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https://www.readbyqxmd.com/read/29933494/a-life-participation-approach-to-primary-progressive-aphasia-intervention
#1
Emily J Rogalski, Becky Khayum
Primary progressive aphasia (PPA) is a clinical neurodegenerative dementia syndrome characterized by deficits in spoken and written word retrieval, word usage, and/or word comprehension. Currently, there are no effective treatments to reverse or halt the underlying disease process; however, speech-language therapy may be helpful. The Communication Bridge Care Model was developed to address the unique communication and quality of life needs of individuals living with PPA. The core elements include person-centered care with dyadic instruction for disease education, and counseling, along with tailored levels of impairment- and compensatory-based communication strategy training...
July 2018: Seminars in Speech and Language
https://www.readbyqxmd.com/read/29933315/muir-torre-syndrome-a-case-report-in-a-woman-without-personal-cancer-history
#2
Kristin Torre, Janelle Ricketts, Soheil S Dadras
We report a case of a 68-year-old white woman presenting with 5 sebaceous neoplasms, ranging from sebaceous adenoma to sebaceoma on histopathology. Despite the lack of a personal cancer history, her multiple sebaceous neoplasms and a paternal history of colon cancer prompted testing her sebaceous adenomas for microsatellite instability (MSI) by immunohistochemistry. The results showed retained nuclear expressions of MLH1 and PMS2 while MSH2 and MSH6 proteins were absent. The tumor infiltrating lymphocytes expressed both MSH2 and MSH6, providing reliable internal positive controls...
June 14, 2018: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/29933147/i-care-randomized-clinical-trial-integrating-depression-and-acute-coronary-syndrome-care-in-low-resource-hospitals-in-china-design-and-rationale
#3
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
https://www.readbyqxmd.com/read/29932455/mobile-phone-based-interventions-for-improving-adherence-to-medication-prescribed-for-the-primary-prevention-of-cardiovascular-disease-in-adults
#4
REVIEW
Melissa J Palmer, Sharmani Barnard, Pablo Perel, Caroline Free
BACKGROUND: Cardiovascular disease (CVD) is a major cause of disability and mortality globally. Premature fatal and non-fatal CVD is considered to be largely preventable through the control of risk factors via lifestyle modifications and preventive medication. Lipid-lowering and antihypertensive drug therapies for primary prevention are cost-effective in reducing CVD morbidity and mortality among high-risk people and are recommended by international guidelines. However, adherence to medication prescribed for the prevention of CVD can be poor...
June 22, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29932093/potential-sexual-transmission-of-giardia-in-an-endemic-region-a-case-series
#5
Angel A Escobedo, Gustavo Acosta-Ballester, Pedro Almirall, Alfonso J Rodriguez-Morales, Cecilia Ortíz, Alfredo Laffita, Elaine Chirino
We present four cases in which probable sexual transmission of Giardia lamblia was suspected. Diagnosing this mode of transmission in endemic areas is often difficult and should be considered only as possible, because exposure to poor sanitation and a potentially contaminated environment are always latent. However, as patients reported, there was no history of drinking tap water, exposure to recreational water, eating contaminated food, or other potential sources of infection but anilingus with an infected partner...
June 1, 2018: Le Infezioni in Medicina
https://www.readbyqxmd.com/read/29932062/molecular-genetic-diagnostics-of-tuberous-sclerosis-complex-in-bulgaria-six-novel-mutations-in-the-tsc1-and-tsc2-genes
#6
M Glushkova, V Bojinova, M Koleva, P Dimova, M Bojidarova, I Litvinenko, T Todorov, E Iluca, C Calusaru, E Neagu, D Craiu, V Mitev, A Todorova
Tuberous sclerosis complex (TSC) is an autosomal dominant disorder characterized by the development of hamartomas localized in various tissues which can occur in the skin, brain, kidney and other organs. TSC is caused by mutations in the TSC1 and TSC2 genes. Here we report the results from the first molecular testing of 16 Bulgarian patients and one Romanian patient in whom we found six novel mutations: four in the TSC2 2 gene, of which one is nonsense, two frame shift and one large deletion of 16 exons; and two in the TSC1 gene, one nonsense and other frame shift...
