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https://www.readbyqxmd.com/read/29241291/-alcohol-is-an-unsafe-product
#1
Ulrich John
Alcohol is a hazardous product. Its consumption depends on the society's drinking norms. These are set by advertising industries on the one hand, and forces of public health and medical services on the other hand. Germany is one of the countries with high alcohol consumption. According to epidemiological evidence, alcohol-attributable diseases include more than 200 diagnostic entities. Medical practitioners may help to reduce alcohol consumption. Data revealed that brief intervention, including computer-generated feedback in medical practice, is efficient in reducing consumption...
December 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29241218/analysis-of-the-cariogenic-potential-of-various-almond-milk-beverages-using-a-streptococcus-mutans-biofilm-model-in-vitro
#2
Janelle Lee, Janice A Townsend, Tatyana Thompson, Thomas Garitty, Arpan De, Qingzhao Yu, Brian M Peters, Zezhang T Wen
To evaluate the cariogenic properties of almond milk beverages, 6 almond milks, along with soy and whole bovine milk, were analyzed for their abilities to support Streptococcus mutans biofilm formation and acid production, and their capacity to buffer changes in pH. Biofilm formation by S. mutans was analyzed using an in vitro 96-well plate model and measured by crystal violet staining. Acid production by S. mutans was evaluated by a colorimetric L-lactate assay and pH measurement of bacterial cultures. Buffering capacity was assessed by a pH titration assay...
December 15, 2017: Caries Research
https://www.readbyqxmd.com/read/29241105/how-alcohol-use-problem-severity-affects-the-outcome-of-brief-intervention-delivered-in-person-versus-through-computer-generated-feedback-letters
#3
Sophie Baumann, Beate Gaertner, Katja Haberecht, Gallus Bischof, Ulrich John, Jennis Freyer-Adam
OBJECTIVE: The aim was to test if people with different alcohol use problem severity benefitted differentially from brief alcohol interventions delivered in-person versus through computer-generated feedback letters. METHODS: Nine hundred sixty-one 18-64year old general hospital inpatients with at-risk alcohol use (mean age=40.9years [standard deviation=14.1], 75% men) were randomized to a) in-person counseling, b) computer-generated individualized feedback letters, or c) assessment only...
December 9, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29240075/a-systematic-analysis-of-online-marketing-materials-used-by-providers-of-expanded-carrier-screening
#4
Davit Chokoshvili, Pascal Borry, Danya F Vears
PurposeExpanded carrier screening (ECS) for a large number of recessive disorders is available to prospective parents through commercial providers. This study aimed to analyze the content of marketing materials on ECS providers' websites.MethodsTo identify providers of ECS tests, we undertook a comprehensive online search, reviewed recent academic literature on commercial carrier screening, and consulted with colleagues familiar with the current ECS landscape. The identified websites were archived in April 2017, and inductive content analysis was performed on website text, brochures and educational materials, and video transcripts...
December 14, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/29240002/practices-attitudes-and-knowledge-about-crohn-s-disease-and-smoking-cessation-among-gastroenterologists
#5
Benjamin Nulsen, Bruce E Sands, Brijen J Shah, Ryan C Ungaro
OBJECTIVE: Cigarette smoking is one of the most important, modifiable environmental factors in Crohn's disease (CD) and screening for tobacco use is an official recommendation and quality measure in the care of CD patients. The objective of this study was to learn more about gastroenterologists' practices, opinions, and knowledge in this area. PATIENTS AND METHODS: A 15 question survey was sent through email to two national gastroenterology distribution lists. Questions were written in multiple choice formats and were designed to collect information about gastroenterologists' practices, attitudes, and knowledge regarding smoking cessation in CD patients...
December 12, 2017: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/29239777/a-content-review-of-online-naloxone-continuing-education-courses-for-pharmacists-in-states-with-standing-orders
#6
Delesha M Carpenter, Courtney A Roberts, Salisa C Westrick, Stefanie P Ferreri, Korey A Kennelty, Kevin A Look, Olufunmilola Abraham, Courtenay Wilson
BACKGROUND: Many community pharmacists are uncomfortable educating patients about naloxone, an opioid reversal agent. OBJECTIVE: To examine whether training materials prepare pharmacists to counsel patients and caregivers about naloxone, online naloxone education materials for pharmacists in the 13 states with standing orders were analyzed. METHODS: Two coders reviewed 12 naloxone training programs and extracted data for 15 topics that were clustered in four categories: background/importance, naloxone products, business/operations, and communication...
November 21, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29239703/managing-narcissistic-impulse-reminiscence-and-cultural-ideal-under-the-circumstances-of-mass-immigration
#7
Maria Leticia Castrechini-Franieck
Mass immigration is an occurrence associated with group psychology and triggers unusual reactions between newcomers and the indigenous population. This paper presents some results of psychological counseling work in an ongoing project of providing early psychological help for current traumatized refugees and asylum seekers in Europe who otherwise are unable to afford treatment, not even the usual consultations in common mental health settings. In particular, thoughts about the management of "cultural ideals" during the process of mass immigration came to light...
