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https://www.readbyqxmd.com/read/29666133/medical-overuse-in-the-iranian-healthcare-system-a-systematic-review-protocol
#1
Morteza Arab-Zozani, Mohammad Zakaria Pezeshki, Rahim Khodayari-Zarnaq, Ali Janati
INTRODUCTION: Lack of resources is one of the main problems of all healthcare systems. Recent studies have shown that reducing the overuse of medical services plays an important role in reducing healthcare system costs. Overuse of medical services is a major problem in the healthcare system, and it threatens the quality of the services, can harm patients and create excess costs for patients. So far, few studies have been conducted in this regard in Iran. The main objective of this systematic review is to perform an inclusive search for studies that report overuse of medical services in the Iranian healthcare system...
April 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29662911/unaccounted-workload-factor-game-day-pitch-counts-in-high-school-baseball-pitchers-an-observational-study
#2
Jason L Zaremski, Giorgio Zeppieri, Deborah L Jones, Brady L Tripp, Michelle Bruner, Heather K Vincent, MaryBeth Horodyski
Background: Throwing injuries are common in high school baseball. Known risk factors include excessive pitch counts, year-round pitching, and pitching with arm pain and fatigue. Despite the evidence, the prevalence of pitching injuries among high school players has not decreased. One possibility to explain this pattern is that players accumulate unaccounted pitch volume during warm-up and bullpen activity, but this has not yet been examined. Hypotheses: Our primary hypothesis was that approximately 30% to 40% of pitches thrown off a mound by high school pitchers during a game-day outing are unaccounted for in current data but will be revealed when bullpen sessions and warm-up pitches are included...
April 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29661363/the-effect-of-commercial-insurance-policies-on-outcomes-of-venous-ablation
#3
Cassius Iyad Ochoa Chaar, Afsha Aurshina, Yawei Zhang, Fang Wang, Jonathan Cardella, Kristine Orion, Bauer Sumpio, Timur Sarac
OBJECTIVE: The use of venous ablation (VA) for treatment of chronic venous insufficiency has exponentially increased. To limit cost and overuse, insurance companies have adopted aleatory policies. The goal of this study was to compare the policies of five major local insurance carriers and to determine whether treatment within the criteria of a certain policy is associated with improved patient outcomes. METHODS: A retrospective single-center review of patients treated with VA was performed...
May 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29661294/serum-lactate-predicts-resource-utilization-but-not-surgical-need-in-the-emergency-department
#4
Carly Richards, Kelli Ishihara, Cary Grayson, Michael Lustik, Christopher Yheulon
BACKGROUND: Serum lactate is frequently tested in the emergency department (ED) setting to diagnose visceral ischemia and as a marker of end-organ perfusion. It is highly nonspecific, and levels can be affected by both kidney and liver function. In this retrospective chart review, we aim to demonstrate that serum lactate is overused in the ED setting and predicts resource utilization but not the need for surgical intervention. METHODS: ED records with a chief complaint of "abdominal pain" were queried for the preceding 12 mo...
June 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29659794/understanding-medical-overuse-the-case-of-problematic-polypharmacy-and-the-potential-of-ethnography
#5
Natalie Armstrong, Deborah Swinglehurst
No abstract text is available yet for this article.
April 6, 2018: Family Practice
https://www.readbyqxmd.com/read/29658189/side-effects-of-long-term-proton-pump-inhibitor-use-a-review
#6
Peter Fentz Haastrup, Wade Thompson, Jens Søndergaard, Dorte Ejg Jarbøl
Proton pump inhibitors (PPIs) are widely used, and concerns about overuse have been raised. Therefore, side effects are important to be aware of and several suggested side effects of long-term use have been studied. In this MiniReview, we sum up the evidence of side effects related to long-term PPI treatment. Suspected side effects are mainly related to increased susceptibility to infections, secondary hypergastrinaemia, impeded absorption of micronutrients or idiosyncratic reactions. This article is protected by copyright...
April 15, 2018: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29657003/in-vitro-bioassays-used-in-evaluating-plant-extracts-for-tick-repellent-and-acaricidal-properties-a-critical-review
#7
REVIEW
Olubukola Tolulope Adenubi, Lyndy Joy McGaw, Jacobus Nicolaas Eloff, Vinny Naidoo
Ticks are haematophagous arthropods which rank closely with mosquitoes in their capacity to transmit disease pathogens of importance to animals and humans. Current control of ticks is based on the routine use of synthetic chemicals administered to animals or their environment. However, years of use and overuse of these chemicals have resulted in the development of resistance in these parasites and negative environmental impacts, hence the need for cheaper, safer and more environmentally friendly alternatives with alternate modes of action...
