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https://www.readbyqxmd.com/read/29221783/the-effect-of-sleep-duration-and-sleep-quality-on-hypertension-in-middle-aged-and-older-chinese-the-dongfeng-tongji-cohort-study
#1
Dongming Wang, Yun Zhou, Yanjun Guo, Runbo Zhang, Wenzhen Li, Meian He, Xiaomin Zhang, Huan Guo, Jing Yuan, Tangchun Wu, Weihong Chen
OBJECTIVE: To examine the independent and combined associations of sleep duration and sleep quality with hypertension in a middle-aged and older Chinese population. METHODS: We included 21,912 individuals aged 62.2 years at baseline from September 2008 to June 2010, and they were followed until October 2013. Sleep duration was self-reported and sleep quality was evaluated with questions designed according to the Pittsburgh Sleep Quality Index. Hypertension was defined as blood pressure ≥140/90 mmHg, or self-reported physician diagnosis of hypertension, or self-reported current use of antihypertensive medication...
December 2017: Sleep Medicine
https://www.readbyqxmd.com/read/29217324/-medical-human-resources-planning-in-europe-a-literature-review-of-the-forecasting-models
#2
N Benahmed, D Deliège, A De Wever, M Pirson
BACKGROUND: Healthcare is a labor-intensive sector in which half of the expenses are dedicated to human resources. Therefore, policy makers, at national and internal levels, attend to the number of practicing professionals and the skill mix. This paper aims to analyze the European forecasting model for supply and demand of physicians. METHODS: To describe the forecasting tools used for physician planning in Europe, a grey literature search was done in the OECD, WHO, and European Union libraries...
December 4, 2017: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29214518/outcome-of-older-persons-admitted-to-intensive-care-unit-mortality-prognosis-factors-dependency-scores-and-ability-trajectory-within-1%C3%A2-year-a-prospective-cohort-study
#3
Claude Level, Eric Tellier, Patrick Dezou, Karim Chaoui, Aissa Kherchache, Philippe Sejourné, Anne Marie Rullion-Pac Soo
BACKGROUND: The outcome and functional trajectory of older persons admitted to intensive care (ICU) unit remain a true question for critical care physicians and geriatricians, due to the heterogeneity of geriatric population, heterogeneity of practices and absence of guidelines. AIM: To describe the 1-year outcome, prognosis factors and functional trajectory for older people admitted to ICU. METHODS: In a prospective 1-year cohort study, all patients aged 75 years and over admitted to our ICU were included according to a global comprehensive geriatric assessment...
December 6, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29214053/severe-carvedilol-toxicity-without-overdose-caution-in-cirrhosis
#4
Satish Maharaj, Karan Seegobin, Julio Perez-Downes, Belinda Bajric, Simone Chang, Pramod Reddy
Background: Carvedilol is used in the management of hypertension, ischemic heart disease, heart failure and most recently, portal hypertension. It has been associated with improved outcomes regarding variceal bleeding, hepatic decompensation and death when compared to propranolol and endoscopic band ligation. The main cause of portal hypertension is cirrhosis and therefore carvedilol is increasingly used in these patients. Due to its extensive hepatic metabolism, carvedilol is contraindicated in severe hepatic impairment...
2017: Clinical Hypertension
https://www.readbyqxmd.com/read/29212827/diet-quality-is-associated-with-disability-and-symptom-severity-in-multiple-sclerosis
#5
Kathryn C Fitzgerald, Tuula Tyry, Amber Salter, Stacey S Cofield, Gary Cutter, Robert Fox, Ruth Ann Marrie
OBJECTIVE: To assess the association between diet quality and intake of specific foods with disability and symptom severity in people with multiple sclerosis (MS). METHODS: In 2015, participants in the North American Research Committee on MS (NARCOMS) Registry completed a dietary screener questionnaire that estimates intake of fruits, vegetables and legumes, whole grains, added sugars, and red/processed meats. We constructed an overall diet quality score for each individual based on these food groups; higher scores denoted a healthier diet...
