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https://www.readbyqxmd.com/read/29154489/characteristics-of-prisoners-with-intellectual-disabilities
#1
E Chaplin, J McCarthy, L Underwood, A Forrester, H Hayward, J Sabet, R Mills, S Young, P Asherson, D Murphy
BACKGROUND: Previous studies have found high rates of intellectual disabilities (ID) in prison. However, little is understood about prisoners with ID. This study aimed to identify prisoners with ID and compare their characteristics with prisoners without neurodevelopmental disorders with regard to demographic profile, mental health, suicide risk and offences. METHOD: This was a descriptive, cross-sectional study carried out using face-to-face interviews with 240 participants in a London Category C prison...
December 2017: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29150985/general-illness-and-psychological-factors-in-patients-with-chronic-nasal-symptoms
#2
Naveed Kara, Alexander C Yao, Julia Newton, Vincent Deary, James O'Hara, Janet A Wilson
OBJECTIVES: Only a minority of patients referred to specialists with sinonasal symptoms have clear evidence of chronic rhinosinusitis. This study aims to estimate the prevalence of and associations between (i) general illness factors (fatigue, autonomic dysfunction) and (ii) psychological factors (anxiety, depression, somatisation, personality traits) in patients presenting with sinonasal symptoms. DESIGN: The following validated questionnaires were administered to patients: the Sino-Nasal Outcome Test-22 (SNOT-22) to identify symptom burden, Composite Autonomic Symptom Score-31 (COMPASS-31) measuring autonomic function, Chalder fatigue questionnaire, Patient Health Questionnaire-15 (PHQ-15) addressing somatisation symptoms, Hospital Anxiety and Depression Scale (HADS), and the International Personality Item Pool-50 (IPIP-50)...
November 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29135904/patient-factors-associated-with-the-decision-to-transfer-adult-patients-from-a-pediatric-emergency-department-for-definitive-care
#3
Aaron E Kornblith, Ashley A Foster, Christine S Cho, Ralph C Wang, David M Jaffe
OBJECTIVE: Adults presenting to pediatric emergency departments are transferred to general emergency departments in proportions between 20% and 60%. How illness severity is related to the decision to transfer is poorly understood. We compared the proportion of adults with emergent and nonemergent conditions with respect to their final disposition. We also determined characteristics associated with transfer. METHODS: We conducted a retrospective review of the electronic medical record and identified all patients 25 years and older presenting to a large urban freestanding pediatric emergency department from 2008 to 2013...
November 14, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29133383/structured-education-programme-for-women-with-polycystic-ovary-syndrome-a-randomised-controlled-trial
#4
Hamidreza Mani, Yogini Chudasama, Michelle Hadjiconstantinou, Daniel H Bodicoat, Charlotte Edwardson, Miles Levy, Laura J Gray, Janette Barnett, Heather Daly, Trevor A Howlett, Kamlesh Khunti, Melanie J Davies
OBJECTIVE: To evaluate the effectiveness of a structured education programmes in women with polycystic ovary syndrome (PCOS). METHODS: Single centre, randomised controlled trial, testing a single exposure to a group-based, face-to-face, structured education programme. Inclusion criteria were women with PCOS, aged 18-49 years inclusive and Body Mass Index ≥ 23 kg/m2 for Black and Minority Ethnicities or ≥ 25 kg/m2 for White Europeans. Primary outcome was step count/day at 12 months...
November 13, 2017: Endocrine Connections
https://www.readbyqxmd.com/read/29131899/a-comparison-of-laboratory-testing-in-teaching-vs-nonteaching-hospitals-for-2-common-medical-conditions
#5
Victoria Valencia, Vineet M Arora, Sumant R Ranji, Carlos Meza, Christopher Moriates
Importance: Robust laboratory use data are lacking to support the general assumption that teaching hospitals with trainees routinely order more laboratory tests for inpatients than do nonteaching hospitals. Objective: To quantify differences in the use of laboratory tests between teaching and nonteaching hospitals. Design, Setting, and Participants: A cross-sectional study was performed using a statewide database to identify hospitalizations with a primary diagnosis of bacterial pneumonia or cellulitis from January 1, 2014, to June 30, 2015, at teaching and nonteaching hospitals with 100 or more hospitalizations of each condition...