April 30, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29655522/antibiotics-as-instigators-of-microbial-dysbiosis-implications-for-asthma-and-allergy
#8
REVIEW
Tomasz P Wypych, Benjamin J Marsland
The human body and its resident microbiota form a complex ecosystem, shaped by both inherited and environmental factors. The use of antibiotics represents an extreme example of environmental pressure and can broadly disrupt the microbial landscape. The benefits that antibiotics have brought to modern medicine are unquestionable; however, their overuse comes with consequences, including the potential for secondary infections by opportunistic pathogens and the spread of antibiotic resistance. Here, we discuss the implications of microbial dysbiosis driven by antibiotics, with a focus on potential links with allergy and asthma...
March 14, 2018: Trends in Immunology
https://www.readbyqxmd.com/read/29652953/-prescription-of-opioids-at-the-moment-of-discharge-from-an-emergency-department
#9
Matías Martínez, Luis Herrada, Ana Muñoz, Camila Chávez, Marcela Jirón
Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study in a random sample of adult patients attended at an ED of a teaching hospital. We reviewed medical records prescriptions for each patient to collect information about drugs prescribed, reason and medical indication of use (doses and duration)...
December 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29652754/pattern-of-antibiotic-prescription-for-oral-implant-treatment-among-dentists-in-saudi-arabia
#10
Khalid E El-Kholey, Othman Wali, Aamna Elkomy, Ahmed Almozayen
OBJECTIVE: To investigate antibiotic prophylaxis prescription behavior among dentists practicing dental implant surgery in Saudi Arabia. MATERIALS AND METHODS: An observational questionnaire study was conducted in the period between October 2016 and December 2016. A link to an online previously validated questionnaire was sent to a convenience sample of dentists practicing dental implant placement in the different areas of Saudi Arabia. Absolute frequencies were used to describe the data...
April 12, 2018: Implant Dentistry
https://www.readbyqxmd.com/read/29651902/shoulder-and-lower-back-joint-reaction-forces-in-seated-double-poling
#11
Marie Lund Ohlsson, Jonas Danvind, L Joakim Holmberg
Overuse injuries in the shoulders and lower back are hypothesized to be common in cross-country sit-skiing. Athletes with reduced trunk muscle control mainly sits with their knees higher than hips (KH). To reduce spinal flexion, a position with the knees below the hips (KL) was enabled for these athletes using a frontal trunk support. The aim of the study was to compare the shoulder joint (glenohumeral joint) and L4-L5 joint reactions between the sitting positions KL and KH. Five able-bodied female athletes performed submaximal and maximal exercise tests in the sitting positions KL and KH on a ski-ergometer...
April 13, 2018: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/29629599/remission-of-chronic-headache-an-11-year-follow-up-study-data-from-the-nord-tr%C3%A3-ndelag-health-surveys-1995-1997-and-2006-2008
#12
Knut Hagen, Espen Saxhaug Kristoffersen, Bendik Slagvold Winsvold, Lars Jacob Stovner, John-Anker Zwart
Objectives To estimate remission rates of chronic headache and predictors of remission. Methods In this longitudinal population-based cohort study, we used validated headache questionnaire data from the second (1995-1997, baseline; n = 51,856 aged ≥ 20 years, response rate: 55%) and third wave (2006-2008, follow-up, response rate: 42%) of the Nord-Trøndelag Health Study. Chronic headache was defined as ≥15 headache days/month during the last year. Chronic headache remission was defined as headache less than 15 days/month at follow-up...
January 1, 2018: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/29629185/evaluation-of-spine-mris-in-athletes-participating-in-the-rio-de-janeiro-2016-summer-olympic-games
#13
Michael S Wasserman, Ali Guermazi, Mohamed Jarraya, Lars Engbretsen, Mohamad AbdelKader, Frank W Roemer, Daichi Hayashi, Michel D Crema, Asim Z Mian
Background/aim: In high-level Olympic athletes, many spinal pathologies arise from overuse, while others are the result of acute injury. Our aim is to analyse the epidemiology of spinal pathologies detected on MRI in athletes participating in the 2016 Rio de Janeiro Summer Olympics. Methods: In this retrospective study, all spine MRIs performed during the 2016 Rio Games were analysed. Descriptive data from the MRIs were tabulated and analysed for disc degeneration, spinal canal and/or neural foraminal narrowing, and acute/chronic fractures...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29629182/psychosocial-stress-factors-including-the-relationship-with-the-coach-and-their-influence-on-acute-and-overuse-injury-risk-in-elite-female-football-players
#14
Anne Marte Pensgaard, Andreas Ivarsson, Agnethe Nilstad, Bård Erlend Solstad, Kathrin Steffen
Background: The relationship between specific types of stressors (eg, teammates, coach) and acute versus overuse injuries is not well understood. Objective: To examine the roles of different types of stressors as well as the effect of motivational climate on the occurrence of acute and overuse injuries. Methods: Players in the Norwegian elite female football league (n=193 players from 12 teams) participated in baseline screening tests prior to the 2009 competitive football season...
