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https://www.readbyqxmd.com/read/29471393/the-severe-impairment-profile-a-conceptual-shift
#1
Jordan S Robinson, Robert L Collins, Brian I Miller, Vitor H Pacheco, Nicholas M Wisdom
Objective: The current study sought to evaluate and replicate the severe impairment profile (SIP) of the Word Memory Test (WMT) in patients referred for dementia evaluations. Method: The sample consisted of 125 patients referred for a neuropsychological evaluation at a large Veterans Affairs Medical Center. Patients were assigned a Clinical Dementia Rating (CDR) by blind raters, and were classified according to their performance on performance validity testing. Subsequent chart reviews were conducted to help in more accurately determining the presence of severe memory impairment likely due to an underlying dementing process versus poor effort/task engagement...
March 1, 2018: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29471338/transitioning-from-river-blindness-control-to-elimination-steps-toward-stopping-treatment
#2
Paul T Cantey, Sharon L Roy, Daniel Boakye, Upendo Mwingira, Eric A Ottesen, Adrian D Hopkins, Yao K Sodahlon
The transition from onchocerciasis control to elimination requires country programmes to rethink their approach to a variety of activities as they move from addressing morbidity to addressing transmission of the parasite. Although the 2016 WHO guidelines provide extensive recommendations, it was beyond the scope of the document to provide guidance on all aspects of the transition. This paper will discuss some of the important issues that programmes are grappling with as they transition to elimination and provide some potential approaches that programmes can use to address them...
March 1, 2018: International Health
https://www.readbyqxmd.com/read/29471337/the-role-of-national-committees-in-eliminating-onchocerciasis
#3
Emily Griswold, Thomas Unnasch, Mark Eberhard, Bertram E B Nwoke, Zoraida Morales, Edridah Muheki Tukahebwa, Biruck Kebede, Ifeoma Anagbogu, Moses Katabarwa, Peace Habomugisha, Zerihun Tadesse, Emmanuel S Miri, Darin Evans, Daniel Cohn, Elizabeth Elhassan, Frank Richards
National onchocerciasis elimination committees (NOECs) serve to help ministries of health complete the pathway to successful verification of elimination of onchocerciasis (river blindness), as outlined in the 2016 World Health Organization guidelines. These guidelines, however, only take effect when the country believes it has reached a point that elimination can be demonstrated, and do not address the preceding milestones. Therefore, NOECs can be of great help with guiding and tailoring earlier planning, programming and assessments to empower national programs to aggressively move toward their countries' elimination goals...
March 1, 2018: International Health
https://www.readbyqxmd.com/read/29471335/after-70-years-of-fighting-an-age-old-scourge-onchocerciasis-in-uganda-the-end-is-in-sight
#4
Moses N Katabarwa, Thomson Lakwo, Peace Habomugisha, Thomas R Unnasch, Rolf Garms, Lauri Hudson-Davis, Edson Byamukama, Annet Khainza, Johnson Ngorok, Edridah Tukahebwa, Frank O Richards
Onchocerciasis causes severe itching, serious skin disease and ocular damage leading to visual impairment or permanent blindness. It is associated with hanging groin, epilepsy, Nakalanga dwarfism and, most recently, nodding disease. This disease affected communities in 17 transmission foci in 37 districts of Uganda, where about 6.7 million people are once at risk. The efforts against onchocerciasis in Uganda commenced in the late 1940s, when vector control was launched using dichlorodiphenyltrichloroethane; by 1973, Simulium damnosum had been eliminated in the Victoria focus...
March 1, 2018: International Health
https://www.readbyqxmd.com/read/29471329/effects-of-varenicline-depressive-symptoms-and-region-of-enrollment-on-smoking-cessation-in-depressed-smokers
#5
Neal Doran, Sarah Dubrava, Robert M Anthenelli
Introduction: Despite effective treatments, relapse to smoking remains a vexing global health problem. One predictor of relapse is depressive symptoms. Medications such as varenicline reduce withdrawal-related symptoms of depression, reducing relapse. This study examined whether varenicline moderated the effect of depressive symptoms on relapse, and whether this varied by region of enrollment. Methods: Adult smokers (n=525; 37% male) with past or current, stable major depressive disorder recruited from US (n=255), and European (n=270) sites participated in a randomized, double-blind cessation treatment trial including 12 weeks of varenicline or placebo, with 40-week non-treatment follow-up...
