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https://www.readbyqxmd.com/read/29453329/management-characteristics-and-outcomes-of-patients-with-acute-coronary-syndrome-in-sri-lanka
#1
Priyadarshani Galappatthy, Vipula R Bataduwaarachchi, Priyanga Ranasinghe, Gamini K S Galappatthy, Maheshi Wijayabandara, Dinuka S Warapitiya, Mythily Sivapathasundaram, Thilini Wickramarathna, Upul Senarath, Sathasivam Sridharan, Chandrika N Wijeyaratne, Ruvan Ekanayaka
BACKGROUND: Ischaemic heart disease is the leading cause of in-hospital mortality in Sri Lanka. Acute Coronary Syndrome Sri Lanka Audit Project (ACSSLAP) is the first national clinical-audit project that evaluated patient characteristics, clinical outcomes and care provided by state-sector hospitals. METHODS: ACSSLAP prospectively evaluated acute care, in-hospital care and discharge plans provided by all state-sector hospitals managing patients with ACS. Data were collected from 30 consecutive patients from each hospital during 2-4 weeks window...
February 16, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29451924/late-effects-awareness-website-for-pediatric-survivors-of-acute-lymphocytic-leukemia
#2
Hillary Klonoff-Cohen, Ana Navarro, Elizabeth A Klonoff
OBJECTIVES: Every day 43 children are newly diagnosed with cancer. Fortunately, almost 90% of these childhood cancer patients will survive. However, 60-90% of these survivors will experience late effects, health problems that occur months or years after treatment has ended. Late effects could occur as a result of the disease, its treatment, and patient-related factors. The two main objectives of this research are to: 1) Examine the existence of all web-based resources for childhood cancer survivors with acute lymphocytic leukemia which focus on medical and psychological aspects of late effects, and 2) Create an innovative website specifically designed to fill this void...
2018: PloS One
https://www.readbyqxmd.com/read/29451047/national-survey-of-japanese-patients-with-mevalonate-kinase-deficiency-reveals-distinctive-genetic-and-clinical-characteristics
#3
Takayuki Tanaka, Kohei Yoshioka, Ryuta Nishikomori, Hidemasa Sakai, Junya Abe, Yuriko Yamashita, Ryugo Hiramoto, Akira Morimoto, Eiichi Ishii, Hirokazu Arakawa, Utako Kaneko, Yusei Ohshima, Nami Okamoto, Osamu Ohara, Ikue Hata, Yosuke Shigematsu, Tomoki Kawai, Takahiro Yasumi, Toshio Heike
OBJECTIVES: Mevalonate kinase deficiency (MKD), a rare autosomal recessive autoinflammatory syndrome, is caused by disease-causing variants of the mevalonate kinase gene. A national survey was undertaken to investigate clinical and genetic features of MKD patients in Japan. METHODS: The survey identified ten patients with MKD. Clinical information and laboratory data were collected from medical records and by direct interviews with patients, their families, and their attending physicians...
February 16, 2018: Modern Rheumatology
https://www.readbyqxmd.com/read/29449291/adapting-and-enhancing-pax-good-behavior-game-for-first-nations-communities-a-mixed-methods-study-protocol-developed-with-swampy-cree-tribal-council-communities-in-manitoba
#4
Janique Fortier, Mariette Chartier, Sarah Turner, Nora Murdock, Frank Turner, Jitender Sareen, Tracie O Afifi, Laurence Y Katz, Marni Brownell, James Bolton, Brenda Elias, Corinne Isaak, Roberta Woodgate, Depeng Jiang
INTRODUCTION: High rates of mental health problems, such as suicidal behaviours, among First Nations youth in Canada are a major public health concern. The Good Behavior Game (GBG) is a school-based intervention that provides a nurturing environment for children and has been shown to promote positive outcomes. PAX Good Behavior Game (PAX GBG) is an adaptation and enhancement of the GBG. While PAX GBG has been implemented in Indigenous communities, little research exists examining the cultural and contextual appropriateness and effectiveness of the intervention in First Nations communities...
