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https://www.readbyqxmd.com/read/28083700/mri-usage-in-a-pediatric-emergency-department-an-analysis-of-usage-and-usage-trends-over-5%C3%A2-years
#1
Meir H Scheinfeld, Jee-Young Moon, Michele J Fagan, Reubin Davoudzadeh, Dan Wang, Benjamin H Taragin
BACKGROUND: Magnetic resonance imaging (MRI) usage has anecdotally increased due to the principles of ALARA and the desire to Image Gently. Aside from a single abstract in the emergency medicine literature, pediatric emergency department MRI usage has not been described. OBJECIVE: Our objective was to determine whether MRI use is indeed increasing at a high-volume urban pediatric emergency department with 24/7 MRI availability. Also, we sought to determine which exams, time periods and demographics influenced the trend...
January 12, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28081249/measuring-physical-activity-with-hip-accelerometry-among-u-s-older-adults-how-many-days-are-enough
#2
Masha Kocherginsky, Megan Huisingh-Scheetz, William Dale, Diane S Lauderdale, Linda Waite
INTRODUCTION: Accelerometers are increasingly used in research. Four to 7 days of monitoring is preferred to estimate average activity but may be burdensome for older adults. We aimed to investigate: 1) 7-day accelerometry protocol adherence, 2) demographic predictors of adherence, 3) day of the week effect, and 4) average activity calculated from 7 versus fewer days among older adults. METHODS: We used the 2003-2006 older adult hip accelerometry data from the National Health and Nutrition Examination Survey (NHANES) sample...
2017: PloS One
https://www.readbyqxmd.com/read/28069914/survival-analysis-of-weekend-emergency-medical-admissions
#3
Richard Conway, Sean Cournane, Declan Byrne, Deirdre O'Riordan, Bernard Silke
BACKGROUND: We previously reported weekend emergency admissions to have a higher mortality; we have now examined the time profile of deaths, by weekday or weekend admission, in all emergency medical patients admitted between 2002 - 2014. METHODS: We divided admissions by a weekday or weekend (After 17.00 Friday-Sunday) hospital arrival. We examined survival following an admission using Cox proportional hazard models and Kaplan-Meier time to event analysis. RESULTS: 82,368 admissions were recorded in 44,628 patients...
January 9, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28049466/cost-benefit-analysis-of-malaria-rapid-diagnostic-test-the-perspective-of-nigerian-community-pharmacists
#4
Ifeoma Jovita Ezennia, Sunday Odunke Nduka, Obinna Ikechukwu Ekwunife
BACKGROUND: In 2010, the World Health Organization issued a guideline that calls for a shift from presumptive to test-based treatment. However, test-based treatment is still unpopular in community pharmacies. This could be due to unwillingness of customers to spend extra finance on rapid diagnostic test (RDT). It could also result from lack of interest from community pharmacists since they may perceive no financial gain attached to this service. This study assessed the cost-benefit of test-based malaria treatment to community pharmacists...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28044449/efficacy-of-a-randomized-trial-examining-commercial-weight-loss-programs-and-exercise-on-metabolic-syndrome-in-overweight-and-obese-women
#5
Claire Baetge, Conrad P Earnest, Brittanie Lockard, Adriana M Coletta, Elfego Galvan, Christopher Rasmussen, Kyle Levers, Sunday Y Simbo, Y Peter Jung, Majid Koozehchian, Jonathan Oliver, Ryan Dalton, Brittany Sanchez, Michael J Byrd, Deepesh Khanna, Andrew Jagim, Julie Kresta, Mike Greenwood, Richard B Kreider
While commercial dietary weight-loss programs typically advise exercise, few provide actual programing. The goal of this study was to compare the Curves Complete 90-day Challenge (CC, n = 29), which incorporates exercising and diet, to programs advocating exercise (Weight Watchers Points Plus (WW, n = 29), Jenny Craig At Home (JC, n = 27), and Nutrisystem Advance Select (NS, n = 28)) or control (n = 20) on metabolic syndrome (MetS) and weight loss. We randomized 133 sedentary, overweight women (age, 47 ± 11 years; body mass, 86 ± 14 kg; body mass index, 35 ± 6 kg/m(2)) into respective treatment groups for 12 weeks...