February 17, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29471316/influence-of-prior-knowledge-of-human-papillomavirus-status-on-the-performance-of-cytology-screening
#6
Toni Ricardo Martins, Adhemar Longatto-Filho, Diane Cohen, Juliana Yukari Kodaira Viscondi, Luiz Mario Fuza, Lise Cury, Luisa Lina Villa, José Eduardo Levi, José Eluf-Neto
Objectives: This study aimed to evaluate the influence of prior knowledge of human papillomavirus (HPV) status in cervical cytopathology readings. Methods: Participants comprised 2,376 women who underwent parallel cytology and HPV-DNA testing. Smears were read twice by the same team, first with previous knowledge of HPV-DNA status. Results: Overall, 239 (10.2%) smears had their cytology classification altered by the HPV-informed review. Cytology readings with prior knowledge of the HPV status revealed 10...
February 17, 2018: American Journal of Clinical Pathology
https://www.readbyqxmd.com/read/29471285/effects-of-docosahexanoic-acid-supplementation-on-inflammatory-and-subcutaneous-adipose-tissue-gene-expression-in-hiv-infected-patients-on-combination-antiretroviral-therapy-cart-a-sub-study-of-a-randomized-double-blind-placebo-controlled-study
#7
Pere Domingo, José Miguel Gallego-Escuredo, Irene Fernández, Joan Villarroya, Ferran Torres, María Del Mar Gutierrez, María Gracia Mateo, Francesc Villarroya, Francesc Vidal, Marta Giralt, Joan Carles Domingo
BACKGROUND: Omega-3 fatty acids have the potential to decrease inflammation and modify gene transcription. Whether docosahexanoic acid (DHA) supplementation can modify systemic inflammatory and subcutaneous adipose tissue (SAT) gene expression in HIV-infected patients is unknown. METHODS: A randomized, double-blind, placebo-controlled trial that enrolled 84 antiretroviral-treated patients who had fasting TG levels from 2.26 to 5.65 mmol/l and received DHA or placebo for 48 weeks was performed (ClinicalTrials...
February 19, 2018: Cytokine
https://www.readbyqxmd.com/read/29471270/validation-of-time-to-task-performance-assessment-method-in-simulation-a-comparative-design-study
#8
Mary Ann Shinnick, Mary A Woo
BACKGROUND: There is a lack of objective and valid measures for assessing nursing clinical competence which could adversely impact patient safety. Therefore, we evaluated an objective assessment of clinical competence, Time to Task (ability to perform specific, critical nursing care activities within 5 min), and compared it to two subjective measures, (Lasater Clinical Judgement Rubric [LCJR] and common "pass/fail" assessment). DESIGN/METHODS: Using a prospective, "Known Groups" (Expert vs...
February 12, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29471206/state-trait-anxiety-levels-during-pregnancy-and-foetal-parameters-following-intervention-with-music-therapy
#9
J Garcia-Gonzalez, M I Ventura-Miranda, M Requena-Mullor, T Parron-Carreño, R Alarcon-Rodriguez
BACKGROUND: Research indicates that anxiety during pregnancy may be a risk factor for the development of alterations in the mental health of the pregnant woman and of obstetric complications. OBJECTIVE: to investigate the effect of music therapy on maternal anxiety, before and after a non-stress test (NST), and the effect of maternal anxiety on the birthing process and birth size. METHODS: 409 nulliparous women coming for routine prenatal care were randomized in the third trimester to receive either music therapy (n = 204) or no music therapy (n = 205) during an NST...
February 13, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29471154/tibial-component-sizing-and-alignment-of-tkr-components-does-not-significantly-affect-patient-reported-outcome-measures-at-six-months-a-case-series-of-474-participants
#10
Imran Ahmed, Vlad Paraoan, Dveej Bhatt, Bhanu Mishra, Chetan Khatri, Damian Griffin, Andrew Metcalfe, Tim Barlow
OBJECTIVES: Total knee replacement (TKR) is an effective means of alleviating the symptoms of end stage osteoarthritis. However, 20% of patients report dissatisfaction one year post-operatively. Previous literature has demonstrated contradictory evidence regarding the relationship between alignment and tibial component sizing with patient reported outcome measures (PROMs). We aim to investigate the association between alignment of TKR components and effect of tibial component sizing on PROMs...
