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https://www.readbyqxmd.com/read/29677364/long-anterior-lens-zonules-and-intraocular-pressure
#1
Daniel K Roberts, Tricia L Newman, Mary Flynn Roberts, Bruce A Teitelbaum, Janis E Winters
Purpose: To investigate the relation between intraocular pressure (IOP) and the idiopathic long anterior zonule (LAZ) trait. Methods: Patients presenting for primary eye care were examined for LAZ, identified as radially oriented zonular fibers with central extension >1.0 mm beyond the normal anterior lens insertion zone (estimated via slit lamp beam length). Ocular, systemic health, and lifestyle data were collected via comprehensive exam and questionnaire. Multivariate regression was used to assess the relationship between IOP (Goldmann) and LAZ...
April 1, 2018: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/29671913/measuring-the-financial-and-productivity-burden-of-paediatric-hospitalisation-on-the-wider-family-network
#2
Virginia Mumford, Melissa T Baysari, Djala Kalinin, Magdalena Z Raban, Cheryl McCullagh, Jonathon Karnon, Johanna I Westbrook
AIM: To estimate the non-medical out-of-pocket costs for families with a child in hospital. METHODS: This study was a survey of 225 parents of paediatric inpatients on nine wards of an Australian public paediatric teaching hospital on two separate days. Our primary outcomes were the costs associated with: (i) time taken off work to care for the child in hospital; (ii) time off work or contributed by family and friends to care for other dependents; and (iii) travel, meals, accommodation and incidental expenses during the child's stay...
April 19, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29661635/assessment-of-community-level-effects-of-intermittent-preventive-treatment-for-malaria-in-schoolchildren-in-jinja-uganda-start-ipt-trial-a-cluster-randomised-trial
#3
Sarah G Staedke, Catherine Maiteki-Sebuguzi, Andrea M Rehman, Simon P Kigozi, Samuel Gonahasa, Jaffer Okiring, Steve W Lindsay, Moses R Kamya, Clare I R Chandler, Grant Dorsey, Chris Drakeley
BACKGROUND: Intermittent preventive treatment (IPT) is a well established malaria control intervention. Evidence that delivering IPT to schoolchildren could provide community-level benefits is limited. We did a cluster-randomised controlled trial to assess the effect of IPT of primary schoolchildren with dihydroartemisinin-piperaquine (DP) on indicators of malaria transmission in the community, in Jinja, Uganda. METHODS: We included 84 clusters, each comprising one primary school and the 100 closest available households...
April 13, 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29660593/factors-associated-with-hazardous-alcohol-use-and-motivation-to-reduce-drinking-among-hiv-primary-care-patients-baseline-findings-from-the-health-motivation-study
#4
Michael J Silverberg, Wendy A Leyden, Amy Leibowitz, C Bradley Hare, Hannah J Jang, Stacy Sterling, Sheryl L Catz, Sujaya Parthasarathy, Michael A Horberg, Derek D Satre
BACKGROUND: Limited primary care-based research has examined hazardous drinking risk factors and motivation to reduce use in persons with HIV (PWH). METHODS: We computed prevalence ratios (PR) for factors associated with recent (<30 days) hazardous alcohol use (i.e., 4+/5+ drinks in a single day for women/men), elevated Alcohol Use Disorders Identification Test (AUDIT) scores, and importance and confidence (1-10 Likert scales) to reduce drinking among PWH in primary care...
March 31, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29649631/simultaneous-risk-factor-control-using-telehealth-to-slow-progression-of-diabetic-kidney-disease-stop-dkd-study-protocol-and-baseline-characteristics-of-a-randomized-controlled-trial
#5
Clarissa J Diamantidis, Hayden B Bosworth, Megan M Oakes, Clemontina A Davenport, Jane F Pendergast, Sejal Patel, Jivan Moaddeb, Huiman X Barnhart, Peter D Merrill, Khaula Baloch, Matthew J Crowley, Uptal D Patel
Diabetic kidney disease (DKD) is the leading cause of end-stage kidney disease (ESKD) in the United States. Multiple risk factors contribute to DKD development, yet few interventions target more than a single DKD risk factor at a time. This manuscript describes the study protocol, recruitment, and baseline participant characteristics for the Simultaneous Risk Factor Control Using Telehealth to slOw Progression of Diabetic Kidney Disease (STOP-DKD) study. The STOP-DKD study is a randomized controlled trial designed to evaluate the effectiveness of a multifactorial behavioral and medication management intervention to mitigate kidney function decline at 3 years compared to usual care...
