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https://www.readbyqxmd.com/read/29233159/determinants-of-excessive-daytime-sleepiness-in-two-first-nation-communities
#1
Ina van der Spuy, Chandima P Karunanayake, James A Dosman, Kathleen McMullin, Gaungming Zhao, Sylvia Abonyi, Donna C Rennie, Joshua Lawson, Shelley Kirychuk, Judith MacDonald, Laurie Jimmy, Niels Koehncke, Vivian R Ramsden, Mark Fenton, Gregory P Marchildon, Malcolm King, Punam Pahwa
BACKGROUND: Excessive daytime sleepiness may be determined by a number of factors including personal characteristics, co-morbidities and socio-economic conditions. In this study we identified factors associated with excessive daytime sleepiness in 2 First Nation communities in rural Saskatchewan. METHODS: Data for this study were from a 2012-13 baseline assessment of the First Nations Lung Health Project, in collaboration between two Cree First Nation reserve communities in Saskatchewan and researchers at the University of Saskatchewan...
December 12, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/29227026/the-prevalence-of-asthma-in-iranian-adults-the-first-national-survey-and-the-most-recent-updates
#2
Mohammad Reza Fazlollahi, Mehdi Najmi, Mojtaba Fallahnezhad, Nastaran Sabetkish, Anoushiravan Kazemnejad, Katayoon Bidad, Raheleh Shokouhi Shoormasti, Maryam Mahloujirad, Zahra Pourpak, Mostafa Moin
BACKGROUND: The worldwide increase in the prevalence of asthma has made it a major public-health concern. We aimed to identify the prevalence of asthma and asthma symptoms in adults living in urban and rural areas of Iran as a populated country with about 80 millions of residents. METHODS: This cross-sectional study was conducted to estimate the prevalence of asthma in adults between 20 to 44 years old in all provinces of Iran. Data were collected by personal interview via a standardized questionnaire (European Community Respiratory Health Survey (ECRHS)) between November 2015 and February 2016...
December 11, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/29224571/-worried-to-death-the-assessment-and-management-of-anxiety-in-patients-with-advanced-life-limiting-disease-a-national-survey-of-palliative-medicine-physicians
#3
N Atkin, V Vickerstaff, B Candy
BACKGROUND: Anxiety adversely affects quality of life and is common in adults with advanced life-limiting disease. There are no UK-wide guidelines on the assessment and management of anxiety in this specific population and there is little evidence regarding drug treatments. This study aimed to explore how palliative care physicians assess and manage anxiety in their patients, and to identify barriers encountered. METHODS: A cross-sectional survey was undertaken of all physicians working in specialist palliative care in the UK who were members of the Association for Palliative Medicine...
December 11, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29223110/systemic-inflammatory-markers-associated-with-cardiovascular-disease-and-acute-and-chronic-exposure-to-fine-particulate-matter-air-pollution-pm2-5-among-us-nhanes-adults-with-metabolic-syndrome
#4
Arvind Dabass, Evelyn O Talbott, Judith R Rager, Gary M Marsh, Arvind Venkat, Fernando Holguin, Ravi K Sharma
BACKGROUND: There has been no investigation to date of adults with metabolic syndrome examining the association of short and long-term exposure to fine particulate matter (PM2.5) air pollution with cardiovascular-disease related inflammatory marker (WBC and CRP) levels in a nationally representative sample. The goal of this study is to assess the susceptibility of adults with metabolic syndrome to PM2.5 exposure as suggested by increased cardiovascular-disease related inflammatory marker levels...
December 6, 2017: Environmental Research
https://www.readbyqxmd.com/read/29216593/phosphorus-and-nitrogen-limitation-and-impairment-of-headwater-streams-relative-to-rivers-in-great-britain-a-national-perspective-on-eutrophication
#5
Helen P Jarvie, Douglas R Smith, Lisa R Norton, Francois K Edwards, Michael J Bowes, Stephen M King, Peter Scarlett, Sian Davies, Rachael M Dils, Nuria Bachiller-Jareno
This study provides a first national-scale assessment of the nutrient status of British headwater streams within the wider river network, by joint analysis of the national Countryside Survey Headwater Stream and Harmonised River Monitoring Scheme datasets. We apply a novel Nutrient Limitation Assessment methodology to explore the extent to which nutrients may potentially limit primary production in headwater streams and rivers, by coupling ternary assessment of nitrogen (N), phosphorus (P), and carbon (C) depletion, with N:P stoichiometry, and threshold P and N concentrations...