February 19, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29471124/methods-and-procedures-for-a-randomized-double-blind-study-investigating-dose-dependent-longitudinal-effects-of-vitamin-d-supplementation-on-bone-health
#11
Lauren A Burt, Sharon Gaudet, Michelle Kan, Marianne S Rose, Emma O Billington, Steven K Boyd, David A Hanley
The optimum dose of vitamin D and corresponding serum 25-hydroxyvitamin D (25OHD) concentration for bone health is still debated and some health practitioners are recommending doses well above the Canada/USA recommended Dietary Reference Intake (DRI). We designed a three-year randomized double-blind clinical trial investigating whether there are dose-dependent effects of vitamin D supplementation above the Dietary Reference Intake (DRI) on bone health. The primary aims of this study are to assess, whether supplementation of vitamin D3 increases 1) volumetric bone mineral density measured by high-resolution peripheral quantitative computed tomography (HR-pQCT); 2) bone strength assessed by finite element analysis, and 3) areal bone mineral density by dual X-ray absorptiometry (DXA)...
February 19, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29470938/diagnostic-performance-of-mr-elastography-for-liver-fibrosis-in-children-and-young-adults-with-a-spectrum-of-liver-diseases
#12
Andrew T Trout, Rachel M Sheridan, Suraj D Serai, Stavra A Xanthakos, Weizhe Su, Bin Zhang, Daniel B Wallihan
Purpose To assess the diagnostic performance of magnetic resonance (MR) elastography-derived liver stiffness to detect liver fibrosis in a pediatric and young adult population with a spectrum of liver diseases. Materials and Methods This retrospective study included patients younger than 21 years of age who underwent MR elastography and liver biopsy within 3 months of one another between January 2012 and September 2016 for indications other than liver transplantation or Fontan palliation of congenital heart disease...
February 22, 2018: Radiology
https://www.readbyqxmd.com/read/29470624/measuring-liver-t2-and-cardiac-t2-in-a-single-acquisition
#13
Suraj D Serai, Andrew T Trout, Robert J Fleck, Charles T Quinn, Jonathan R Dillman
PURPOSE: The purpose of this study is determine if both liver T2* and cardiac T2* can be measured on a single breath-hold acquisition. MATERIALS AND METHODS: For this IRB-approved retrospective study, 137 patients with dedicated Cardiac MRI and Liver MRI examinations obtained sequentially on 1.5T scanners and on the same day were included for analysis. Both the cardiac and liver MRI examinations utilized GRE sequences for quantification of tissue iron. Specifically, T2* was measured using an 8-echo, multi-echo gradient echo single breath-hold sequence...
February 22, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29470356/donor-club-cell-secretory-protein-g38a-polymorphism-is-associated-with-a-decreased-risk-of-primary-graft-dysfunction-in-the-french-cohort-in-lung-transplantation-colt
#14
Angela Hin, Caroline Kannengiesser, Arnaud Roussel, Benjamin Renaud-Picard, Antoine Roux, Martine Reynaud-Gaubert, Johanna Claustre, Adrien Tissot, Romain Guillemain, Jean-François Mornex, Sacha Mussot, Claire Dromer, Marcel Dahan, Olivier Brugière, Olaf Mercier, Raphaël Borie, Marina Pretolani, Yves Castier, Pierre Mordant
BACKGROUND: Club Cell Secretory Protein (CCSP) G38A polymorphism has recently been involved in lung epithelial susceptibility to external injuries. Lung transplantation (LT) is currently limited by ischemia-reperfusion injury leading to Primary Graft Dysfunction (PGD). We thus hypothesized that donor CCSP G38A polymorphism might impact the risk of PGD following LT. METHODS: We focused on LT included in the French multicentric Cohort in Lung Transplantation (COLT), performed between January 2009 and December 2014, and associated with preoperative blood samples from the donor and the recipient...
February 20, 2018: Transplantation
https://www.readbyqxmd.com/read/29470257/dynamic-patient-specific-three-dimensional-simulation-of-mitral-repair-can-we-practice-mitral-repair-preoperatively
#15
Olivia K Ginty, John M Moore, Yuanwei Xu, Wenyao Xia, Satoru Fujii, Daniel Bainbridge, Terry M Peters, Bob B Kiaii, Michael W A Chu
OBJECTIVE: Planned mitral repair strategies are generally established from preoperative echocardiography; however, specific details of the repair are often determined intraoperatively. We propose that three-dimensional printed, patient-specific, dynamic mitral valve models may help surgeons plan and trial all the details of a specific patient's mitral repair preoperatively. METHODS: Using preoperative echocardiography, segmentation, modeling software, and three-dimensional printing, we created dynamic, high-fidelity, patient-specific mitral valve models including the subvalvular apparatus...