April 9, 2018: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29622399/can-a-gastric-cancer-risk-survey-identify-high-risk-patients-for-endoscopic-screening-a-pilot-study
#6
Haejin In, Marisa Langdon-Embry, Lauren Gordon, Clyde B Schechter, Judith Wylie-Rosett, Philip E Castle, M Margaret Kemeny, Bruce D Rapkin
BACKGROUND: A questionnaire that distinguishes how variability in gastric cancer prevalence is associated with ethnicity/birth country/immigration/cultural diet along with known risk factors may improve targeting populations for gastric cancer screening in the United States. METHODS: Existing literature was used to identify the item pool. Cluster analysis, focus groups, and cognitive interviewing were used to reduce collinear items and refine the questionnaire...
April 2, 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29607836/impact-of-oral-health-related-behaviors-on-dental-caries-among-children-with-special-health-care-needs-in-goa-a-cross-sectional-study
#7
Akshatha Gadiyar, Ridhima Gaunkar, Amita Kenkre Kamat, Akanksha Tiwari, Amit Kumar
Background: Children with special health-care needs (CSHCNs) have high unmet dental needs and are at increased risk of poor oral health. The aim of the present study was to evaluate the relationship between oral health behavior and dental caries experience among CSHCN. Materials and Methods: The cross-sectional study sample comprised of 223 CSHCNs from special educational schools in Goa. A self-administered parental questionnaire was used to collect data on sociodemographic characteristics and oral health behavior variables...
January 2018: Journal of the Indian Society of Pedodontics and Preventive Dentistry
https://www.readbyqxmd.com/read/29570569/sensitivity-and-specificity-of-2-autism-screeners-among-referred-children-between-16-and-48-months-of-age
#8
Louisa A Salisbury, Jonathan D Nyce, Charles D Hannum, R Christopher Sheldrick, Ellen C Perrin
OBJECTIVE: Autism screening is recommended by the American Academy of Pediatrics and the Centers for Disease Control and Prevention at ages 18 and 24 months. Popular screening tests have been validated for the age range of 16 to 30 months. However, only a minority of children with autism spectrum disorder (ASD) are identified by age 3 years, and many are not identified until after they enter school. Thus, we aimed to measure the sensitivity and specificity of 2 available screening tests for ASDs in children older than 30 months...
April 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29566044/community-based-mass-treatment-with-azithromycin-for-the-elimination-of-yaws-in-ghana-results-of-a-pilot-study
#9
Abdul Aziz Abdulai, Patrick Agana-Nsiire, Frank Biney, Cynthia Kwakye-Maclean, Sardick Kyei-Faried, Kwame Amponsa-Achiano, Shirley Victoria Simpson, George Bonsu, Sally-Ann Ohene, William Kwabena Ampofo, Yaw Adu-Sarkodie, Kennedy Kwasi Addo, Kai-Hua Chi, Damien Danavall, Cheng Y Chen, Allan Pillay, Sergi Sanz, Ye Tun, Oriol Mitjà, Kingsley Bampoe Asiedu, Ronald C Ballard
INTRODUCTION: The WHO yaws eradication strategy consists of one round of total community treatment (TCT) of single-dose azithromycin with coverage of > 90%.The efficacy of the strategy to reduce the levels on infection has been demonstrated previously in isolated island communities in the Pacific region. We aimed to determine the efficacy of a single round of TCT with azithromycin to achieve a decrease in yaws prevalence in communities that are endemic for yaws and surrounded by other yaws-endemic areas...