June 2018: Journal of Genetics
https://www.readbyqxmd.com/read/29932046/chronic-headache-due-to-overuse-of-analgesics-and-anti-migraine-agents
#7
Hans-Christoph Diener, Dagny Holle, Thomas Dresler, Charly Gaul
BACKGROUND: The frequent or regular use of analgesics and anti-migraine drugs can make headache more frequent and induce the transformation of episodic to chronic headache. Chronic headache due to medication overuse is defined as headache that is present on ≥ 15 days per month for at least three months in a patient who previously suffered from primary headaches, and who takes analgesics on ≥ 15 days per month or anti-migraine drugs (triptans or ergot alkaloids), opioid drugs, or combined analgesics on ≥ 10 days per month...
June 1, 2018: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/29931797/effects-of-living-at-moderate-altitude-on-pulmonary-vascular-function-and-exercise-capacity-in-mice-with-sickle-cell-anemia
#8
Scott K Ferguson, Katherine Redinius, Ayla Yalamanoglu, Julie W Harral, Jin Hyen Baek, David Pak, Zoe Loomis, Daniel Hassel, Paul Eigenberger, Eva Grayck, Rachelle Nuss, Kathryn Hassell, Kurt R Stenmark, Paul W Buehler, David C Irwin
KEY POINTS SUMMARY: Sickle cell disease (SCD) results in cardiopulmonary dysfunction, which may be exacerbated by prolonged exposure to environmental hypoxia. It is currently unknown if exposure to mild and moderate altitude exacerbates SCD associated cardiopulmonary and systemic complications. Three months of exposure to mild (1609 meters) and moderate (2438) altitude increased rates of hemolysis and right ventricular systolic pressures in mice with SCD when compared to healthy wild-type cohorts and SCD mice at sea level...
June 21, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29931493/acceptability-of-postpartum-contraception-counseling-at-the-well-baby-visit
#9
Tara Kumaraswami, Kristin M Rankin, Britt Lunde, Allison Cowett, Rachel Caskey, Bryna Harwood
Objectives The postpartum period is a high-risk time for unintended pregnancy, and additional opportunities to provide contraception are needed. Our objective was to evaluate the acceptability of providing postpartum contraceptive counseling at a pediatric well baby visit, and compare it to counseling at the routine postpartum visit. Methods Postpartum women (100 per group) were recruited for this cohort study at pediatric well baby visits and obstetric postpartum visits at an academic medical center. Well baby participants completed a baseline survey followed by contraceptive counseling by an obstetrician or midwife and a post-counseling survey...
June 21, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29931420/relationship-between-sleep-disturbance-and-self-care-in-adults-with-type-2-diabetes
#10
Bingqian Zhu, Laurie Quinn, Mary C Kapella, Ulf G Bronas, Eileen G Collins, Laurie Ruggiero, Chang G Park, Cynthia Fritschi
AIMS: Type 2 diabetes (T2D) is a metabolic disorder requiring intensive self-care to maintain optimal glycemic control. Sleep disturbance is common in T2D patients and likely impairs glycemic control. Our aim was to examine the relationship between sleep disturbance and self-care in adults with T2D. METHODS: This study used a correlational design. Sixty-four adults with T2D were recruited. Validated instruments were used to measure self-care, subjective sleep disturbance, and covariates (e...
June 21, 2018: Acta Diabetologica
https://www.readbyqxmd.com/read/29931108/engagement-of-husbands-in-a-maternal-nutrition-program-substantially-contributed-to-greater-intake-of-micronutrient-supplements-and-dietary-diversity-during-pregnancy-results-of-a-cluster-randomized-program-evaluation-in-bangladesh
#11
Phuong Hong Nguyen, Edward A Frongillo, Tina Sanghvi, Gargi Wable, Zeba Mahmud, Lan Mai Tran, Bachera Aktar, Kaosar Afsana, Silvia Alayon, Marie T Ruel, Purnima Menon
Background: Although husbands may provide support during pregnancy, limited evidence exists on how to promote husbands' engagement and what impact it has. Alive & Thrive integrated nutrition-focused interventions, targeting both wives and husbands, through an existing Maternal, Neonatal, and Child Health (MNCH) platform in Bangladesh. Objectives: We evaluated 1) the impact of a nutrition-focused MNCH program, compared with the standard MNCH program, on husbands' behavioral determinants (i...