November 13, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/29128553/pediatric-hematopoietic-cell-transplant-patients-who-survive-critical-illness-frequently-have-significant-but-recoverable-decline-in-functional-status
#6
M S Zinter, R Holubkov, M A Steurer, C C Dvorak, C N Duncan, A Sapru, R F Tamburro, P S McQuillen, M M Pollack
BACKGROUND: The number of pediatric hematopoietic cell transplant (HCT) patients who survive pediatric intensive care unit (PICU) admission is increasing, yet little is known about their functional morbidity after PICU discharge. We hypothesized that relative to controls, pediatric HCT patients who survive PICU admission would have greater rates of new functional morbidity at the time of PICU discharge, and only a minority of these patients would return to their functional baseline by the end of the hospitalization...
November 8, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/29126415/cost-of-illness-of-atrial-fibrillation-a-nationwide-study-of-societal-impact
#7
Søren Paaske Johnsen, Lene Worsaae Dalby, Tomas Täckström, Jens Olsen, Anina Fraschke
BACKGROUND: The prevalence of atrial fibrillation is increasing rapidly; however, to date, population-based data are lacking on the attributable cost of illness of atrial fibrillation from a societal perspective, including both direct and indirect costs. METHODS: The study was an incidence-based cost-of-illness study based on national registries covering the entire population of Denmark. We identified all patients with a first-time hospital diagnosis of atrial fibrillation between 2001 and 2012...
November 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29120845/markers-of-dna-rna-damage-from-oxidation-as-predictors-of-a-registry-based-diagnosis-of-psychiatric-illness-in-type-2-diabetic-patients
#8
Anders Jorgensen, Volkert Siersma, Annette S Davidsen, Allan Weimann, Trine Henriksen, Henrik E Poulsen, Niels de Fine Olivarius
Oxidative stress is a potential biological mediator of the higher rates of psychiatric illness (PI) observed after the onset of type 2 diabetes (T2DM). We investigated validated urinary markers of systemic DNA/RNA damage from oxidation (8-oxodG/8-oxoGuo respectively) as predictors of incident PI in a cohort of 1381 newly diagnosed T2DM patients, who were followed prospectively for a total of 19 years after diagnosis. Psychiatric diagnoses were from Danish national registries. Patients were examined at the time of diagnosis and at a 6-year follow-up...
November 6, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29120379/trait-rumination-predicts-elevated-evening-cortisol-in-sexual-and-gender-minority-young-adults
#9
Peggy M Zoccola, Andrew W Manigault, Wilson S Figueroa, Cari Hollenbeck, Anna Mendlein, Alex Woody, Katrina Hamilton, Matt Scanlin, Ryan C Johnson
Stress may contribute to illness through the impaired recovery or sustained activity of stress-responsive biological systems. Rumination, or mental rehearsal of past stressors, may alter the body's stress-responsive systems by amplifying and prolonging exposure to physiological mediators, such as cortisol. The primary aim of the current investigation was to test the extent to which the tendency to ruminate on stress predicts diminished diurnal cortisol recovery (i.e., elevated evening cortisol) in a sample of sexual and gender minority young adults...
November 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29119676/need-for-reassurance-in-self-care-of-minor-illnesses
#10
Silje Gustafsson, Stefan Sävenstedt, Jesper Martinsson, Britt-Marie Wälivaara
AIMS AND OBJECTIVES: This study describes people's need for reassurance in self-care of minor illnesses. BACKGROUND: Self-care and active surveillance are advocated as important strategies to manage minor illnesses. Reassurance influences patient satisfaction and confidence in the practicing of self-care. DESIGN: This study is a descriptive and interpretive qualitative study. METHODS: Twelve persons with experience in self-care and receiving self-care advice were recruited, and data were collected using semi-structured interviews between September and December 2014...