March 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29553416/factors-associated-with-depression-in-patients-with-type-2-diabetes-in-the-gaza-strip-a-cross-sectional-study
#10
Khaled Abu Saman, Salwa Massad, Ali Abu Ibaid, Huda Anan, Mamhoud Daher, Rand Salman, Saleh Aldeqes
BACKGROUND: About 9% of the world's population has diabetes. Most people with diabetes live in developing countries. Diabetes is the fourth leading cause of death in the occupied Palestinian territory. The likelihood of diabetes complications increases with depression. Worldwide, about half of patients with diabetes have severe depression that has been misidentified by health providers. The aim of this study was to examine factors associated with depression in patients with type 2 diabetes in the Gaza governorate...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29518252/interventions-for-autumn-exacerbations-of-asthma-in-children
#11
REVIEW
Katharine C Pike, Melika Akhbari, Dylan Kneale, Katherine M Harris
BACKGROUND: Asthma exacerbations in school-aged children peak in autumn, shortly after children return to school following the summer holiday. This might reflect a combination of risk factors, including poor treatment adherence, increased allergen and viral exposure, and altered immune tolerance. Since this peak is predictable, interventions targeting modifiable risk factors might reduce exacerbation-associated morbidity and strain upon health resources. The peak occurs in September in the Northern Hemisphere and in February in the Southern Hemisphere...
March 8, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29499084/physical-activity-diet-and-other-behavioural-interventions-for-improving-cognition-and-school-achievement-in-children-and-adolescents-with-obesity-or-overweight
#12
REVIEW
Anne Martin, Josephine N Booth, Yvonne Laird, John Sproule, John J Reilly, David H Saunders
BACKGROUND: The global prevalence of childhood and adolescent obesity is high. Lifestyle changes towards a healthy diet, increased physical activity and reduced sedentary activities are recommended to prevent and treat obesity. Evidence suggests that changing these health behaviours can benefit cognitive function and school achievement in children and adolescents in general. There are various theoretical mechanisms that suggest that children and adolescents with excessive body fat may benefit particularly from these interventions...
March 2, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29486763/a-pragmatic-controlled-trial-to-prevent-childhood-obesity-within-a-risk-group-at-maternity-and-child-health-care-clinics-results-up-to-six-years-of-age-the-vacopp-study
#13
Taina Mustila, Jani Raitanen, Päivi Keskinen, Riitta Luoto
BACKGROUND: Obesity in childhood appears often during the toddler years. The prenatal environment influences obesity risk. Maternal gestational diabetes, the child's diet, and physical activity in the first few years have an important role in subsequent weight gain. A study was conducted to evaluate effectiveness of a primary health-care lifestyle counselling intervention in prevention of childhood obesity up to 6 years of age. METHODS: The study was a controlled pragmatic trial to prevent childhood obesity and was implemented at maternity and child health-care clinics...
February 27, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29473696/developing-and-testing-a-brief-clinic-based-lung-cancer-screening-decision-aid-for-primary-care-settings
#14
Karen Kane McDonnell, Scott M Strayer, Erica Sercy, Callie Campbell, Daniela B Friedman, Kathleen B Cartmell, Jan M Eberth
BACKGROUND: Cancer screening-related decisions require patients to evaluate complex medical information in short time frames, often with primary care providers (PCPs) they do not know. PCPs play an essential role in facilitating comprehensive shared decision making (SDM). OBJECTIVE: To develop and test a decision aid (DA) and SDM strategy for PCPs and high-risk patients. DESIGN: The DA was tested with 20 dyads. Each dyad consisted of one PCP and one patient eligible for screening...
February 23, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29458910/maternal-characteristics-and-pregnancy-outcomes-among-illicit-drug-using-women-in-an-urban-setting
#15
Pitchaya Homsup, Chadakarn Phaloprakarn, Siriwan Tangjitgamol, Sumonmal Manusirivithaya
OBJECTIVE: To identify characteristics and pregnancy outcomes among pregnant illicit drug users living in an urban area, and to describe trends in drug use over an 8-year period. MATERIALS AND METHODS: Data on pregnant women living in the Bangkok Metropolitan Region who delivered at our institution during 2008-2015 were studied. Women with drug use (n = 197) and women without drug use (n = 787) were compared in terms of maternal characteristics and pregnancy outcomes...
