keyword
MENU ▼
Read by QxMD icon Read
search

Risk management

keyword
https://www.readbyqxmd.com/read/28456092/occupation-and-risk-of-prostate-cancer-in-canadian-men-a-case-control-study-across-eight-canadian-provinces
#1
Jeavana Sritharan, Paul A Demers, Shelley A Harris, Donald C Cole, Cheryl E Peters
BACKGROUND: The etiology of prostate cancer continues to be poorly understood, including the role of occupation. Past Canadian studies have not been able to thoroughly examine prostate cancer by occupation with detailed information on individual level factors. METHODS: Occupation, industry and prostate cancer were examined using data from the National Enhanced Cancer Surveillance System, a large population-based case-control study conducted across eight Canadian provinces from 1994 to 1997...
April 26, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28456089/the-30-year-experience-a-meta-analysis-of-randomised-and-high-quality-non-randomised-studies-of-hyperthermic-intraperitoneal-chemotherapy%C3%A2-in-the-treatment-of-gastric-cancer
#2
REVIEW
Jacopo Desiderio, Joseph Chao, Laleh Melstrom, Susanne Warner, Federico Tozzi, Yuman Fong, Amilcare Parisi, Yanghee Woo
IMPORTANCE: Hyperthermic intraperitoneal chemotherapy (HIPEC) has been used within various multimodality strategies for the prevention and treatment of gastric cancer peritoneal carcinomatosis. OBJECTIVE: To systematically evaluate the role of HIPEC in gastric cancer and clarify its effectiveness at different stages of peritoneal disease progression. DATA SOURCES: Medline and Embase databases between January 1, 1985 and June 1, 2016. STUDY SELECTION: Randomised control trials and high-quality non-randomised control trials selected on a validated tool (methodological index for non-randomised studies) comparing HIPEC and standard oncological management for the treatment of advanced stage gastric cancer with and without peritoneal carcinomatosis were considered...
April 26, 2017: European Journal of Cancer
https://www.readbyqxmd.com/read/28455809/renal-denervation-therapy-for-drug-resistant-hypertension-does-it-still-work
#3
REVIEW
Venkatesh K Raman, Costas Tsioufis, Michael Doumas, Vasilios Papademetriou
Hypertension is a global public health problem affecting one-fourth of the world's population. A subset of these patients with resistant hypertension presents a particular management problem and suffers a marked increase in cardiovascular risk. Treatment options have been limited, but the past decade has witnessed the emergence of catheter-based renal denervation to interrupt the sympathetic nervous system, long considered to play an important role in the development and maintenance of hypertension. Phase 1 and 2 studies reported remarkable reductions in blood pressure and sparked an excessive exuberance that ground to a halt with negative results of the SYMPLICITY HTN-3 pivotal trial...
May 2017: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/28455681/multidimensional-improvements-induced-by-an-intensive-obesity-inpatients-rehabilitation-programme
#4
Francesca Giordano, Michela Berteotti, Simona Budui, Nicole Calgaro, Laura Franceschini, Federica Gilli, Marina Masiero, Guido Raschellà, Sabrina Salvetti, Micol Taddei, Federico Schena, Luca Busetto
PURPOSE: To analyse the short-term effectiveness of an intensive multidimensional inpatient programme specifically developed for patients with severe obesity. METHODS: A multidisciplinary team managed a 3-week residential programme characterised by the integration of nutritional and physical rehabilitation with psychological and educational intervention. All patients consecutively admitted in 10 months were analysed at admission and discharge for changes in the following domains: anthropometry (weight, body mass index (BMI), waist and neck circumferences), cardiovascular risk factors (glycaemia, HbA1c, lipid profile, blood pressure), quality of life, eating behaviour, and physical performance (VO2peak by incremental cycle ergometer test, 6-min walking test (6MWT), chair stands test)...
April 28, 2017: Eating and Weight Disorders: EWD
https://www.readbyqxmd.com/read/28455679/weight-loss-and-improvement-in-comorbidity-differences-at-5-10-15-and-over
#5
REVIEW
Donna H Ryan, Sarah Ryan Yockey
PURPOSE OF REVIEW: One begins to see improvement in glycemic measures and triglycerides with small amounts of weight loss, but with greater levels of weight loss there is even greater improvement. In fact, the relationship between weight loss and glycemia is one that is very close. RECENT FINDINGS: This is fortunate for diabetes prevention; it takes only small amounts of weight loss to prevent progression to type 2 diabetes from impaired glucose tolerance, and after the 10 kg of weight loss, one cannot demonstrate much additional improvement in risk reduction...