January 3, 2017: Applied Physiology, Nutrition, and Metabolism, Physiologie Appliquée, Nutrition et Métabolisme
https://www.readbyqxmd.com/read/28043515/evaluation-of-rifampicin-resistance-and-81-bp-rifampicin-resistant-determinant-region-of-rpob-gene-mutations-of-mycobacterium-tuberculosis-detected-with-xpertmtb-rif-in-cross-river-state-nigeria
#6
Ernest A Ochang, Ubong A Udoh, Ubleni E Emanghe, Gerald O Tiku, Jonah B Offor, Micheal Odo, Emmanuel Nkombe, Oju E Owuna, Sunday M Obeten, Martin M Meremikwu
OBJECTIVE/BACKGROUND: World Health Organization tuberculosis (TB) indices from 2014 to 2016 showed that Nigeria had the 6th highest prevalence, 4th highest incidence, and the highest mortality rate globally. In efforts to improve TB care, the XpertMTB/Rif (GeneXpert) technology, Cepheid, Sunnyvale, California, USA, which has revolutionized TB detection with concomitant rifampicin-resistance molecular detection, was introduced in Cross River State, South-South Nigeria, in 2014. The GeneXpert uses molecular beacons to detect five overlapping 81-bp regions in the rpoB gene known as the Rifampicin Resistant Determinant Region (RRDR)...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28035308/incidental-finding-of-an-extensive-oropharyngeal-mass-in-magnetic-resonance-imaging-of-a-patient-with-temporomandibular-disorder-a-case-report
#7
Temitope T Omolehinwa, Mel Mupparapu, Sunday O Akintoye
In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region...
December 2016: Imaging Science in Dentistry
https://www.readbyqxmd.com/read/28030336/genetic-diversity-among-babesia-rossi-detected-in-naturally-infected-dogs-in-abeokuta-nigeria-based-on-18s-rrna-gene-sequences
#8
Michael I Takeet, Adeoye J Oyewusi, Simon A V Abakpa, Olukayode O Daramola, Sunday O Peters
Adequate knowledge of the genetic diversity among Babesia species infecting dogs is necessary for a better understanding of the epidemiology and control of canine babesiosis. Hence, this study determined the genetic diversity among the Babesia rossi detected in dogs presented for routine examination in Veterinary Hospitals in Abeokuta, Nigeria. Blood were randomly collected from 209 dogs. Field-stained thin smears were made and DNA extracted from the blood. Partial region of the 18S small subunit ribosomal RNA (rRNA) gene was amplified, sequenced and analysed...
March 1, 2017: Acta Parasitologica
https://www.readbyqxmd.com/read/27999471/use-of-simulated-patient-approach-to-assess-the-community-pharmacists-knowledge-of-appropriate-use-of-metered-dose-inhaler
#9
Sunday O Nduka, Maureen U Anetoh, Kosisochi C Amorha, Okechukwu O Henry, Mathew J Okonta
RATIONALE: The pharmacist charged with the responsibility of drug administration and counseling should have the basic knowledge and skills necessary to demonstrate the use of metered dose inhalers (MDIs) to asthma patients for the maximization of treatment outcomes. OBJECTIVE: This study was designed to evaluate the community pharmacists' knowledge of the appropriate use of MDIs in Anambra State, Nigeria. METHODS: The study was carried out in two major cities in Anambra State, Nigeria, using 41 registered community pharmacists...
September 2016: Journal of Basic and Clinical Pharmacy
https://www.readbyqxmd.com/read/27990617/stroke-temporal-trends-and-association-with-atmospheric-variables-and-air-pollutants-in-northern-spain
#10
Ana Santurtún, Patricia Bolivar Ruiz, Laura López-Delgado, Arturo Sanchez-Lorenzo, Javier Riancho, María T Zarrabeitia
Stroke, the second cause of death and the most frequent cause of severe disability among adults in developed countries, is related to a large variety of risk factors. This paper assesses the temporal patterns in stroke episodes in a city in Northern Spain during a 12-year period and analyzes the possible effects that atmospheric pollutants and meteorological variables may have on stroke on a daily scale. Our results show that there is an increase in stroke admissions (r = 0.818, p = 0.001) especially in patients over 85 years old...
December 19, 2016: Cardiovascular Toxicology
https://www.readbyqxmd.com/read/27977565/emergency-department-weekend-presentation-and-mortality-in-patients-with-acute-myocardial-infarction
#11
Pamela B de Cordova, Mary L Johansen, Miguel E Martinez, Jeannie P Cimiotti
BACKGROUND: Patients admitted to acute care hospitals on weekends have poorer outcomes than those admitted on weekdays, and patients admitted to hospitals for acute myocardial infarction (AMI) on weekends have a higher mortality rate than those admitted during the week. Very few studies have examined weekend presentation for patients with AMI with respect to mortality in the emergency department (ED). OBJECTIVE: The purpose of this research was to determine if weekend and holiday presentation is associated with increased mortality in EDs among patients with AMI in New Jersey...