November 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29110776/psychiatric-syndromes-other-than-dementia
#11
Karl Bechter, Florian Deisenhammer
There is wide variability in how psychiatry guidelines and textbooks address the question of cerebrospinal fluid (CSF) diagnostics in the screening of psychiatric disorders. A United States-based textbook confirms that there is no consensus about which laboratory investigation should be routinely performed in psychiatric patients, but with respect to CSF diagnostics, the differences are even more striking. A survey among European experts showed a wide variety of opinions regarding clinical use and criteria in various countries of Europe and worldwide: some psychiatrists, mostly university hospital-based, recommended performing CSF diagnostics in every patient first experiencing severe mental illness (SMI), but especially in patients from the schizophrenia spectrum, whereas others almost never perform CSF examinations themselves and usually refer patients to neurology departments if necessary...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/29103790/laparoscopic-gastroesophageal-dissociation-in-neurologically-impaired-children-with-gastroesophageal-reflux-disease
#12
Jonathan H DeAntonio, Dan W Parrish, Shannon F Rosati, Claudio Oiticica, David A Lanning
PURPOSE: Neurologically impaired children with severe gastroesophageal reflux disease (GERD) are a challenging group of patients. We theorized that a laparoscopic gastroesophageal dissociation (LGED) may decrease reflux-related readmissions and healthcare visits, and improve quality of life (QOL) for them and their caregivers. METHODS: A retrospective review was performed on our pediatric patients that underwent an LGED along with a caregiver survey from 2013 to 2017...
October 9, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29101139/public-views-towards-community-health-and-hospital-based-outpatient-services-and-their-utilisation-in-zhejiang-china-a-mixed-methods-study
#13
Dan Wu, Tai Pong Lam, Kwok Fai Lam, Xu Dong Zhou, Kai Sing Sun
OBJECTIVE: China is engaged in promoting community health services (CHS) nationwide. This study examines the public's views towards CHS and their utilisation of community-based and hospital-based outpatient services. DESIGN: A mixed methods study using qualitative interviews and a cross-sectional survey. STUDY SETTING AND PARTICIPANTS: The study was conducted among the public between September 2014 and September 2015 in Zhejiang province, China...
November 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/29096666/prehospital-prognosis-is-difficult-in-patients-with-acute-exacerbation-of-chronic-obstructive-pulmonary-disease
#14
Katrine P Lindvig, Anne C Brøchner, Annmarie T Lassen, Søren Mikkelsen
BACKGROUND: Patients with acute exacerbation of chronic obstructive pulmonary disease often require prehospital emergency treatment. This enables patients who are less ill to be treated on-site and to avoid hospital admission, while severely ill patients can receive immediate ventilatory support in the form of intubation. The emergency physician faces difficult treatment decisions, however, and prognostic tools that could assist in determining which patients would benefit from intubation and ventilator support would be helpful...
November 2, 2017: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/29079604/cohort-profile-a-nationwide-cohort-of-finnish-military-recruits-born-in-1958-to-study-the-impact-of-lifestyle-factors-in-early-adulthood-on-disease-outcomes
#15
Jorma Sormunen, Melina Arnold, Isabelle Soerjomataram, Eero Pukkala
PURPOSE: The cohort was set up to study the impact of lifestyle factors in early adulthood on disease outcomes, with a focus on assessing the influence of body composition and physical performance in early adulthood on subsequent cancer risk. PARTICIPANTS: Men born in 1958 who performed their military service between the ages of 17 and 30 years were included in this study (n=31 158). They were eligible for military service if they were healthy or had only minor health problems diagnosed at the beginning of their service...
