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https://www.readbyqxmd.com/read/28225539/cuba-s-family-doctor-and-nurse-teams-a-day-in-the-life
#1
Conner Gorry
Nurse Sarait Guarat has Felipe's clinical history out of the file cabinet and on Dr Martha Diaz's desk before he's even through the door. Not that Dr Díaz needs it: Having served 26 years at Consultorio (Family Doctor-and-Nurse Office) #17 on a leafy street in Havana's Vedado neighborhood, she knows each of her patients by name and their health status essentially by heart. After greeting 91-year old Felipe with the customary kiss on the cheek, Dr Díaz gets down to business, asking after his family, checking up on his diabetes and inquiring about the reason for his visit...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28222857/liver-fibrosis-assessed-with-transient-elastography-is-an-independent-risk-factor-for-ischemic-stroke
#2
Seung Up Kim, Dongbeom Song, Ji Hoe Heo, Joonsang Yoo, Beom Kyung Kim, Jun Yong Park, Do Young Kim, Sang Hoon Ahn, Kwang Joon Kim, Kwang-Hyub Han, Young Dae Kim
BACKGROUND AND AIMS: The relationship between liver fibrosis and the occurrence of ischemic stroke is unknown. We investigated the correlation between liver fibrosis assessed with transient elastography (TE) and the risk of ischemic stroke. METHODS: Between April 2013 and August 2014, patients with acute ischemic stroke and subjects who underwent a health check-up were included in the study. Liver fibrotic burden was assessed with TE in all participants. The degree of liver fibrosis was compared between groups by using various multiple logistic regression models and propensity-score matched analyses...
February 12, 2017: Atherosclerosis
https://www.readbyqxmd.com/read/28217923/limiting-the-testing-of-urea-urea-along-with-every-plasma-creatinine-test
#3
Gao-Ming Zhang, Xu-Xiao Guo, Guo-Ming Zhang
BACKGROUND: We found that it is not necessary to simultaneously detect both creatinine (CREA) and urea until the concentration of CREA is lower than the certain level. To reduce urea testing, we suggest measuring urea only when CREA or estimated glomerular filtration rate (eGFR) exceeds a predetermined limit. MATERIALS AND METHODS: CREA and urea data were analyzed consisting of almost all of people age above 65 years old check-up (n=95441) in Shuyang countryside, and inpatients (n=101631), outpatients (n=18474) and Routine Health Check-up (n=20509) in Shuyang People's Hospital...
February 20, 2017: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/28217496/a-study-of-bone-turnover-markers-in-gestational-diabetes-mellitus
#4
Sheelu Shafiq Siddiqi, Abhijit Girish Borse, Anjum Pervez, Shaheen Anjum
INTRODUCTION: Gestational diabetes is defined as carbohydrate intolerance resulting in hyperglycemia of variable severity with the first recognition during pregnancy. Established risk factors for gestational diabetes mellitus (GDM) are maternal age, obesity, family history of diabetes, etc. Vitamin D, parathyroid hormone (PTH), and various other hormones are known for their function in maintaining calcium and phosphorous homeostatic. Furthermore, Vitamin D, PTH serum ionized calcium, and alkaline phosphatase (ALP) have been reported to be altered with glucose homeostasis...
January 2017: Indian Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28210539/participation-in-preventive-health-check-ups-among-19-351-women-in-germany
#5
Stefanie Schülein, Katherine J Taylor, Dirk Schriefer, Maria Blettner, Stefanie J Klug
In Germany, a biennial preventive health check-up has been available for individuals aged 35 and older since 1989. The check-up includes identification of cardiovascular disease risk factors and examinations for diabetes mellitus type 2 and kidney disease. Participation in preventive health check-ups among 19,351 women aged 35 to 74 in Germany in 2004 was investigated. Logistic regression was performed to examine associations between participation and age, marital status, education, socio-economic status (SES) and region of residence...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28209191/knowledge-of-caries-risk-factors-indicators-among-japanese-and-irish-adult-patients-with-different-socio-economic-profiles-a-cross-sectional-study
#6
Makiko Nishi, Máiréad Harding, Virginia Kelleher, Helen Whelton, Finbarr Allen
BACKGROUND: A previous study has shown deficient knowledge of caries risk factors/indicators in a Japanese adult population regarded to have a high interest in preventive dentistry. No prior research has investigated caries risk knowledge in an Irish adult population. We hypothesise there may be unexpected differences or similarities in knowledge across countries with similar levels of economic development when comparing groups with different socio-economic and cultural profiles. Understanding what influences knowledge is important for the development of effective and efficient caries prevention strategies...