February 22, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29470128/human-subcutaneous-tissue-response-to-glucose-sensors-macrophages-accumulation-impact-on-sensor-accuracy
#16
Mercedes Rigla, Belén Pons, Pere Rebasa, Alexis Luna, Francisco Javier Pozo, Assumpta Caixàs, Maria Villaplana, David Subías, Maria Rosa Bella, Neus Combalia
BACKGROUND: Subcutaneous (s.c.) glucose sensors have become a key component in type 1 diabetes management. However, their usability is limited by the impact of foreign body response (FBR) on their duration, reliability, and accuracy. Our study gives the first description of human acute and subacute s.c. response to glucose sensors, showing the changes observed in the sensor surface, the inflammatory cells involved in the FBR and their relationship with sensor performance. METHODS: Twelve obese patients (seven type 2 diabetes) underwent two abdominal biopsies comprising the surrounding area where they had worn two glucose sensors: the first one inserted 7 days before and the second one 24 h before biopsy procedure...
February 22, 2018: Diabetes Technology & Therapeutics
https://www.readbyqxmd.com/read/29470127/telemedicine-physical-examination-utilizing-a-consumer-device-demonstrates-poor-concordance-with-in-person-physical-examination-in-emergency-department-patients-with-sore-throat-a-prospective-blinded-study
#17
Moneeb Akhtar, Paul G Van Heukelom, Azeemuddin Ahmed, Rachel D Tranter, Erinn White, Nathaniel Shekem, David Walz, Catherine Fairfield, J Priyanka Vakkalanka, Nicholas M Mohr
BACKGROUND: Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. MATERIALS AND METHODS: This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED...
February 22, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29469998/the-effect-of-complete-denture-occlusion-on-function-and-patient-quality-of-life-systematic-review
#18
J Patel, C Granger, L Morrow
Edentulism presents an ongoing challenge for prosthodontic dentistry. Many aspects of complete denture construction lack contemporary evidence. One such aspect is denture occlusion. Balanced occlusion (BO) has become the prevailing occlusal scheme. It has been suggested that canine guidance (CG) is unsuitable for complete denture occlusion due to an increased risk for tipping of the prostheses. However it may be indicated in patients with minimal alveolus resorption. There has been limited evidence suggesting the superiority of either occlusal scheme over another...
February 20, 2018: Community Dental Health
https://www.readbyqxmd.com/read/29469965/vitamin-d-receptor-expression-in-dogs
#19
J A Cartwright, A G Gow, E Milne, D Drummond, S Smith, I Handel, R J Mellanby
BACKGROUND: There is growing evidence linking low blood vitamin D concentration to numerous diseases in people and in dogs. Vitamin D influences cellular function by signaling through the vitamin D receptor (VDR). Little is known about which non-skeletal tissues express the VDR or how inflammation influences its expression in the dog. OBJECTIVES: To define which non-skeletal canine tissues express the VDR and to investigate expression in inflamed small intestine...
February 22, 2018: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/29469682/vitamin-d-supplementation-in-adults-with-vitamin-d-deficiency-and-its-effect-on-metabolic-syndrome-a-randomized-controlled-study
#20
Saba Fathima Mahmood, Jyothi Idiculla, Rajnish Joshi, Shailesh Joshi, Shruthi Kulkarni
BACKGROUND: Inverse relationship between metabolic syndrome (MetS) and 25-hydroxyvitamin D (25(OH) D) levels is controversial. Hypovitaminosis-D has long been suspected as a risk factor for glucose intolerance. AIM: A randomized double blind placebo controlled study to evaluate effects of vitamin D supplementation on insulin resistance in subjects with hypovitaminosis-D and MetS. MATERIALS AND METHODS: Subjects were randomized to receive either oral 25(OH) D3 supplement (60000 (IU) per week for 8 weeks followed by 60,000 IU monthly for 4 months) or a placebo for six months...
February 22, 2018: International Journal for Vitamin and Nutrition Research. Journal International de Vitaminologie et de Nutrition
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