December 6, 2017: Neurology
https://www.readbyqxmd.com/read/29212735/decision-making-capacity-for-chemotherapy-and-associated-factors-in-newly-diagnosed-patients-with-lung-cancer
#6
Asao Ogawa, Kyoko Kondo, Hiroyuki Takei, Daisuke Fujisawa, Yuichiro Ohe, Tatsuo Akechi
BACKGROUND: The objective of this study was to assess decision-making capacity in patients newly diagnosed with lung cancer, clinical factors associated with impaired capacity, and physicians' perceptions of patients' decision-making capacity. MATERIALS AND METHODS: We recruited 122 patients newly diagnosed with lung cancer. One hundred fourteen completed the assessment. All patients were receiving a combination of treatments (e.g., chemotherapy, chemo-radiotherapy, or targeted therapy)...
December 6, 2017: Oncologist
https://www.readbyqxmd.com/read/29207995/physicians-using-spinal-manipulative-treatment-in-the-netherlands-a-description-of-their-characteristics-and-their-patients
#7
Wouter Schuller, Raymond W J G Ostelo, Daphne C Rohrich, Adri T Apeldoorn, Henrica C W de Vet
BACKGROUND: Various health care professionals apply Spinal Manipulative Treatment (SMT) in daily practice. While the characteristics of chiropractors and manual therapists and the characteristics of their patient populations are well described, there is little research about physicians who use SMT techniques. A distinct group of physicians in The Netherlands has been trained in musculoskeletal (MSK) medicine, which includes the use of SMT. Our objective was to describe the characteristics of these physicians and their patient population...
December 6, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29206286/recognition-of-delirium-features-in-clinical-practice-data-from-the-delirium-day-2015-national-survey
#8
Enrico Mossello, Francesca Tesi, Simona G Di Santo, Andrea Mazzone, Monica Torrini, Antonio Cherubini, Mario Bo, Massimo Musicco, Angelo Bianchetti, Alberto Ferrari, Nicola Ferrara, Marco Trabucchi, Alessandro Morandi, Giuseppe Bellelli
BACKGROUND/OBJECTIVES: Delirium is underrecognized in clinical practice. The primary aim of the present multicenter study was to compare the ability of nurses to identify delirium features with a standardized assessment. The secondary aim was to identify predictors of missed or incorrect identifications of delirium by nurses. DESIGN: Point prevalence study in 120 wards across Italy. SETTING: "Delirium Day 2015." PARTICIPANTS: Inpatients aged 65 and older (N = 1,867)...
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206080/understanding-forensic-psychiatry-in-healthcare-practices-and-collaboration-between-legal-nurse-consultants-and-physicians
#9
Daphne K Sharpe, Jasmine K Hall, Sochima Ochije, Rahn K Bailey
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME)...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29198962/-type%C3%A2-1-primary%C3%A2-hyperoxaluria-from%C3%A2-childhood-to%C3%A2-adult-how-to%C3%A2-manage-adequately-medical-therapy-compliance
#10
Marie Leflot, Jean-Marie Krzesinski, Laure Collard, Alexandre Thomas, Marie-Sophie Ghuysen
We report the cases of three young patients suffering from type 1 primary hyperoxaluria, a metabolic genetic disorder characterized by intracellular accumulation of oxalate and which may result in end-stage renal disease with systemic impairment. A number of effective conservative therapeutic means are available for early management of affected children particularly when he is growing older. Despite the demonstrated efficacy of conservative therapy, compliance represents a major and daily challenge. Monitoring therapeutic compliance is thus an important task for physicians in charge of this disease...