April 28, 2017: Current Obesity Reports
https://www.readbyqxmd.com/read/28455677/obesity-prevention-for-individuals-with-spina-bifida
#6
REVIEW
Michele Polfuss, Linda G Bandini, Kathleen J Sawin
PURPOSE OF REVIEW: Obesity is a common comorbidity in individuals with spina bifida. Carrying excess weight exacerbates the inherent health challenges associated with spina bifida, impedes the individual's ability to self-manage their condition, and creates further challenges for family members and caregivers. This manuscript provides a narrative review of key issues for understanding and prevention of obesity in persons with spina bifida within the context of the social ecological model...
April 28, 2017: Current Obesity Reports
https://www.readbyqxmd.com/read/28455651/-management-of-hemorrhage-in-patients-treated-with-direct-oral-anticoagulants
#7
REVIEW
O Grottke, H Lier, S Hofer
The introduction of nonvitamin K antagonistic, direct oral anticoagulants (DOAC) made thromboembolic prophylaxis easier for patients. For many physicians, however, there is still uncertainty about monitoring, preoperative discontinuation, and restarting of DOAC therapy. Guidelines for the management of bleeding are provided, but require specific therapeutic skills in the management of diagnostics and therapy of acute hemorrhage. Small clinical studies and case reports indicate that unspecific therapy with prothrombin complex concentrates (PCC) and activated PCC (aPCC) concentrate may reverse DOAC-induced anticoagulation...
April 28, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/28455641/response-of-performance-and-bacterial-community-to-oligotrophic-stress-in-biofilm-systems-for-raw-water-pretreatment
#8
Li-Juan Feng, Rong Jia, Jing-Ya Sun, Jing Wang, Zheng-Hui Lv, Jun Mu, Guang-Feng Yang
Understanding the dynamics of performance and bacterial community of biofilm under oligotrophic stress is necessary for the process optimization and risk management in biofilm systems for raw water pretreatment. In this study, biofilm obtained from a pilot-scale biofilm reactor was inoculated into a pilot-scale experimental tank for the treatment of oligotrophic raw water. Results showed that the removal of NH4(+)-N was impaired in biofilm systems when influent NH4(+)-N was less than 0.35 mg L(-1) or NH4(+)-N loading rate of less than 7...
April 28, 2017: Biodegradation
https://www.readbyqxmd.com/read/28455611/evaluation-of-virus-reduction-by-ultrafiltration-with-coagulation-sedimentation-in-water-reclamation
#9
Suntae Lee, Akihiko Hata, Naoyuki Yamashita, Hiroaki Tanaka
The evaluation of virus reduction in water reclamation processes is essential for proper assessment and management of the risk of infection by enteric viruses. Ultrafiltration (UF) with coagulation-sedimentation (CS) is potentially effective for efficient virus removal. However, its performance at removing indigenous viruses has not been evaluated. In this study, we evaluated the reduction of indigenous viruses by UF with and without CS in a pilot-scale water reclamation plant in Okinawa, Japan, by measuring the concentration of viruses using the real-time polymerase chain reaction (qPCR)...
April 28, 2017: Food and Environmental Virology
https://www.readbyqxmd.com/read/28455599/an-update-on-the-management-of-postoperative-nausea-and-vomiting
#10
REVIEW
Xuezhao Cao, Paul F White, Hong Ma
Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) remain common and distressing complications following surgery. PONV and PDNV can delay discharge and recovery and increase medical costs. The high incidence of PONV has persisted in part because of the tremendous growth in ambulatory surgery and the increased emphasis on earlier mobilization and discharge after both minor and major operations. Pharmacological management of PONV should be tailored to the patients' risk level using the PONV and PDNV scoring systems to minimize the potential for these adverse side effects in the postoperative period...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455580/cardiovascular-risk-in-patients-with-rheumatoid-arthritis
#11
REVIEW
Kim Lauper, Cem Gabay
Substantial epidemiologic data have shown an increased risk of cardiovascular (CV) disease in rheumatoid arthritis (RA) patients. Traditional CV risk factors may partly contribute to CV disease in RA; however, current evidence underlines the important role of inflammation in the pathogenesis of atherosclerosis and amplification of CV risk. Interplays between inflammation and lipid metabolism in the development of atherosclerosis have been established by recent scientific advances. Atherosclerosis is currently viewed as an inflammatory disease, and modifications of lipoproteins during inflammation accelerate atherogenesis...