December 2017: Psychoanalytic Review
https://www.readbyqxmd.com/read/29239679/primary-care-variability-in-patients-at-higher-risk-for-colorectal-cancer-evaluation-of-screening-and-preventive-care-practices
#8
John Peabody, Juan-Sebastien Salvidar, Eric Swagel, Steven Fugaro, David Paculdo, Mary Tran
OBJECTIVE: Sub-optimal colorectal cancer (CRC) evaluations have been attributed to both physician and patient factors. The primary objective of this study was to evaluate physician practice variation in patients with a higher risk of CRC. We wanted to identify the physician characteristics and the types of patient that were associated with missed screening opportunities; we also explored whether screening for CRC served as a proxy for better preventive care practices. METHODS: 213 board-certified family and internal medicine physicians participated in the study, conducted between September and December 2016...
December 14, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/29239585/how-to-help-patients-adopt-and-maintain-a-healthy-lifestyle-a-review-of-behavioral-evidence-of-determinants-and-means
#9
Pilvikki Absetz, Nelli Hankonen
A significant part of the population do not follow dietary and exercise recommendations. In Current Care Guidelines, lifestyle counseling is considered as part of good medical care. Lifestyle diseases are, however, not decreasing. Does counseling fail to reach its goal, or is it being provided at all? In the narrative review article based on systematic surveys, we approach the change in lifestyle through both conscious and automatic psychosocial processes. Research evidence indicates that a change in behavior can be supported through both processes...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29239243/lifestyle-changes-in-cancer-patients-undergoing-curative-or-palliative-chemotherapy-is-it-feasible
#10
Karianne Vassbakk-Brovold, Sveinung Berntsen, Liv Fegran, Henrik Lian, Odd Mjåland, Svein Mjåland, Karin Nordin, Stephen Seiler, Christian Kersten
INTRODUCTION: This study aimed to explore the feasibility of an individualized comprehensive lifestyle intervention in cancer patients undergoing curative or palliative chemotherapy. MATERIAL AND METHODS: At one cancer center, serving a population of 180,000, 100 consecutive of 161 eligible newly diagnosed cancer patients starting curative or palliative chemotherapy entered a 12-month comprehensive, individualized lifestyle intervention. Participants received a grouped startup course and monthly counseling, based on self-reported and electronically evaluated lifestyle behaviors...
December 14, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/29239115/case-management-in-early-psychosis-intervention-programme-perspectives-of-clients-and-caregivers
#11
Horng Hien Wong, Yee Huei Yong, Shazana Shahwan, Laxman Cetty, Janhavi Vaingankar, Charlene Hon, Helen Lee, Christopher Loh, Edimansyah Abdin, Mythily Subramaniam
AIM: This qualitative study explored the perspectives of clients and caregivers on case management provided by the Singapore Early Psychosis Intervention Programme (EPIP), with the intent to understand the salient aspects of case management from their perspective. METHODS: Clients and their caregivers were recruited from the EPIP outpatient clinics. Focus group discussions (FGDs) were conducted at a community centre outside the hospital with 47 clients and 19 caregivers...
December 14, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/29239073/knowledge-perception-access-and-utilisation-of-hiv-counselling-and-testing-among-pregnant-women-in-rural-communities-of-osogbo-town-nigeria
#12
Adekemi E Olowokere, Oluyemi A Adelakun, Abiola O Komolafe
OBJECTIVE: To assess knowledge, perception, access and utilisation of HIV counselling and testing among pregnant women from rural communities in Nigeria. DESIGN: Descriptive cross-sectional survey. SETTING: Primary health care facilities in rural communities of Osogbo, Osun State, Nigeria. PARTICIPANTS: Three-hundred pregnant women attending antenatal clinics in primary health care facilities. MAIN OUTCOME MEASURES: Knowledge of HIV counselling and testing, perception of HIV counselling and testing, utilisation of HIV counselling and testing and barriers associated with HIV counselling and testing utilisation...
December 14, 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29239056/association-of-body-mass-index-and-weight-gain-patterns-with-albumin-excretion-in-pregnancy
#13
Özlem B Tulmaç, Zeynep Ö Dağ, Funda Erdoğan, Cemile D Sayan, Nevin Sağsöz
AIM: We examined body mass index (BMI) and gestational weight gain (GWG) patterns of pregnant women and investigated the impact of these factors on the urinary albumin-creatinine ratio (ACR) during pregnancy. METHODS: The data of 163 women whose basal BMI and ACR were measured during the first trimester were used in this study. Body weight alone between 12-16 weeks and body weight together with ACR after 37 weeks of gestation were measured. RESULTS: Overall, 46% of women were overweight or obese, 60...