February 16, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28199770/prevalence-of-hbsag-hbeag-among-1-936-801-couples-preparing-for-pregnancy-in-rural-china-an-observational-study
#7
Jue Liu, Shikun Zhang, Qiaomei Wang, Shenhai Ping, Man Zhang, Yiping Zhang, Donghai Yan, Min Liu
OBJECTIVE: There are few extant studies on the prevalence of HBV infection in couples preparing for pregnancy. We assessed the prevalence of hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) in couples preparing for pregnancy in rural China, and the association between HBV prevalence and the statuses of HBsAg/HBeAg and ALT in the spouses. METHODS: We performed a nationwide cross-sectional study, using data from a health check-up program for 1 936 801 rural couples from 31 provinces preparing for pregnancy between 2010 and 2012...
February 15, 2017: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/28195267/a-puzzling-ovarian-tumour-pregnancy-luteoma-with-diffuse-endometriosis
#8
F Limaiem, S Bouraoui, S Bouslama, A Lahmar, S Mzabi
BACKGROUND: Pregnancy luteoma is a distinctive non-neoplastic hormone dependent lesion arising in pregnancy and mimicking an ovarian tumour. Fewer than 200 cases have been described in the English-language literature. Its clinical and morphological features are characteristic and must be considered in order to prevent diagnostic misinterpretation. To the best of our knowledge the association of pregnancy luteoma with endometriosis has not been reported in literature to date. CASE REPORT: A 30-year-old pregnant woman with no particular past medical history, consulted her gynaecologist at 17 weeks gestation for routine check-up...
September 2016: Pathologica
https://www.readbyqxmd.com/read/28194177/fatty-liver-index-and-lipid-accumulation-product-can-predict-metabolic-syndrome-in-subjects-without-fatty-liver-disease
#9
Yuan-Lung Cheng, Yuan-Jen Wang, Keng-Hsin Lan, Teh-Ia Huo, Yi-Hsiang Huang, Chien-Wei Su, Wei-Yao Hsieh, Ming-Chih Hou, Han-Chieh Lin, Fa-Yauh Lee, Jaw-Ching Wu, Shou-Dong Lee
Background. Fatty liver index (FLI) and lipid accumulation product (LAP) are indexes originally designed to assess the risk of fatty liver and cardiovascular disease, respectively. Both indexes have been proven to be reliable markers of subsequent metabolic syndrome; however, their ability to predict metabolic syndrome in subjects without fatty liver disease has not been clarified. Methods. We enrolled consecutive subjects who received health check-up services at Taipei Veterans General Hospital from 2002 to 2009...
2017: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/28192776/coral-and-nano-qfar-quantitative-feature-activity-relationships-qfar-for-bioavailability-of-nanoparticles-zno-cuo-co3o4-and-tio2
#10
Alla P Toropova, Andrey A Toropov, Danuta Leszczynska, Jerzy Leszczynski
Quantitative feature - activity relationships (QFAR) approach was applied to prediction of bioavailability of metal oxide nanoparticles. ZnO, CuO, Co3O4, and TiO2 nanoxides were considered. The computational model for bioavailability of investigated species is asserted. The model was calculated using the Monte Carlo method. The CORAL free software (http://www.insilico.eu/coral) was used in this study. The developed model was tested by application of three different splits of data into the training and validation sets...