February 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29447161/mycobacterium-tuberculosis-complex-genotypes-circulating-in-nigeria-based-on-spoligotyping-obtained-from-ziehl-neelsen-stained-slides-extracted-dna
#5
Barbara Molina-Moya, Michel K Gomgnimbou, Lizania Spinasse, Joshua Obasanya, Olanrewaju Oladimeji, Russell Dacombe, Thomas Edwards, Xavier-Olessa Daragon, Lovett Lawson, Saddiq T Abdurrahman, Luis E Cuevas, Jose Dominguez, Christophe Sola
METHODS: All State TB control programmes in Nigeria were requested to submit 25-50 smear-positive Ziehl-Neelsen (ZN) stained slides for screening during 2013-2014. DNA was extracted from 929 slides for spoligotyping and drug-resistance analysis using microbead-based flow-cytometry suspension arrays. RESULTS: Spoligotyping results were obtained for 549 (59.1%) of 929 samples. Lineage 4 Cameroon sublineage (L4.6.2) represented half of the patterns, Mycobacterium africanum (L5 and L6) represented one fifth of the patterns, and all other lineages, including other L4 sublineages, represented one third of the patterns...
February 15, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29445842/-rare-diseases-in-dentistry-and-oral-medicine-report-on-the-2017-first-national-congress
#6
Marcel Hanisch, Susanne Jung, Johannes Kleinheinz
On November 25, the first national congress for rare diseases in dentistry and oral medicine under the auspices of ACHSE e. V. and Orphanet was held in Muenster. With speakers from the field of medicine, dentistry, politics, patient advocacy groups, self-help groups and persons concerned, a platform for exchange between physicians and patients on an equal footing was offered to the participants. At the end of each of the 12 lectures, more than 300 national and international guests discussed the various issues and perspectives related to the topic of rare diseases in dentistry and oral medicine...
February 14, 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29443485/effectiveness-of-the-canrisk-tool-in-the-identification-of-dysglycemia-in-first-nations-and-m%C3%A3-tis-in-canada
#7
Gina Agarwal, Ying Jiang, Susan Rogers Van Katwyk, Chantal Lemieux, Heather Orpana, Yang Mao, Brandan Hanley, Karen Davis, Laurel Leuschen, Howard Morrison
INTRODUCTION: First Nations/Métis populations develop diabetes earlier and at higher rates than other Canadians. The Canadian diabetes risk questionnaire (CANRISK) was developed as a diabetes screening tool for Canadians aged 40 years or over. The primary aim of this paper is to assess the effectiveness of the existing CANRISK tool and risk scores in detecting dysglycemia in First Nations/Métis participants, including among those under the age of 40. A secondary aim was to determine whether alternative waist circumference (WC) and body mass index (BMI) cut-off points improved the predictive ability of logistic regression models using CANRISK variables to predict dysglycemia...
February 2018: Health Promotion and Chronic Disease Prevention in Canada
https://www.readbyqxmd.com/read/29439924/canada-s-evacuation-policy-for-pregnant-first-nations-women-resignation-resilience-and-resistance
#8
Karen M Lawford, Audrey R Giles, Ivy L Bourgeault
BACKGROUND: Aboriginal peoples in Canada are comprised of First Nations, Métis, and Inuit. Health care services for First Nations who live on rural and remote reserves are mostly provided by the Government of Canada through the federal department, Health Canada. One Health Canada policy, the evacuation policy, requires all First Nations women living on rural and remote reserves to leave their communities between 36 and 38 weeks gestational age and travel to urban centres to await labour and birth...
February 10, 2018: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29439893/the-state-of-affairs-for-cardiovascular-health-research-in-indigenous-women-in-canada-a-scoping-review
#9
REVIEW
Stephanie A Prince, Lisa A McDonnell, Michele A Turek, Sarah Visintini, Amy Nahwegahbow, Sujane Kandasamy, Louise Y Sun, Thais Coutinho
Cardiovascular disease (CVD) is the leading cause of death among Indigenous peoples in Canada. As rates of CVD rise, the impacts among the growing population of Indigenous women will emerge as an important health issue. The objective of this scoping review was to advance the state of knowledge about cardiovascular health research in Indigenous women in Canada. Five databases and grey literature (non-peer reviewed works) were searched to identify all studies that reported on the prevalence, pathophysiology, diagnosis, treatment, or interventions for CVD among adult Indigenous women in Canada, including First Nations, Métis, and Inuit...