February 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29437489/controller-adherence-following-hospital-discharge-in-high-risk-children-a-pilot-randomized-trial-of-text-message-reminders
#16
Chén C Kenyon, Siobhan M Gruschow, William O Quarshie, Heather Griffis, Michelle C Leach, Joseph J Zorc, Tyra C Bryant-Stephens, Victoria A Miller, Chris Feudtner
OBJECTIVE: To assess the feasibility of a mobile health, inhaled corticosteroid (ICS) adherence reminder intervention and to characterize adherence trajectories immediately following severe asthma exacerbation in high-risk urban children with persistent asthma. METHODS: Children aged 2-13 with persistent asthma were enrolled in this pilot randomized controlled trial during an asthma emergency department (ED) visit or hospitalization. Intervention arm participants received daily text message reminders for 30 days, and both arms received electronic sensors to measure ICS use...
February 13, 2018: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/29404716/oral-health-training-knowledge-attitudes-and-practices-of-primary-care-paediatricians-a-european-survey
#17
Adamos Hadjipanayis, Zachi Grossman, Stefano Del Torso, Kyriaki Michailidou, Diego Van Esso, Rita Cauwels
Oral health is an essential component of children's general health. The aim of this study is to evaluate the training, knowledge, attitudes and practices of primary care paediatricians in oral health in Europe. Paediatricians were invited to complete a survey on the web. There was a 54.3% response rate. The oral health education of the responders was received mainly through continuing medical education and practical experience (51%) rather than in medical school or during paediatric residency training (33%)...
February 5, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29384911/association-between-parents-attitudes-and-behaviors-toward-children-s-visual-care-and-myopia-risk-in-school-aged-children
#18
Shuang Zhou, Lihua Yang, Benlin Lu, Hexin Wang, Ting Xu, Dandan Du, Shiqing Wu, Xiuxiu Li, Meixia Lu
The purpose of this survey was to determine the association of parents' attitudes and behaviors toward children's visual care with myopia risk in school-aged children.A total of 894 parents of school-aged children were investigated in primary and middle schools in the central and noncentral urban area in Wuhan through stratified cluster random sampling on July, 2015. We analyzed the association by the generalized linear mixed model.The results indicated that children with parents' high expectations of 1.5 or higher on their vision exhibited a decreased risk of myopia compared with 1...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29376563/physical-activity-diet-and-other-behavioural-interventions-for-improving-cognition-and-school-achievement-in-children-and-adolescents-with-obesity-or-overweight
#19
REVIEW
Anne Martin, Josephine N Booth, Yvonne Laird, John Sproule, John J Reilly, David H Saunders
BACKGROUND: The global prevalence of childhood and adolescent obesity is high. Lifestyle changes towards a healthy diet, increased physical activity and reduced sedentary activities are recommended to prevent and treat obesity. Evidence suggests that changing these health behaviours can benefit cognitive function and school achievement in children and adolescents in general. There are various theoretical mechanisms that suggest that children and adolescents with excessive body fat may benefit particularly from these interventions...
January 29, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29353708/adolescents-experiences-of-living-with-sickle-cell-disease-an-integrative-narrative-review-of-the-literature
#20
REVIEW
Brenda Agyeiwaa Poku, Ann-Louise Caress, Susan Kirk
BACKGROUND: Sickle Cell Disease is the commonest monogenic haemoglobinopathy worldwide. Living with a long-term condition such as sickle cell disease during adolescence constitutes a significant challenge for the key stakeholders due to the combined effects of chronic illness and adolescent development. For adolescents with sickle cell disease to be cared for and supported appropriately and effectively, it is crucial that health professionals have a comprehensive knowledge and understanding of how adolescents experience living with the condition...
April 2018: International Journal of Nursing Studies
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