February 10, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/28185597/diabetes-in-young-adult-men-social-and-health-related-correlates
#11
Rachel L Koelmeyer, Shyamali C Dharmage, Dallas R English
BACKGROUND: Diabetes is a global public health issue. It is associated with significant disability, morbidity and mortality risks and substantial healthcare costs. Of great concern is the fact that its prevalence is rising, particularly amongst the young, while epidemiological data regarding the incidence, prevalence and complications of early-onset type 2 diabetes is noted to be sparse. METHODS: We used data from the baseline wave of Ten to Men, a national cohort study of Australian males, to investigate the social and health-related correlates of Australian males aged 18-49 years reporting being diagnosed with diabetes...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28185596/why-do-men-go-to-the-doctor-socio-demographic-and-lifestyle-factors-associated-with-healthcare-utilisation-among-a-cohort-of-australian-men
#12
Marisa Schlichthorst, Lena A Sanci, Jane Pirkis, Matthew J Spittal, Jane S Hocking
BACKGROUND: Men use health services less often than women and frequently delay seeking help even if experiencing serious health problems. This may put men at higher risk for developing serious health problems which, in part, may explain men's higher rates of some serious illnesses and shorter life span relative to women. This paper identifies factors that contribute to health care utilisation in a cohort of Australian men by exploring associations between socio-economic, health and lifestyle factors and the use of general practitioner (GP) services...
October 31, 2016: BMC Public Health
https://www.readbyqxmd.com/read/28178136/a-higher-baseline-plasma-uric-acid-level-is-an-independent-predictor-of-arterial-stiffness-a-community-based-prospective-study
#13
Xiao-Han Ding, Xiaona Wang, Ruihua Cao, Xu Yang, Wenkai Xiao, Yun Zhang, Yongyi Bai, Hongmei Wu, Ping Ye
Hyperuricemia has been demonstrated to be a risk factor for cardiovascular diseases. Though the association between uric acid (UA) and arterial stiffness has been investigated previously in patients with basic diseases, the predictive value of baseline UA level for arterial stiffness has not been conducted. We aimed at identifying the predictive role of UA for arterial stiffness prospectively.A longitudinal follow-up study in a routine health check-up population was performed with an average follow-up of 4...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28169410/-long-term-effect-of-policosanol-on-the-functional-recovery-of-non-cardioembolic-ischemic-stroke-patients-a-one-year-study
#14
J Sanchez, J Illnait, R Mas, S Mendoza, L Fernandez, M Mesa, H Vega, J Fernandez, P Reyes, D Ruiz
INTRODUCTION: Stroke is a leading cause of mortality and disability. Policosanol has been effective in brain ischemia models. The aim of this study is to investigate whether policosanol, added to aspirin therapy within 30 days of stroke onset, is better than placebo + aspirine for the long-term recovery of non-cardioembolic ischemic stroke subjects. PATIENTS AND METHODS: Randomized, double-blind, placebo-controlled study. Eighty patients (mean age: 69 years) within 30 days of onset, with a modified Rankin Scale score (mRS) 2 to 4, were included...
February 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28164667/albuminuria-is-suggested-as-a-potential-health-screening-biomarker-for-senior-citizens-and-general-population-with-hypertension-or-diabetes-in-china
#15
Dongmei Gu, Pengcheng Xu, Yuhua Yuan, Hongwei Fu
BACKGROUND: To evaluate the possibility of albuminuria as a screening biomarker for seniors or general population with hypertension and diabetes. METHODS: 478 health check-up individuals were enrolled. Albumin to creatinine ratio (ACR) was calculated by testing urinary albumin and creatinine of spot urine sample. Each urine sample was also analyzed by the routine urine test in parallel with ACR. Potential risk factors associated with the presence of albuminuria were analyzed using independent t-test or chi-square test...