April 28, 2017: Seminars in Immunopathology
https://www.readbyqxmd.com/read/28455578/-epidemiology-diagnostics-therapy-prevention-and-management-of-uncomplicated-bacterial-outpatient-acquired-urinary-tract-infections-in-adult-patients-update-2017-of-the-interdisciplinary-awmf-s3-guideline
#12
REVIEW
J Kranz, S Schmidt, C Lebert, L Schneidewind, W Vahlensieck, U Sester, R Fünfstück, S Helbig, W Hofmann, E Hummers, M Kunze, E Kniehl, K Naber, F Mandraka, B Mündner-Hensen, G Schmiemann, F M E Wagenlehner
BACKGROUND: Update of the 2010 published evidence-based S3 guideline on epidemiology, diagnostics, therapy and management of uncomplicated, bacterial, outpatient-acquired urinary tract infections in adult patients. The guideline contains current evidence for the rational use of antimicrobial substances, avoidance of inappropriate use of certain antibiotic classes and development of resistance. METHODOLOGY: The update was created under the leadership of the German Association of Urology (DGU)...
April 28, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/28455555/improved-sleep-diet-and-exercise-in-adults-with-serious-mental-illness-results-from-a-pilot-self-management-intervention
#13
Timothy Schmutte, Larry Davidson, Maria O'Connell
Compared to the general population, adults with serious mental illnesses have elevated rates of medical morbidity resulting in a reduced life expectancy of approximately 15 years. Chronic disease self-management programs for adults with serious mental and chronic medical illnesses show some promise in improving physical health-related outcomes, yet none of them address sleep quality. Poor sleep affects a majority of adults with serious mental illness and is robust risk factor for physical morbidity and premature mortality...
April 29, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28455383/autologous-hematopoietic-stem-cell-transplantation-in-multiple-sclerosis-a-meta-analysis
#14
Maria Pia Sormani, Paolo A Muraro, Irene Schiavetti, Alessio Signori, Alice Laroni, Riccardo Saccardi, Gian Luigi Mancardi
OBJECTIVE: To summarize the evidence on immunoablative therapy followed by autologous hematopoietic stem cell transplantation (aHSCT) to manage severe and treatment-refractory multiple sclerosis (MS). METHODS: We collected all the published studies of aHSCT in any form of MS from 1995 to 2016, carefully excluding reports that were updated in subsequent studies. Endpoints were transplant-related mortality (TRM), rate of disease progression, and no evidence of disease activity (NEDA) status...
April 28, 2017: Neurology
https://www.readbyqxmd.com/read/28455364/role-of-advanced-neuroimaging-fluid-biomarkers-and-genetic-testing-in-the-assessment-of-sport-related-concussion-a-systematic-review
#15
REVIEW
Michael McCrea, Timothy Meier, Daniel Huber, Alain Ptito, Erin Bigler, Chantel T Debert, Geoff Manley, David Menon, Jen-Kai Chen, Rachel Wall, Kathryn J Schneider, Thomas McAllister
OBJECTIVE: To conduct a systematic review of published literature on advanced neuroimaging, fluid biomarkers and genetic testing in the assessment of sport-related concussion (SRC). DATA SOURCES: Computerised searches of Medline, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Scopus and Cochrane Library from 1 January 2000 to 31 December 2016 were done. There were 3222 articles identified. STUDY SELECTION: In addition to medical subject heading terms, a study was included if (1) published in English, (2) represented original research, (3) involved human research, (4) pertained to SRC and (5) involved data from neuroimaging, fluid biomarkers or genetic testing collected within 6 months of injury...