January 2017: Nursing Research
https://www.readbyqxmd.com/read/27976664/gender-differences-and-commuting-accidents-in-italy-inail-data-base-analysis-on-fatalities-2009-2013
#12
Claudia Giliberti, Silvana Salerno
BACKGROUND: Commuting accidents represent the leading cause of work-related fatalities among women in Italy. For working women, the journey from home to work is the most dangerous part of the day. OBJECTIVES: Analysis of data on fatal commuting accidents in order to identify risk factors among women. METHODS: INAIL Statistical Data (2009-2013) related to fatal commuting were analyzed by gender, age, immigration, activities, geographical area, working time, month and day of the week...
December 13, 2016: La Medicina del Lavoro
https://www.readbyqxmd.com/read/27965008/association-between-seven-days-per-week-rehabilitation-and-functional-recovery-of-acute-stroke-patients-a-retrospective-cohort-study-based-on-japan-rehabilitation-database
#13
Shoji Kinoshita, Ryo Momosaki, Wataru Kakuda, Takatsugu Okamoto, Masahiro Abo
OBJECTIVE: To test the hypothesis that functional outcome of stroke patients who receive seven days per week rehabilitation (7DWR) is generally better than that of similar patients who undergo five to six days per week rehabilitation. DESIGN: A retrospective cohort study. SETTING: 14 acute hospitals across Japan. PARTICIPANTS: From the Japan Rehabilitation Database, which includes data on 8,033 acute stroke patients collected between January 2005 and December 2013, we included 3,072 stroke patients who were admitted to the above hospitals and received 7DWR...
December 10, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27931519/high-prevalence-of-hiv-chlamydia-and-gonorrhoea-among-men-who-have-sex-with-men-and-transgender-women-attending-trusted-community-centres-in-abuja-and-lagos-nigeria
#14
Babajide Keshinro, Trevor A Crowell, Rebecca G Nowak, Sylvia Adebajo, Sheila Peel, Charlotte A Gaydos, Cristina Rodriguez-Hart, Stefan D Baral, Melissa J Walsh, Ogbonnaya S Njoku, Sunday Odeyemi, Teclaire Ngo-Ndomb, William A Blattner, Merlin L Robb, Manhattan E Charurat, Julie Ake
INTRODUCTION: Sexually transmitted infection (STI) and HIV prevalence have been reported to be higher amongst men who have sex with men (MSM) in Nigeria than in the general population. The objective of this study was to characterize the prevalence of HIV, chlamydia and gonorrhoea in this population using laboratory-based universal testing. METHODS: TRUST/RV368 represents a cohort of MSM and transgender women (TGW) recruited at trusted community centres in Abuja and Lagos, Nigeria, using respondent-driven sampling (RDS)...
2016: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/27922719/markov-mixed-effects-modeling-using-electronic-adherence-monitoring-records-identifies-influential-covariates-to-hiv-preexposure-prophylaxis
#15
Kumpal Madrasi, Ayyappa Chaturvedula, Jessica E Haberer, Mark Sale, Michael J Fossler, David Bangsberg, Jared M Baeten, Connie Celum, Craig W Hendrix
Adherence is a major factor in the effectiveness of preexposure prophylaxis (PrEP) for HIV prevention. Modeling patterns of adherence helps to identify influential covariates of different types of adherence as well as to enable clinical trial simulation so that appropriate interventions can be developed. We developed a Markov mixed-effects model to understand the covariates influencing adherence patterns to daily oral PrEP. Electronic adherence records (date and time of medication bottle cap opening) from the Partners PrEP ancillary adherence study with a total of 1147 subjects were used...