2018: BMJ Open Sport & Exercise Medicine
https://www.readbyqxmd.com/read/29629056/prediction-of-internet-addiction-based-on-information-literacy-among-students-of-iran-university-of-medical-sciences
#15
Mostafa Langarizadeh, Majid Naghipour, Seyed Mohsen Tabatabaei, Abbas Mirzaei, Mohammad Eslami Vaghar
Background: A considerable group of internet users consists of university users; however, despite internet benefits and capabilities, internet overuse is a threat to societies especially to young people and students. Objective: The objective of this study was to determine the predictive role of information literacy in internet addiction among students of Iran University of Medical Sciences during 2016. Methods: This analytical cross-sectional study was conducted in Iran University of Medical Sciences in 2016...
February 2018: Electronic Physician
https://www.readbyqxmd.com/read/29628616/updates-on-uterine-artery-embolization
#16
REVIEW
Maureen P Kohi, James B Spies
Uterine fibroids (leiomyomas) are the most common benign neoplasm of the female pelvis and have a lifetime prevalence exceeding 80% among African American women and approaching 70% among Caucasian women. Approximately 50% of women with fibroids experience symptoms which may include menorrhagia that may result in anemia, bulk symptoms with bladder and bowel dysfunction and abdominal protrusion, dysmenorrhea, and infertility. Hysterectomy remains the most common treatment option for fibroids and concerns have been raised about the overuse of this procedure...
March 2018: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/29627806/long-term-benzodiazepine-use-in-patients-taking-antidepressants-in-a-public-health-setting-in-brazil-a-cross-sectional-study
#17
Izabela Fulone, Marcus Tolentino Silva, Luciane Cruz Lopes
OBJECTIVE: The aims of the study were to investigate the prevalence of long-term use of benzodiazepines in patients taking antidepressants and to identify the risk factors associated with the prolonged use of benzodiazepines. DESIGN: Cross-sectional study. SETTING: Public health system in Brazil. PARTICIPANTS: Outpatients using antidepressants from January 2008 to December 2009 were included. The data were obtained from pharmacy databases and medical records...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29627625/the-depressed-central-carbon-and-energy-metabolisms-is-associated-to-the-acquisition-of-levofloxacin-resistance-in-vibrio-alginolyticus
#18
Zhi-Xue Cheng, Man-Jun Yang, Bo Peng, Xuan-Xian Peng, Xiang-Min Lin, Hui Li
The overuse and misuse of antibiotics lead to bacterial antibiotic resistance, challenging human health and intensive cultivation. It is especially required to understand for the mechanism of antibiotic resistance to control antibiotic-resistant pathogens. The present study characterized the differential proteome of levofloxacin-resistant Vibrio alginolyticus with the most advanced iTRAQ quantitative proteomics technology. A total of 160 proteins of differential abundance were identified, where 70 were decreased and 90 were increased...
April 5, 2018: Journal of Proteomics
https://www.readbyqxmd.com/read/29626363/smartphone-addiction-risk-and-daytime-sleepiness-in-korean-adolescents
#19
Jee Eun Chung, Soo An Choi, Ki Tai Kim, Jeong Yee, Joo Hee Kim, Jin Won Seong, Jong Mi Seong, Ju Young Kim, Kyung Eun Lee, Hye Sun Gwak
AIM: Smartphone overuse can cause not only mobility problems in the wrists, fingers and neck but also interference with sleep habits. However, research on smartphone addiction and sleep disturbances is scarce. Therefore, we aimed to investigate daytime sleepiness in association with smartphone addiction risk in Korean adolescents. METHODS: A cross-sectional survey method was used in this study. The Pediatric Daytime Sleepiness Scale was used to assess daytime sleepiness, and the Korean Smartphone Addiction Proneness Scale index was used to evaluate the degree of risk for smartphone addiction...
April 6, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29625989/a-cell-penetrating-peptide-fused-phage-lysin-kills-intracellular-mrsa-in-keratinocytes-and-treatment-for-skin-infections-of-mice
#20
ZhaoFei Wang, LiCheng Kong, Yang Liu, Qiang Fu, ZeLin Cui, Jian Wang, JingJiao Ma, HengAn Wang, YaXian Yan, JianHe Sun
Staphylococcus aureus ( S. aureus ) is the major pathogen that causes skin and skin structure infections, which is able to survive and persist in keratinocytes of the epidermis. Since the evolution of multi-drug resistant bacteria, the use of phages and their lysins presents a promising alternative approach. In this study, a cell wall hydrolase (also called lysin) derived from Staphylococcus phage JD007, short for JDlys, was identified. The JDlys showed a strong lytic activity against MRSA strains from different sources and multilocus sequence typing (MLST) types...
April 6, 2018: Applied and Environmental Microbiology
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