November 1, 2016: Clinical Laboratory
https://www.readbyqxmd.com/read/28161229/-secondary-megaureter-a-rare-complication-of-deflux-%C3%A2-endoscopic-management-of-vesicoureteral-reflux-in-children
#16
N Boudaoud, A Line, M Pons, F Lefebvre, M A Bouche Pillon, C Francois, M L Poli Merol
Endoscopic management is the gold standard for symptomatic low-grade vesicoureteral reflux (VUR) in children. Deflux(®) (hyaluronic acid/dextranomer) injection is highly effective and has very few complications. We report on two cases of secondary megaureter after Deflux(®) injections. In the first case, a boy presented with Grade 4 VUR. He received a bilateral Deflux(®) injection with a total of three syringes. The postoperative ultrasound was normal. However, a check-up ultrasound 3 years later showed a significant ureteropyelocalyceal dilatation, with stasis and decreased renal function on scintigraphy, the reason why antireflux surgery (Cohen procedure) was performed...
February 1, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28159849/close-look-at-the-experiences-of-patients-enrolled-in-a-clinical-trial-of-acupuncture-treatment-for-atrial-fibrillation-in-korea-a-qualitative-study-nested-within-a-randomised-controlled-trial
#17
Seung Min Kathy Lee, Jungtae Leem, Jun Hyeong Park, Kang Hyun Yoon, Jong Shin Woo, Jung Myung Lee, Jin-Bae Kim, Weon Kim, Sanghoon Lee
OBJECTIVE: To explore the experiences of patients with atrial fibrillation (AF) in the context of a prospective, two-parallel-armed, participant-blinded and assessor-blinded sham-controlled randomised trial. DESIGN: A nested qualitative study within an ongoing randomised controlled trial to explore acupuncture's antiarrhythmic effects on drug refractory acupuncture in persistent atrial fibrillation (AF) (ACU-AF trial). PARTICIPANTS: Participants were recruited using purposeful sampling and a maximum variation strategy with regard to treatment allocation (treatment or control) and protocol completion (completion or non-completion)...
February 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28157061/elderly-people-need-an-eye-examination-before-entering-nursing-homes
#18
Hanne Jensen, Gitte Tubæk
INTRODUCTION: It is well documented that eye diseases develop with ageing and thus more elderly people have a visual handicap. It is important that the elderly are examined well, that they have the correct prescription and optimal aids. This is especially applicable to those residing in nursing homes. METHOD: In this study, an eye examination was offered to all residents in 11 nursing homes. The examination was conducted by an optometrist who brought her own equipment...
February 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/28155038/what-prevents-central-asian-migrant-workers-from-accessing-hiv-testing-implications-for-increasing-hiv-testing-uptake-in-kazakhstan
#19
Alissa Davis, Assel Terlikbayeva, Dina Terloyeva, Sholpan Primbetova, Nabila El-Bassel
Several barriers prevent key populations, such as migrant workers, from accessing HIV testing. Using data from a cross-sectional study among Central Asian migrant workers (n = 623) in Kazakhstan, we examined factors associated with HIV testing. Overall, 48% of participants had ever received an HIV test. Having temporary registration (AOR 1.69; (95% CI [1.12-2.56]), having an employment contract (AOR 2.59; (95% CI [1.58-4.23]), being able to afford health care services (AOR 3.61; (95% CI [1.86-7.03]) having a medical check-up in the past 12 months (AOR 1...
February 2, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28154352/importance-of-data-collection-and-analyses-of-health-check-up-data-from-childhood-and-throughout-life-insights-from-national-survey-data
#20
Hidemi Takimoto
Collecting and analyzing anthropometric and health data from routine health check-ups on children are essential for developing effective health policies to reduce the prevalence of chronic lifestyle-related disease. To estimate regional differences in the prevalence of overweight children, the 2012 National Health and Nutrition Survey and School Health Survey results were used for analysis. In prefectures with high prevalence of overweight children, the adult mean BMIs were also high. Our preliminary analysis suggests the importance of region-based survey analysis of the underlying cause of this phenomenon...
2017: Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
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