December 6, 2016: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27920663/asd-and-genetic-associations-with-receptors-for-oxytocin-and-vasopressin-avpr1a-avpr1b-and-oxtr
#16
Sunday M Francis, Soo-Jeong Kim, Emily Kistner-Griffin, Stephen Guter, Edwin H Cook, Suma Jacob
Background: There are limited treatments available for autism spectrum disorder (ASD). Studies have reported significant associations between the receptor genes of oxytocin (OT) and vasopressin (AVP) and ASD diagnosis, as well as ASD-related phenotypes. Researchers have also found the manipulation of these systems affects social and repetitive behaviors, core characteristics of ASD. Consequently, research involving the oxytocin/vasopressin pathways as intervention targets has increased. Therefore, further examination into the relationship between these neuropeptides and ASD was undertaken...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27918227/mapping-trachoma-in-kaduna-state-nigeria-results-of-23-local-government-area-level-population-based-prevalence-surveys
#17
Nasiru Muhammad, Caleb Mpyet, Mohammed Dantani Adamu, Adamani William, Murtala Muhammad Umar, Musa Goyol, Habila Muazu, Uwaezuoke Onyebuchi, Sunday Isiyaku, Rebecca M Flueckiger, Brian K Chu, Rebecca Willis, Alexandre L Pavluck, Abdullahi Alhassan, Nicholas Olobio, Bruce A Gordon, Anthony W Solomon
INTRODUCTION: To prepare for global elimination of trachoma by 2020, the World Health Organization (WHO) recommends mapping of trachoma at district-level to enable planning of elimination activities in affected populations. The aim of our study was to provide data on trachoma for each local government area (LGA) of Kaduna State, Nigeria, as such data were previously unavailable. METHOD: As part of the Global Trachoma Mapping Project (GTMP), a population-based cross-sectional trachoma survey was conducted in each of the 23 LGAs of Kaduna State, between May and June 2013...
2016: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/27918223/prevalence-of-trachoma-in-niger-state-north-central-nigeria-results-of-25-population-based-prevalence-surveys-carried-out-with-the-global-trachoma-mapping-project
#18
Mohammed Dantani Adamu, Caleb Mpyet, Nasiru Muhammad, Murtala Muhammad Umar, Habila Muazu, Francisca Olamiju, Sunday Isiyaku, Uwazoeke Onyebuchi, Usman Abubakar Bosso, Adamani William, Benjamin C Nwobi, Rebecca Willis, Rebecca Mann Flueckiger, Alexandre Pavluck, Brian K Chu, Nicholas Olobio, Anthony W Solomon
PURPOSE: To determine the prevalence of trachoma in each of the 25 local government areas (LGAs) of Niger State, Nigeria. METHODS: A population-based cross-sectional survey was conducted in each Niger State LGA between March and April 2014, as part of the Global Trachoma Mapping Project (GTMP). GTMP protocols were used in planning and conduct of the surveys. Using probability proportional to size, 25 clusters were selected; in each of these clusters, 25 households were enrolled for the survey...
2016: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/27913598/describing-visible-acute-injuries-development-of-a-comprehensive-taxonomy-for-research-and-practice
#19
Tony Rosen, Christopher Reisig, Veronica M LoFaso, Elizabeth M Bloemen, Sunday Clark, Thomas J McCarthy, Estomih P Mtui, Neal E Flomenbaum, Mark S Lachs
BACKGROUND: Little literature exists classifying and comprehensively describing intentional and unintentional acute injuries, which would be valuable for research and practice. In preparation for a study of injury patterns in elder abuse, our goal was to develop a comprehensive taxonomy of relevant types and characteristics of visible acute injuries and evaluate it in geriatric patients. METHODS: We conducted an exhaustive review of the medical and forensic literature focusing on injury types, descriptions, patterns and analyses...
December 2, 2016: Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention
https://www.readbyqxmd.com/read/27909914/association-of-snp-variants-of-mhc-class-ii-drb-gene-with-thermo-physiological-traits-in-tropical-goats
#20
Abdulmojeed Yakubu, Adebowale E Salako, Marcos De Donato, Sunday O Peters, Michael I Takeet, Mathew Wheto, Moses Okpeku, Ikhide G Imumorin
Host defense in vertebrates depend on many secreted regulatory proteins such as major histocompatibility complex (MHC) class II which provide important regulatory and effector functions of T cells. Gene polymorphism in the second exon of Capra-DRB gene in three major Nigerian goat breeds [West African Dwarf (WAD), Red Sokoto (RS), and Sahel (SH)] was analyzed by restriction fragment length polymorphisms (RFLP). Four restriction enzymes, BsaHI, AluI, HaeIII, and SacII, were utilized. The association between the polymorphic sites and some heat tolerance traits were also investigated in a total of 70 WAD, 90 RS, and 50 SH goats...
December 1, 2016: Tropical Animal Health and Production
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