December 4, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29210864/geographical-variations-in-hypertension-prevalence-awareness-treatment-and-control-in-china-findings-from-a-nationwide-and-provincially-representative-survey
#6
Yichong Li, Limin Wang, Xiaoqi Feng, Mei Zhang, Zhengjing Huang, Qian Deng, Maigeng Zhou, Thomas Astell-Burt, Linhong Wang
OBJECTIVES: Hypertension has been the most important risk factor for disease burden in China. We aimed to conduct the first national spatial analysis of hypertension status, awareness, treatment and control in China. METHODS: Choropleth maps were used to examine the spatial patterning of hypertension, awareness, treatment and control in a nationally and provincially representative sample of 174 389 adults from the 2013 to 2014 China Chronic Disease and Risk Factors Surveillance...
January 2018: Journal of Hypertension
https://www.readbyqxmd.com/read/29203254/ethnic-dependent-differences-in-diagnostic-accuracy-of-glycated-hemoglobin-hba1c-in-canadian-adults
#7
Ronald A Booth, Ying Jiang, Howard Morrison, Heather Orpana, Susan Rogers Van Katwyk, Chantal Lemieux
AIM: Previous studies have shown varying sensitivity and specificity of hemoglobin A1c (HbA1c) to identify diabetes and prediabetes, compared to 2-hour oral glucose tolerance testing (OGTT) and fasting plasma glucose (FPG), in different ethnic groups. Within the Canadian population, the ability of HbA1c to identify prediabetes and diabetes in First Nations, Métis and Inuit, East and South Asian ethnic groups has yet to be determined. METHODS: We collected demographic, lifestyle information, biochemical results of glycemic status (FPG, OGTT, and HbA1c) from an ethnically diverse Canadian population sample, which included a purposeful sampling of First Nations, Métis, Inuit, South Asian and East Asian participants...
December 1, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29186802/bronchitis-and-its-associated-risk-factors-in-first-nations-children
#8
(no author information available yet)
Respiratory diseases, such as bronchitis and pneumonia, are common in First Nations children in Canada. The objectives are to determine prevalence and associated risk factors of bronchitis in children 6-17 years old residing in two reserve communities. The cross-sectional study was conducted in 2013 and children from two First Nations reserve communities participated. The outcome was ever presence/absence of bronchitis. Logistic regression analysis was conducted to examine the relationship between bronchitis and the individual and environmental factors...
November 24, 2017: Children
https://www.readbyqxmd.com/read/29168795/antipsychotic-polypharmacy-among-children-and-young-adults-in-office-based-or-hospital-outpatient-department-settings
#9
Minji Sohn, Meghan Burgess, Mohamed Bazzi
The purpose of the study was three-fold: (1) to estimate the national trends in antipsychotic (AP) polypharmacy among 6- to 24-year-old patients in the U.S.; (2) to identify frequently used AP agents and mental disorder diagnoses related to AP polypharmacy; and (3) to assess the strength of association between AP polypharmacy and patient/provider characteristics. We used publicly available ambulatory health care datasets to evaluate AP polypharmacy in office-based or hospital outpatient department settings to conduct a cross-sectional study...
November 23, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29161456/integrated-care-with-indigenous-populations-a-systematic-review-of-the-literature
#10
Melissa E Lewis, Laurelle L Myhra
INTRODUCTION: The integration of behavioral health into medical care is related to positive results including improved patient health outcomes, provider satisfaction, and cost-offset. Indigenous people suffer from the highest health disparities in the nation and disproportionately experience barriers to health care; yet it is unknown if integrated care is effective for this population. METHODS: A systematic literature review was completed on the state of integrated care at Indigenous-serving health care sites in 2014 and was updated in 2016...