December 5, 2017: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29438388/ancient-dna-analysis-of-indigenous-rockfish-use-on-the-pacific-coast-implications-for-marine-conservation-areas-and-fisheries-management
#10
Antonia T Rodrigues, Iain McKechnie, Dongya Y Yang
Rockfish (Sebastes spp.) are a common marine fish in nearshore and continental shelf environments in the North Pacific Ocean. They are frequently identified in coastal archaeological sites in western North America; however, the morphological similarity of rockfish species limits conventional zooarchaeological identifications to the genus level. This study applies ancient DNA analysis to 96 archaeological rockfish specimens from four sites on separate islands in an archipelago on western Vancouver Island, British Columbia, Canada...
2018: PloS One
https://www.readbyqxmd.com/read/29433587/vitamin-d-status-and-intake-of-lactating-inuit-women-living-in-the-canadian-arctic
#11
Jessy El Hayek Fares, Hope A Weiler
OBJECTIVE: To determine the prevalence and correlates of healthy vitamin D status in lactating Inuit women living in remote regions of the Arctic. DESIGN: Cross-sectional. SETTING: Households were selected randomly in thirty-six communities of Nunavut, Nunatsiavut and Inuvialuit Settlement Region. Dietary intake was assessed using a 24 h recall and an FFQ. Anthropometric measurements, household living conditions, supplement use and health status were assessed...
February 13, 2018: Public Health Nutrition
https://www.readbyqxmd.com/read/29432332/impacts-of-educating-for-equity-workshop-on-addressing-social-barriers-of-type-2-diabetes-with-indigenous-patients
#12
Lynden Lindsay Crowshoe, Han Han, Betty Calam, Rita Henderson, Kristen Jacklin, Leah Walker, Michael E Green
INTRODUCTION: Health education about Indigenous populations in Canada (First Nations, Inuit, and Métis people) is one approach to enable health services to mitigate health disparities faced by Indigenous peoples related to a history of colonization and ongoing social inequities. This evaluation of a continuing medical education workshop, to enhance family physicians' clinical approach by including social and cultural dimensions within diabetes management, was conducted to determine whether participation in the workshop improved self-reported knowledge, skills, and confidence in working with Indigenous patients with type 2 diabetes...
February 1, 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29426597/determinants-of-tuberculosis-trends-in-six-indigenous-populations-of-the-usa-canada-and-greenland-from-1960-to-2014-a-population-based-study
#13
Kianoush Dehghani, Zhiyi Lan, Peizhi Li, Sascha Wilk Michelsen, Sean Waites, Andrea Benedetti, Pierre Lejeune, Jill Torrie, Elizabeth Robinson, Berenica Vejvoda, Muhammad Mullah, Diana Redwood, Michael Cooper, Anne Fanning, Wadieh Yacoub, Gonzalo G Alvarez, Bolette Søborg, Richard Long, Dick Menzies
BACKGROUND: Tuberculosis continues to disproportionately affect many Indigenous populations in the USA, Canada, and Greenland. We aimed to investigate whether population-based tuberculosis-specific interventions or changes in general health and socioeconomic indicators, or a combination of these factors, were associated with changes in tuberculosis incidence in these Indigenous populations. METHODS: For this population-based study we examined annual tuberculosis notification rates between 1960 and 2014 in six Indigenous populations of the USA, Canada, and Greenland (Inuit [Greenland], American Indian and Alaska Native [Alaska, USA], First Nations [Alberta, Canada], Cree of Eeyou Istchee [Quebec, Canada], Inuit of Nunavik [Quebec, Canada], and Inuit of Nunavut [Canada]), as well as the general population of Canada...
February 6, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29423693/water-infrastructure-and-well-being-among-first-nations-m%C3%A3-tis-and-inuit-individuals-in-canada-what-does-the-data-tell-us
#14
Melanie O'Gorman, Stephen Penner
This paper documents the association between water and sanitation infrastructure and health indicators in Canada for First Nations, Métis and Inuit individuals living on and off-reserve in Canada. We use two data sources: the Aboriginal Peoples Survey and a survey conducted in a First Nations community in northern Manitoba-St. Theresa Point First Nation. We find statistically significant relationships between water infrastructure and health status in both sources of data. In particular, among individuals living off-reserve, contaminated water is associated with a 5-7% lower likelihood of reporting good self-rated health and a 4% higher probability of reporting a health condition or stomach problem...