October 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/29075362/psychological-and-lifestyle-risk-factors-for-asthma-exacerbations-and-morbidity-in-children
#16
REVIEW
Alyssa A Oland, Genery D Booster, Bruce G Bender
Asthma is the most common childhood illness and disproportionately affects low-income, minority children who live in urban areas. A range of risk factors are associated with asthma morbidity and mortality, such as treatment non-adherence, exposure to environmental triggers, low-income households, exposure to chronic stress, child psychological problems, parental stress, family functioning, obesity, physical inactivity, and unhealthy diets. These risk factors often have complex interactions and inter-relationships...
2017: World Allergy Organization Journal
https://www.readbyqxmd.com/read/29074401/-implementing-vaccination-recommendations-in-discharge-letters
#17
Linda Sanftenberg, Puria Salavati, Jörg Schelling
OBJECTIVES: There is still a lack of attention paid to the subject of vaccinations indicated for people with chronic disease, so the vaccination rates in this field are low or hardly known. Hospitals only play a minor part in the vaccination subject, although they play a big part in the treatment of chronically ill patients. METHODS: In this study we wanted to test the practicability of the implementation of vaccination recommendations in discharge letters as a chance to give the subject more attention and involve hospital doctors in the vaccination process...
October 23, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29065165/highly-active-antiretroviral-therapy-for-critically-ill-hiv-patients-a-systematic-review-and-meta-analysis
#18
REVIEW
Hugo Boechat Andrade, Cassia Righy Shinotsuka, Ivan Rocha Ferreira da Silva, Camila Sunaitis Donini, Ho Yeh Li, Frederico Bruzzi de Carvalho, Pedro Emmanuel Alvarenga Americano do Brasil, Fernando Augusto Bozza, Andre Miguel Japiassu
INTRODUCTION: It is unclear whether the treatment of an HIV infection with highly active antiretroviral therapy (HAART) affects intensive care unit (ICU) outcomes. In this paper, we report the results of a systematic review and meta-analysis performed to summarize the effects of HAART on the prognosis of critically ill HIV positive patients. MATERIALS AND METHODS: A bibliographic search was performed in 3 databases (PubMed, Web of Science and Scopus) to identify articles that investigated the use of HAART during ICU admissions for short- and long-term mortality or survival...
2017: PloS One
https://www.readbyqxmd.com/read/29049916/immune-cell-type-fingerprints-at-the-basis-of-outcome-diversity-of-human-infection
#19
REVIEW
Shelly Hen-Avivi, Roi Avraham
Despite the availability of antibiotics and immunization, infectious diseases remain a major cause of malignancy and death worldwide. Yet, it is well documented that for most infectious agents, clinical disease develops in only a small minority of infected individuals. There is, in fact, great heterogeneity in infection outcome, from complete clearance of the pathogen to severe illness. Understanding this variation remains elusive, despite its great potential to equip us with new tools for the treatment of infectious diseases...
October 16, 2017: Current Opinion in Microbiology
https://www.readbyqxmd.com/read/29043538/venous-thromboembolism-prophylaxis-in-medically-ill-patients-a-mixed-treatment-comparison-meta-analysis
#20
REVIEW
Majed S Al Yami, Matthew A Silva, Jennifer L Donovan, Abir O Kanaan
The American College of Chest Physicians guidelines recommend unfractionated heparin (UFH), low molecular weight heparins (LMWHs) or fondaparinux for prevention of venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), in medically-ill patients. Direct oral anticoagulants (DOACs) have been evaluated relative to enoxaparin for VTE prophylaxis though head-to-head comparisons of these agents are lacking. Therefore, we conducted a mixed treatment comparisons meta-analysis to evaluate the safety and efficacy of established treatments and DOACs for VTE prophylaxis in medically-ill patients...
October 17, 2017: Journal of Thrombosis and Thrombolysis
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