June 20, 2018: Journal of Nutrition
https://www.readbyqxmd.com/read/29930709/cryptic-breakpoint-identified-by-whole-genome-mate-pair-sequencing-in-a-rare-paternally-inherited-complex-chromosomal-rearrangement
#12
Constantia Aristidou, Athina Theodosiou, Andria Ketoni, Mads Bak, Mana M Mehrjouy, Niels Tommerup, Carolina Sismani
Background: Precise characterization of apparently balanced complex chromosomal rearrangements in non-affected individuals is crucial as they may result in reproductive failure, recurrent miscarriages or affected offspring. Case presentation: We present a family, where the non-affected father and daughter were found, using FISH and karyotyping, to be carriers of a three-way complex chromosomal rearrangement [t(6;7;10)(q16.2;q34;q26.1), de novo in the father]. The family suffered from two stillbirths, one miscarriage, and has a son with severe intellectual disability...
2018: Molecular Cytogenetics
https://www.readbyqxmd.com/read/29930693/frontline-health-workers-and-exclusive-breastfeeding-guidelines-in-an-hiv-endemic-south-african-community-a-qualitative-exploration-of-policy-translation
#13
Sara Nieuwoudt, Lenore Manderson
Background: Mothers rely heavily on health worker advice to make infant feeding decisions. Confusing or misleading advice can lead to suboptimal feeding practices. From 2001, HIV positive mothers in South Africa were counseled to choose either exclusive breastfeeding or exclusive formula feeding to minimize vertical HIV transmission. On the basis of revised World Health Organization guidelines, the government amended this policy in 2011, by promoting exclusive breastfeeding and discontinuing the provision of free formula...
2018: International Breastfeeding Journal
https://www.readbyqxmd.com/read/29930249/comparison-of-uphold-tm-vaginal-mesh-procedure-with-hysterectomy-or-uterine-preservation-for-the-treatment-of-pelvic-organ-prolapse
#14
Chin-Ru Ker, Kun-Ling Lin, Zi-Xi Loo, Yung-Shun Juan, Cheng-Yu Long
Hysterectomy is the empirical treatment for female pelvic organ prolapse (POP) without robust evidence to prove its efficacy. Uphold transvaginal mesh (TVM) system is an innovated device with smaller area, superior anterior/apical support with single incision to treat POP. The prospective cohort study aims to evaluate Uphold TVM's performance with or without concomitant hysterectomy. Inclusion criteria specify patients suffering from stage 2 or more anterior/apical prolapse without previous hysterectomy. Exclusion criteria specify those with contraindications to uterine preservation, such as leiomyomas, adenomyosis, endometrial hyperplasia, abnormal uterine bleeding, postmenopausal bleeding, cervical dysplasia, receiving tamoxifen treatment, family history of gynecology cancer, or colon cancer and incapability to be routinely followed...
June 21, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29929997/hereditary-lobular-breast-cancer-with-an-emphasis-on-e-cadherin-genetic-defect
#15
Giovanni Corso, Joana Figueiredo, Carlo La Vecchia, Paolo Veronesi, Gabriella Pravettoni, Debora Macis, Rachid Karam, Roberto Lo Gullo, Elena Provenzano, Antonio Toesca, Ketti Mazzocco, Fátima Carneiro, Raquel Seruca, Soraia Melo, Fernando Schmitt, Franco Roviello, Alessandra Margherita De Scalzi, Mattia Intra, Irene Feroce, Elisa De Camilli, Maria Grazia Villardita, Chiara Trentin, Francesca De Lorenzi, Bernardo Bonanni, Viviana Galimberti
Recent studies have reported germline CDH1 mutations in cases of lobular breast cancer (LBC) not associated with the classical hereditary diffuse gastric cancer syndrome. A multidisciplinary workgroup discussed genetic susceptibility, pathophysiology and clinical management of hereditary LBC (HLBC). The team has established the clinical criteria for CDH1 screening and results' interpretation, and created consensus guidelines regarding genetic counselling, breast surveillance and imaging techniques, clinicopathological findings, psychological and decisional support, as well as prophylactic surgery and plastic reconstruction...