February 8, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29408881/susceptibility-of-neisseria-gonorrhoeae-to-azithromycin-and-ceftriaxone-in-china-a-retrospective-study-of-national-surveillance-data-from-2013-to-2016
#15
Yue-Ping Yin, Yan Han, Xiu-Qin Dai, He-Ping Zheng, Shao-Chun Chen, Bang-Yong Zhu, Gang Yong, Na Zhong, Li-Hua Hu, Wen-Ling Cao, Zhong-Jie Zheng, Feng Wang, Qi Zhi, Xiao-Yu Zhu, Xiang-Sheng Chen
BACKGROUND: Gonorrhea remains one of the most common sexually transmitted diseases worldwide. Successful treatment has been hampered by emerging resistance to each of the antibiotics recommended as first-line therapies. We retrospectively analyzed the susceptibility of gonorrhea to azithromycin and ceftriaxone using data from the China Gonococcal Resistance Surveillance Programme (China-GRSP) in order to provide evidence for updating the treatment recommendations in China. METHODS AND FINDINGS: In this study, we included 3,849 isolates collected from patients with a confirmed positive Neisseria gonorrhoeae (N...
February 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29407304/six-national-university-consortium-in-liver-transplant-professionals-training-snuc-lt-program-in-japan
#16
K Takagi, K Miura, S Nakanuma, S Sakamoto, H Yamamoto, T Yagi, S Eguchi, T Ohta, T Wakai, M Ohtsuka, S Uemoto, M Kasahara, Y Inomata
BACKGROUND: There has been no public structured training program for transplant surgeons in Japan. However, such a program is crucial for optimizing liver transplant surgery and training young professionals in liver transplant surgery. A comprehensive training program was recently developed and the underlying concepts, structure and curriculum, and results of this program are described here. METHODS: We developed a 3-year training program in 2014 called the Six National University Consortium in Liver Transplant Professionals Training (SNUC-LT) program supported by the Ministry of Education, Culture, Sports, Science, and Technology...
January 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29402108/the-evolution-of-the-kelley-community-capacity-development-model-for-palliative-care
#17
Mary Lou Kelley
This oral presentation will describe the conceptual evolution of the Kelley model for Community Capacity Development [2000-2016]. It will illustrate how and why the model changed to become a powerful Canadian example of a public health approach to developing community based palliative care programs. Based on conducting participatory action research in rural, First Nations communities and long-term care homes, the perspective of "community" gradually expanded beyond health care professionals to include natural helpers, front line care providers, formal and informal community leaders, and social services...
January 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29402099/celebrating-indigenous-communities-compassionate-traditions
#18
Holly Prince
Living in a compassionate community is not a new practice in First Nations communities; they have always recognized dying as a social experience. First Nations hold extensive traditional knowledge and have community-based practices to support the personal, familial, and community experiences surrounding end-of-life. However, western health systems were imposed and typically did not support these social and cultural practices at end of life. In fact, the different expectations of western medicine and the community related to end of life care has created stress and misunderstanding for both...
January 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29401706/conceptualizing-and-managing-medical-emergencies-where-no-formal-paramedical-system-exists-perspectives-from-a-remote-indigenous-community-in-canada
#19
Jeffrey Curran, Stephen D Ritchie, Jackson Beardy, David VanderBurgh, Karen Born, John Lewko, Aaron M Orkin
(1) Background: Remote communities in Canada lack an equitable emergency medical response capacity compared to other communities. Community-based emergency care (CBEC) training for laypeople is a model that has the potential to enhance the medical emergency response capacity in isolated and resource-limited contexts. The purpose of this study was to understand the characteristics of medical emergencies and to conceptualize and present a framework for what a medical emergency is for one remote Indigenous community in northwestern Ontario, in order to inform the development of CBEC training...
February 4, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29395152/controversies-in-the-management-of-ovarian-tumours-in-prepubertal-children-a-baps-and-uk-cclg-surgeons-cancer-group-national-survey
#20
Sarah Braungart, Ross J Craigie, Paul D Losty
BACKGROUND: No clear treatment and follow-up protocols have been established for prepubertal patients with ovarian tumours. The lack of adequate prospective data in the literature includes all aspects of their management. A significant number of children with ovarian masses present out of hours as a surgical emergency and are initially managed by paediatric surgeons without special interest in surgical oncology. Clear guidance on the management of such tumours is therefore fundamental...
December 27, 2017: Journal of Pediatric Surgery
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