December 14, 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29238908/thalassemia-a-prevalent-disease-yet-unknown-term-among-college-students-in-saudi-arabia
#14
Duaa Ibrahim Olwi, Leena Adnan Merdad, Eman Kamal Ramadan
Thalassemia is a life-threatening blood disorder that has a high prevalence in Saudi Arabia despite the implementation of mandatory premarital testing and the availability of genetic counseling. This study aimed to assess college students' knowledge of thalassemia. A cross-sectional survey of a random sample of 920 senior students enrolled at King Abdulaziz University was conducted. A self-administered questionnaire was used to collect information about thalassemia and socio-demographic characteristics. Of the 920 students, 445 (48%) had ever heard of thalassemia...
December 14, 2017: Journal of Community Genetics
https://www.readbyqxmd.com/read/29238692/migraine-related-vertigo
#15
Vithal D Udagatti, Rajendran Dinesh Kumar
Migraine related vertigo (MRV) is largely accepted in the vestibular community and probably represents the second most common cause of vertigo after benign positional vertigo by far exceeding Meniere's disease. The data on vestibular migraine management is still relatively poor, despite its enormous importance in daily practice. A 55-year old male presented with history of giddiness, imbalance, sweating and sensation of nausea with severe pulsating headache of one day duration. Ear, Nose and Throat examination was normal...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29238666/preoperative-counseling-and-expectation-management-for-inflatable-penile-prosthesis-implantation
#16
REVIEW
Gopal L Narang, Bradley D Figler, Robert M Coward
The inflatable penile prosthesis (IPP) is the gold standard surgical treatment for medical refractory erectile dysfunction (ED). While the modern IPP has enjoyed high satisfaction rates as a product of its continued innovation, reliability, and performance, patient dissatisfaction can still occur. IPP implantation restores physiologic function with cosmetic and psychological consequences, both of which place inherent emphasis on preoperative counseling and expectation management. This review aims to highlight the complex nature of such counseling and provide practitioners with a roadmap to navigate the landscape...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238658/non-pharmacological-and-non-surgical-strategies-to-promote-sexual-recovery-for-men-with-erectile-dysfunction
#17
REVIEW
Richard Wassersug, Erik Wibowo
Erectile dysfunction (ED), the most commonly reported sexual problem for men, reduces the quality of life for both patients and their partners. Even when physiologically effective, long-term adherence to ED treatments is poor. We review here the implication of having patients' partners involved in ED treatment, starting with treatment selection. We suggest that having partners engaged from the outset may promote an erotic association of the treatment with the partner, i.e., conceptually linking the aid to the sexual pleasure that the partner provides...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238634/asa-classification-as-a-risk-stratification-tool-in-adult-spinal-deformity-surgery-a-study-of-5805-patients
#18
Sulaiman Somani, John Di Capua, Jun S Kim, Kevin Phan, Nathan J Lee, Parth Kothari, Joung-Heon Kim, James Dowdell, Samuel K Cho
Study Design: Retrospective analysis of prospectively collected data. Objectives: Adult spinal deformity (ASD) surgery is a highly complex procedure that has high complication rates. Risk stratification tools can improve patient management and may lower complication rates and associated costs. The goal of this study was to identify the independent association between American Society of Anesthesiologists (ASA) class and postoperative outcomes following ASD surgery...
December 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29237649/canadian-physicians-knowledge-and-counseling-practices-related-to-antibiotic-use-and-antimicrobial-resistance-two-cycle-national-survey
#19
Courtney R Smith, Lisa Pogany, Simon Foley, Jun Wu, Karen Timmerman, Margaret Gale-Rowe, Alain Demers
OBJECTIVE: To establish a baseline for physicians' knowledge of and counseling practices on the use of antibiotics and antimicrobial resistance (AMR), and to determine potential changes in these measures after the implementation of a national AMR awareness campaign. DESIGN: Cross-sectional design. SETTING: Canada. PARTICIPANTS: A total of 1600 physicians. MAIN OUTCOME MEASURES: Physicians' knowledge of and counseling practices on antibiotic use and AMR at baseline and after implementation of the AMR awareness campaign...
December 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29237585/evaluating-the-dental-caries-related-information-on-brazilian-websites-qualitative-study
#20
Patricia Estefania Ayala Aguirre, Melina Martins Coelho, Daniela Rios, Maria Aparecida Andrade Moreira Machado, Agnes Fátima Pereira Cruvinel, Thiago Cruvinel
BACKGROUND: Dental caries is the most common chronic oral disease, affecting 2.4 billion people worldwide who on average have 2.11 decayed, missing, or filled teeth. It impacts the quality of life of patients, socially and economically. However, the comprehension of dental caries may be difficult for most people, as it involves a multifactorial etiology with the interplay between the tooth surface, the dental biofilm, dietary fermentable carbohydrates, and genetic and behavioral factors...
December 13, 2017: Journal of Medical Internet Research
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