June 21, 2018: Journal of Medical Genetics
https://www.readbyqxmd.com/read/29929945/detecting-suicidal-ideation-on-forums-proof-of-concept-study
#16
Ahmet Emre Aladağ, Serra Muderrisoglu, Naz Berfu Akbas, Oguzhan Zahmacioglu, Haluk O Bingol
BACKGROUND: In 2016, 44,965 people in the United States died by suicide. It is common to see people with suicidal ideation seek help or leave suicide notes on social media before attempting suicide. Many prefer to express their feelings with longer passages on forums such as Reddit and blogs. Because these expressive posts follow regular language patterns, potential suicide attempts can be prevented by detecting suicidal posts as they are written. OBJECTIVE: This study aims to build a classifier that differentiates suicidal and nonsuicidal forum posts via text mining methods applied on post titles and bodies...
June 21, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29929924/unplanned-postoperative-intensive-care-unit-admission-for-ovarian-cancer-cytoreduction-is-associated-with-significant-decrease-in-overall-survival
#17
Malcolm S Ross, Mary E Burriss, Daniel G Winger, Robert P Edwards, Madeleine Courtney-Brooks, Michelle M Boisen
OBJECTIVES: Previous studies have identified age, nutritional status, and hematocrit as risk factors for unplanned ICU admission in gynecologic oncology patients. We sought to identify additional perioperative factors that can be predictive of unplanned ICU admission and its impact on outcomes in women with ovarian cancer undergoing ovarian cancer cytoreductive procedures. METHODS: This was a case-control study of patients with unplanned ICU admission after primary surgery for ovarian cancer from January 2007 to December 2013...
June 18, 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29929898/feelings-of-guilt-and-embitterment-in-parents-of-children-with-burns-and-its-associations-with-depression
#18
Josefin Sveen, Mimmie Willebrand
OBJECTIVES: The aim was to examine guilt and embitterment in mothers and fathers of children with burns and its associations with depression and burn severity. METHODS: Parents (N=61, mothers n=41, fathers n=20) completed self-report questionnaires on guilt and embitterment, 0.8-5.6 years after their child's burn. Burn severity and socio-demographic variables were obtained from medical records and symptoms of depression were assessed with the Montgomery-Åsberg Depression Rating Scale (MADRS)...
August 2018: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29929854/early-readmission-and-reoperation-characteristics-of-ambulatory-hypospadias-repair
#19
J D Roth, B M Whittam, A E Carroll, K M Szymanski, R Misseri, M P Cain, W E Bennett
INTRODUCTION AND BACKGROUND: Hypospadias is a common birth defect. It is present in about 34.2 in 10,000 live births in North America. However, few studies have evaluated the immediate reoperation and readmission rates following elective repair. OBJECTIVE: This study aimed to define the rates of readmission and reoperation following elective hypospadias repair, to improve pre-operative counseling on risks of the procedure. STUDY DESIGN: The Pediatric Health Information System (PHIS) was interrogated from 2004 to 2015 for all elective hypospadias repairs (ICD-9-CM code 58...
June 6, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29929710/obesity-the-modifiable-risk-factor-in-total-joint-arthroplasty
#20
REVIEW
Jared S Bookman, Ran Schwarzkopf, Parthiv Rathod, Richard Iorio, Ajit J Deshmukh
Obesity is an epidemic in the health care system. Obesity poses several challenges and raises unique issues for the arthroplasty surgeon. Obese patients are at higher risk for infection and dislocation. Additionally, obese patients have poorer implant survivorship and functional scores postoperatively. Obesity is a modifiable risk factor and weight loss preoperatively should be strongly considered. Obese patients must be counseled so that they have realistic expectations after total joint arthroplasty.
July 2018: Orthopedic Clinics of North America
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