2017: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
https://www.readbyqxmd.com/read/29161069/characteristics-of-hiv-positive-transgender-men-receiving-medical-care-united-states-2009-2014
#11
Ansley Lemons, Linda Beer, Teresa Finlayson, Donna Hubbard McCree, Daniel Lentine, R Luke Shouse
OBJECTIVES: To present the first national estimate of the sociodemographic, clinical, and behavioral characteristics of HIV-positive transgender men receiving medical care in the United States. METHODS: This analysis included pooled interview and medical record data from the 2009 to 2014 cycles of the Medical Monitoring Project, which used a 3-stage, probability-proportional-to-size sampling methodology. RESULTS: Transgender men accounted for 0...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29160450/characterization-of-the-selection-of-medicines-for-the-brazilian-primary-health-care
#12
Margô Gomes de Oliveira Karnikowski, Dayani Galato, Micheline Marie Milward de Azevedo Meiners, Emília Vitória da Silva, Letícia Farias Gerlack, Ângelo José Gonçalves Bós, Silvana Nair Leite, Juliana Álvares, Ione Aquemi Guibu, Orlando Mario Soeiro, Karen Sarmento Costa, Ediná Alves Costa, Augusto Afonso Guerra, Francisco de Assis Acurcio
OBJECTIVE: To characterize the process of selection of medicines for primary health care in the Brazilian regions. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National Survey on Access, Use and Promotion of Rational Use of Medicines - Services, 2015), a cross-sectional study that consisted of an information gathering in a sample of cities in the five regions of Brazil...
November 13, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29152315/a-pilot-survey-of-farm-animal-welfare-in-serbia-a-country-preparing-for-eu-accession
#13
Clare J Phythian, Siobhan Mullan, Andrew Butterworth, Sarah Lambton, Jelena Ilić, Jelena Burazerović, Elvir Burazerović, Katharine A Leach
The selection and field application of animal-based welfare measures for pigs, sheep, dairy cows and broilers was the first step towards the future development of welfare improvement schemes for Serbia - a country that is applying for EU accession. The aim of this pilot study was to: (1) test the feasibility of a protocol for monitoring farm animal welfare in Serbia, (2) ascertain preliminary data on animal-based outcomes of farm welfare and (3) gain insight into Serbian farmers' understanding of animal welfare as part of a wider project working towards inclusion of animal-based assessments in a 'higher welfare' voluntary assurance scheme...
November 2017: Veterinary Medicine and Science
https://www.readbyqxmd.com/read/29142579/pakistan-s-recommendations-for-optimal-management-of-diabetes-from-primary-to-tertiary-care-level-prompt
#14
A Samad Shera, Abdul Basit, Prompt Team
Pakistan is a developing country with limited resources and diverse socio-economic standards. Pakistan has high prevalence of diabetes and its complications, which is a great challenge to the existing health care system. National action plans for control of diabetes have been developed and initiatives have been taken but not at an ideal pace. First National Practice Guidelines for Pakistan were published in 1999. It was very helpful in standardizing the management of Type-2 diabetes. In view of important developments in the field of diabetes during the recent years, it was felt that 1999 National Clinical Practice Guidelines edited, should be revised...
September 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29140536/birth-outcomes-among-first-nations-inuit-and-m%C3%A3-tis-populations
#15
Amanda J Sheppard, Gabriel D Shapiro, Tracey Bushnik, Russell Wilkins, Serenity Perry, Jay S Kaufman, Michael S Kramer, Seungmi Yang
BACKGROUND: First Nations, Inuit, and Métis are at higher risk of adverse birth outcomes than are non-Indigenous people. However, relatively little perinatal information is available at the national level for Indigenous people overall or for specific identity groups. DATA AND METHODS: This analysis describes and compares rates of preterm birth, small-for-gestational-age birth, large-for-gestational-age birth, stillbirth, and infant mortality (neonatal, postneonatal, and cause-specific) in a nationally representative sample of First Nations, Inuit, Métis, and non-Indigenous births...