November 29, 2017: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/29198252/prevalence-and-correlates-of-subjective-memory-complaints-in-vietnamese-adults
#11
Oanh L Meyer, Amanda Leggett, Siwei Liu, Ngoc H Nguyen
BACKGROUND: Low- and middle-income countries such as Vietnam are home to a majority of the world's population with dementia, yet little is known regarding how individuals in these countries perceive memory problems that might be indicative of cognitive impairment. This study examined the prevalence and correlates of subjective memory complaints (SMCs) in Vietnamese adults in Da Nang, Vietnam. METHODS: A stratified sample of 600 adults (aged ≥ 55 years) living in Da Nang, Vietnam, and surrounding areas were recruited to participate in a cross-sectional study...
December 4, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29197533/cervical-cancer-screening-uptake-among-hiv-positive-women-in-ontario-canada-a-population-based-retrospective-cohort-study
#12
Ann N Burchell, Claire E Kendall, Stephanie Y Cheng, Aisha Lofters, Michelle Cotterchio, Ahmed M Bayoumi, Richard H Glazier, Tony Antoniou, Janet Raboud, Mark H Yudin, Mona Loutfy
Cervical cancer caused by oncogenic types of the human papillomavirus (HPV) is of concern among HIV-positive women due to impairment of immune responses required to control HPV infection. Our objectives were to describe patterns of cervical cancer screening using Pap cytology testing among HIV-positive women in Ontario, Canada from 2008 to 2013 and to identify factors associated with adequate screening. We conducted a retrospective, population-based cohort study among screen-eligible HIV-positive women using provincial administrative health data...
November 29, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29196982/a-brief-instrument-to-assess-both-burnout-and-professional-fulfillment-in-physicians-reliability-and-validity-including-correlation-with-self-reported-medical-errors-in-a-sample-of-resident-and-practicing-physicians
#13
Mickey Trockel, Bryan Bohman, Emi Lesure, Maryam S Hamidi, Dana Welle, Laura Roberts, Tait Shanafelt
OBJECTIVE: The objective of this study was to evaluate the performance of the Professional Fulfillment Index (PFI), a 16-item instrument to assess physicians' professional fulfillment and burnout, designed for sensitivity to change attributable to interventions or other factors affecting physician well-being. METHODS: A sample of 250 physicians completed the PFI, a measure of self-reported medical errors, and previously validated measures including the Maslach Burnout Inventory (MBI), a one-item burnout measure, the World Health Organization's abbreviated quality of life assessment (WHOQOL-BREF), and PROMIS short-form depression, anxiety, and sleep-related impairment scales...
December 1, 2017: Academic Psychiatry
https://www.readbyqxmd.com/read/29196352/hearing-impaired-young-people-a-physician-s-guide%C3%A2
#14
Anne Easson, Simone Walter
Physicians reading this will have a broad range of in-depth knowledge about their own subspecialty. However, in daily medical practice there are topics of which all physicians should have some knowledge. Those who deal with young people should have some knowledge of the needs of the hearing-impaired population within this group of patients. This article is intended to provide an overview of young people with hearing impairment (HIYP), the challenges they face and what we can do to help them. In this paper, we assume that data published regarding hearing-impaired children apply to HIYP from 13 years (the age at which the transition process begins) to 25 years of age (the age at which 'youth' according to the World health Organization and the Education Health Care Plan ends)...
December 2017: Clinical Medicine: Journal of the Royal College of Physicians of London
https://www.readbyqxmd.com/read/29195665/wearing-of-examination-gloves-and-hygiene-practice-among-dermatologists-a-national-survey
#15
D Penso-Assathiany, T-A Duong
INTRODUCTION: Touch is essential for dermatologists. Differences in practice, such as whether or not to wear examination gloves, may be seen among dermatologists. To investigate this approach and its associated factors, we conducted a national survey to study hygiene measures and the wearing of gloves among dermatologists, e.g. wearing a coat, hand washing between patient visits, hand shaking and past history of infectious disease transmitted by patients. The context and circumstances in which gloves were worn was studied...