April 28, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28455276/therapist-supported-internet-based-cognitive-behavior-therapy-for-stress-anxiety-and-depressive-symptoms-among-postpartum-women-a-systematic-review-and-meta-analysis
#16
Ying Lau, Tha Pyai Htun, Suei Nee Wong, Wai San Wilson Tam, Piyanee Klainin-Yobas
BACKGROUND: A growing number of meta-analyses have supported the application of therapist-supported Internet-based cognitive behavior therapy (iCBT) for psychological disorders across different populations, but relatively few meta-analyses have concentrated on postpartum women. OBJECTIVE: This meta-analysis evaluated the efficacy of therapist-supported iCBT in improving stress, anxiety, and depressive symptoms among postpartum women. METHODS: A total of 10 electronic databases were used to search for published and unpublished trials...
April 28, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28455179/nonelective-primary-total-hip-arthroplasty-the-effect-of-discharge-destination-on-postdischarge-outcomes
#17
Chirag K Shah, Aakash Keswani, Debbie Chi, Alex Sher, Karl M Koenig, Calin S Moucha
BACKGROUND: Medicare has enacted a mandatory bundled payment program for primary total joint arthroplasty that includes nonelective primary total hip arthroplasty (THA). Efficient postacute care management has been identified as an opportunity to improve value for patients. We aimed to identify risk factors for and compare rates of complications by discharge destination and then use those factors to risk-stratify non-elective THA patients. METHODS: Patients who underwent nonelective primary THA from 2011 to 2014 were identified in the American College of Surgeons National Surgical Quality Improvement Program database and categorized into those discharged to skilled nursing facility or inpatient rehabilitation facility vs home self-managed/home health (HHH)...
March 30, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28455145/managing-expense-and-expectation-in-a-treatment-revolution-problematizing-prioritisation-through-an-exploration-of-hepatitis-c-treatment-benefit
#18
Magdalena Harris
BACKGROUND: Direct-acting antivirals (DAAs) have transformed the hepatitis C (HCV) treatment landscape. These highly effective drugs are, however, not available to all. In a context of DAA rationing, clinicians are advised to "manage patient expectations" about the benefits of a HCV cure. This directive particularly pertains to people with minimal liver damage and those who have ceased injecting: populations negated in contemporary prioritisation debates. METHODS: This paper engages with the assumptions underpinning HCV treatment prioritisation discourses to explore the concept of treatment 'benefit' from patient perspectives...
April 25, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28455074/management-strategies-and-possible-risk-factors-for-ventricular-septal-defects-after-transcatheter-aortic-valve-replacement-case-series-from-a-single-center-and-review-of-literature
#19
REVIEW
M Rizwan Sardar, Zubair A Khan, Anu Abraham, Wajeeha Saeed, Muhammad Farhan, Dhaval Kolte, Barry Sharaf, Paul Gordon, Frank Sellke, Neel R Sodha, Herbert D Aronow, Afshin Ehsan
Development of membranous ventricular septal defects (VSD) is a rare complication of transcatheter aortic valve replacements (TAVR), and is recognized using intraoperative and postoperative imaging. We present two cases of this rare but serious complication; one was successfully managed conservatively and the other with valve-in-valve therapy. Management strategies for post-TAVR VSDs varies, but should be individualized to the clinical scenario. We performed a literature search and sought to identify various risk factors which may predispose patients to the development of VSD after TAVR...
April 8, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28454985/use-of-a-17-gene-prognostic-assay-in-contemporary-urologic-practice-results-of-an-interim-analysis-in-an-observational-cohort
#20
Gregg Eure, Raymond Germany, Robert Given, Ruixiao Lu, Alan W Shindel, Megan Rothney, Richard Glowacki, Jonathan Henderson, Tim Richardson, Evan Goldfischer, Phillip G Febbo, Bela Denes
OBJECTIVE: To study the impact of genomic testing in shared decision making for men with clinically low risk prostate cancer (PCa). METHODS: Patients with clinically low-risk PCa were enrolled in a prospective, multi-institutional study of a validated 17-gene tissue-based RT-PCR assay (Genomic Prostate Score™; GPS). In this manuscript we report on outcomes in the first 297 patients enrolled in the study with valid 17-gene assay results and decision-change data...
April 25, 2017: Urology
keyword
keyword
3905
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"