November 15, 2017: Health Reports
https://www.readbyqxmd.com/read/29138174/first-nations-hepatitis-c-virus-infections-six-year-retrospective-study-of-on-reserve-rates-of-newly-reported-infections-in-northwestern-ontario
#16
Janet Gordon, Natalie Bocking, Kathy Pouteau, Terri Farrell, Gareth Ryan, Len Kelly
OBJECTIVE: To document rates of newly reported hepatitis C virus (HCV) cases from 2010 to 2015 in remote First Nations communities. DESIGN: Retrospective analysis of aggregate data of newly reported HCV antibody-positive (Ab+) cases. SETTING: Northwestern Ontario. PARTICIPANTS: A total of 31 First Nations communities (an on-reserve population of 20 901) supported in health care by the Sioux Lookout First Nations Health Authority...
November 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29134437/a-qualitative-stakeholder-analysis-of-avian-influenza-policy-in-bangladesh
#17
Kaushik Chattopadhyay, Guillaume Fournié, Md Abul Kalam, Paritosh K Biswas, Ahasanul Hoque, Nitish C Debnath, Mahmudur Rahman, Dirk U Pfeiffer, David Harper, David L Heymann
Avian influenza is a major animal and public health concern in Bangladesh. A decade after development and implementation of the first national avian influenza and human pandemic influenza preparedness and response plan in Bangladesh, a two-stage qualitative stakeholder analysis was performed in relation to the policy development process and the actual policy. This study specifically aimed to identify the future policy options to prevent and control avian influenza and other poultry-related zoonotic diseases in Bangladesh...
November 13, 2017: EcoHealth
https://www.readbyqxmd.com/read/29131309/deaths-from-resident-to-resident-aggression-in-australian-nursing-homes
#18
Briony Murphy, Lyndal Bugeja, Jennifer Pilgrim, Joseph E Ibrahim
OBJECTIVES: To describe the frequency and nature of deaths from resident-to-resident aggression (RRA) in nursing homes in Australia. DESIGN: National population-based retrospective cohort study. SETTING: Accredited nursing homes in Australia. PARTICIPANTS: Residents whose deaths resulted from RRA and were reported to the coroner between July 1, 2000, and December 31, 2013. MEASUREMENTS: Cases were identified using the National Coronial Information System, and data on individual, interpersonal, organizational, and societal factors were collected through review of the paper-based coroners' files...
November 13, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29124627/laboring-until-labor-the-prevalence-and-correlates-of-antenatal-maternity-leave-in-the-united-states
#19
Julia M Goodman
Introduction Most women in the U.S. are employed during pregnancy and work until the month of childbirth. For many, working throughout pregnancy poses little threat to their health; however, women experiencing difficult pregnancies and/or working in strenuous or inflexible jobs may benefit from taking time from work as they approach childbirth, but almost no empirical evidence examines antenatal leave (ANL). Methods Using a national survey of English-speaking women, this paper offers the first national description of ANL and examines state policy predictors of uptake...
November 9, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29107441/real-life-experience-with-hydroxyurea-in-sickle-cell-disease-a-multicenter-study-in-a-cohort-of-patients-with-heterogeneous-descent
#20
Paolo Rigano, Lucia De Franceschi, Laura Sainati, Antonio Piga, Frédéric B Piel, Maria Domenica Cappellini, Carmelo Fidone, Nicoletta Masera, Giovanni Palazzi, Barbara Gianesin, Gian Luca Forni
We conducted the first nation-wide cohort study of sickle cell disease (SCD) in Italy, a Southern European country exposed to intense recent flux migration from endemic areas for SCD. We evaluate the impact of hydroxyurea on a total of 652 pediatric and adult patients from 33 Reference Centers for SCD (mean age 24.5±15years, 51.4% males). Hydroxyurea median treatment duration was 7years (range: <1year to 29years) at a mean therapeutic dose of 18±4.7mg/kg/day. Hydroxyurea was associated with a significant increase in mean total and fetal hemoglobin and a significant decrease in mean hemoglobin S, white blood and platelet counts, and lactate dehydrogenase levels...
October 9, 2017: Blood Cells, Molecules & Diseases
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