November 28, 2017: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/29192471/biologic-agents-perception-in-patients-attending-for-the-first-time-to-psoriasis-centers-a-multicenter-italian-survey
#16
Maria Luca, Maria L Musumeci, Federico Bardazzi, Concetta Potenza, Nicoletta Bernardini, Francesca Ferrara, Alessandra Pavone, Giuseppe Micali
BACKGROUND: Inadequate treatment and delayed access to care represent critical issues regarding psoriasis. In Italy, patients treated with biologics are scanty and patients' misinformation could interfere with both biologics prescription and access to care. Literature provide data on disease awareness and perception about biologics in already-treated patients, but there is a lack of information concerning patients never treated with such drugs. METHODS: We conducted a national survey including three academic-based psoriasis care centers at Bologna, Rome and Catania...
November 30, 2017: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
https://www.readbyqxmd.com/read/29190572/increased-prevalence-and-risk-of-anxiety-disorders-in-adults-with-tinnitus-a-population-based-study-in-taiwan
#17
Ching-En Lin, Li-Fen Chen, Po-Han Chou, Chi-Hsiang Chung
OBJECTIVE: Tinnitus is a common disorder that may cause psychological distress and anxiety. The aim of this study was to investigate the association between anxiety disorders (ADs) and tinnitus in a large population. METHOD: We conducted a cross-sectional study using the National Health Insurance Research Database in Taiwan. Study subjects included 14,772 patients with tinnitus and 709,963 people in the general population who sought treatment in 2005. Distributions in ADs, age, sex, and medical comorbidities were compared between groups using chi-squared tests...
November 16, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29184855/dealing-with-complex-overactive-bladder-syndrome-patient-profiles-with-focus-on-fesoterodine-in-or-out-of-the-eau-guidelines
#18
REVIEW
John Heesakkers, Montserrat Espuña Pons, Philip Toozs Hobson, Emmanuel Chartier-Kastler
Overactive bladder (OAB) syndrome is a common, complex, and challenging condition. To assist the management of these patients, the European Association of Urology (EAU) updates its guidelines annually. This review reports the presentations from the symposium titled "Dealing with complex OAB patient profiles: in or out of the EAU guidelines?" held at the 32nd EAU Annual Congress in March 2017 in London. The symposium focused on three groups of OAB patients: women who may also suffer pelvic organ prolapse, stress urinary incontinence, the genitourinary syndrome of menopause (GSM); patients at risk of cognitive impairment; and elderly patients...
2017: Research and Reports in Urology
https://www.readbyqxmd.com/read/29184797/etiologic-classification-evaluation-and-management-of-hematospermia
#19
REVIEW
Yiji Suh, Jason Gandhi, Gunjan Joshi, Min Yea Lee, Steven J Weissbart, Noel L Smith, Gargi Joshi, Sardar Ali Khan
Hematospermia is defined by the presence of blood in the semen typically occurring in men younger than 40 years of age. Symptoms can occur due to a multitude of reasons, but are usually benign and self-limiting, requiring no additional treatment or evaluation. Despite this, the condition often impairs quality of life due to associated anxiety and must be taken seriously by the patient and the physician, particularly if recurrent, refractory, and painful. The etiology of hematospermia can be classified into inflammatory, infectious, lithiasis, cystic, obstructive, tumoral, vascular, traumatic, iatrogenic, and systemic origin...
October 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29183022/rehabilitation-of-cancer-survivors-with-long-term-toxicities
#20
Jan Schmielau, Oliver Rick, Monika Reuss-Borst, Eva-Maria Kalusche-Bontemps, Monika Steimann
The prognosis of cancer patients is constantly improving, which increases the importance of securing long-term quality of life. While therapy of treatment-related disability mostly succeeds a cancer-specific treatment, physicians' awareness of simultaneous supportive therapy is rising. Early interventions such as physical exercise during chemotherapy are effective in reducing conditions such as fatigue. Specific sensorimotor training is able to improve or even prevent impairment of balance caused by neurotoxic agents...
2017: Oncology Research and Treatment
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