/R coping and QoL...
June 14, 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29905570/-state-of-human-resourcing-for-outpatient-and-polyclinic-institutions-conducting-medical-inspections-of-the-population
#16
Zh Shaimbetov, U Satybaldiyeva, A Mamyrbaev, M Phutkaradze, S Glonti
The article presents data related to research on the staffing situation of outpatient-and-polyclinic institutions in Western Kazakhstan, conducting medical examinations of the population. The personnel supply and activity of 58 medical institutions of Aktobe, Atyrau, West Kazakhstan regions for 2013-2016 are analyzed. The low availability of outpatient-and-polyclinic institutions by medical personnel of narrow specialties is established. At the same time, there is a tendency to improve the availability of medical personnel for the period under study...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29905543/importance-of-isolated-gestational-hypothyroxinemia-in-the-development-of-obstetric-and-somatic-pathologies
#17
N Morchiladze, B Tkeshelashvili, T Gagua, D Gagua
The isolated hypothyroxinemia of pregnancy (IHP) has gained specific attention in the specialized literature during the recent years as the possible factor impeding the intellectual development of fetus and increasing the risk of complications related with pregnancy, delivery and perinatal period. Aim of the study was to define the importance of isolated hypothyroxinemia in the development of obstetric and somatic pathologies in outpatient population of pregnant females. The study of prospective design was performed at the base of "David Gagua Clinic" Ltd...
May 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29905403/25-hydroxyvitamin-d-and-health-service-utilization-for-asthma-in-early-childhood
#18
Jessica A Omand, Teresa To, Deborah L O'Connor, Patricia C Parkin, Catherine S Birken, Kevin E Thorpe, Jonathon L Maguire
BACKGROUND: Asthma is the most common chronic illness of childhood and a common reason for hospital admission. Studies suggest that low vitamin D levels may be associated with health service utilization (HSU) for childhood asthma. The primary objective was to determine if vitamin D serum levels in early childhood were associated with HSU for asthma including: a) hospital admissions; b) emergency department visits; and c) outpatient sick visits. Secondary objectives were to determine whether vitamin D supplementation in pregnancy or childhood were associated with HSU for asthma...
June 15, 2018: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29904806/virtual-reality-as-a-clinical-tool-for-pain-management
#19
REVIEW
Ali Pourmand, Steven Davis, Alex Marchak, Tess Whiteside, Neal Sikka
PURPOSE OF REVIEW: To evaluate the use of virtual reality (VR) therapies as a clinical tool for the management of acute and chronic pain. RECENT FINDINGS: Recent articles support the hypothesis that VR therapies can effectively distract patients who suffer from chronic pain and from acute pain stimulated in trials. Clinical studies yield promising results in the application of VR therapies to a variety of acute and chronic pain conditions, including fibromyalgia, phantom limb pain, and regional specific pain from past injuries and illnesses...
June 15, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29904805/economic-evaluation-of-patient-navigation-programs-in-colorectal-cancer-care-a-systematic-review
#20
REVIEW
Chloé Gervès-Pinquié, Anne Girault, Serena Phillips, Sarah Raskin, Mandi Pratt-Chapman
Patient navigation has expanded as a promising approach to improve cancer care coordination and patient adherence. This paper addresses the need to identify the evidence on the economic impact of patient navigation in colorectal cancer, following the Health Economic Evaluation Publication Guidelines. Articles indexed in Medline, Cochrane, CINAHL, and Web of Science between January 2000 and March 2017 were analyzed. We conducted a systematic review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
June 14, 2018: Health Economics Review
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