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https://www.readbyqxmd.com/read/29154688/substance-use-and-cognitive-function-as-drivers-of-condomless-anal-sex-among-hiv-positive-gay-bisexual-and-other-men-who-have-sex-with-men-aged-50-and-older-the-gold-studies
#1
Sandra A Kupprat, Kristen D Krause, Danielle C Ompad, Perry N Halkitis
PURPOSE: Substance use has been linked to the sexual transmission of HIV among gay, bisexual, and other men who have sex with men (MSM) across the lifespan. Among older, HIV-positive, MSM populations, cognitive dysfunction associated with age and HIV disease progression also may play a role in sexual risk-taking. People aged 50 years and older represent a growing proportion of the overall HIV-positive population. This study aimed to explore relationships between substance use and cognitive function, and their impact on condomless anal sex (CAS) among HIV-positive gay, bisexual, and other MSM aged 50 years and older...
November 20, 2017: LGBT Health
https://www.readbyqxmd.com/read/29154005/levers-supporting-tariff-growth-for-water-services-evidence-from-a-contingent-valuation-analysis
#2
Andrea Guerrini, Vania Vigolo, Giulia Romano, Federico Testa
The backwardness of the water utilities sector necessitates urgent investment in infrastructure to improve water quality and efficiency in water supply networks. A policy of tariff growth represents the main source to sustain such investments. Therefore, customer engagement in the form of willingness to pay (WTP) is highly desirable by water utilities to obtain social legitimization and support. This study examines the determinants of consumers' WTP for improvement programs for three drinking water issues: quality of water sources, renewal of water mains, and building of new wastewater treatment plants...
November 15, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/29141640/discordance-in-self-report-and-observation-data-on-mistreatment-of-women-by-providers-during-childbirth-in-uttar-pradesh-india
#3
Arnab Dey, Holly Baker Shakya, Dharmendra Chandurkar, Sanjiv Kumar, Arup Kumar Das, John Anthony, Mrunal Shetye, Suneeta Krishnan, Jay G Silverman, Anita Raj
BACKGROUND: The study aims to assess the discordance between self-reported and observed measures of mistreatment of women during childbirth in public health facilities in Uttar Pradesh, India, as well as correlates of these measures and their discordance. METHODS: Cross sectional data were collected through direct observation of deliveries and follow-up interviews with women (n = 875) delivering in 81 public health facilities in Uttar Pradesh. Participants were surveyed on demographics, mistreatment during childbirth, and maternal and newborn complications...
November 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29129210/driving-dilemmas-a-guide-to-driving-assessment-in-primary-care
#4
REVIEW
Emily Morgan
Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag conditions, medications, acute events, and patient or family concerns. It reviews how to assess for visual, cognitive, and neuromuscular impairments and what to do as next steps for at-risk drivers once they are identified...
February 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29126458/epidemiology-of-hypertension-in-fulani-indigenous-populations-age-gender-and-drivers
#5
Clement Kufe Nyuyki, George Ngufor, George Mbeh, Jean Claude Mbanya
BACKGROUND: Hypertension is a public health problem and the main contributor to cardiovascular mortality and morbidity. Little is known about hypertension among the minority, diverse and socially disadvantaged 23-24 million Fulani/Peul populations dispersed in West, Central and East Africa, undergoing a transition from traditional to transitional and modern lifestyle. This study describes age and gender variations in blood pressure and drivers of hypertension among rural Fulani population of Cameroon...
November 10, 2017: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29126376/constructing-the-32-item-fitness-to-drive-screening-measure
#6
Shabnam Medhizadah, Sherrilene Classen, Andrew M Johnson
The Fitness-to-Drive Screening Measure(©) (FTDS) enables proxies to identify at-risk older drivers via 54 driving-related items, but may be too lengthy for widespread uptake. We reduced the number of items in the FTDS and validated the shorter measure, using 200 caregiver responses. Exploratory factor analysis and classical test theory techniques were used to determine the most interpretable factor model and the minimum number of items to be used for predicting fitness to drive. The extent to which the shorter FTDS predicted the results of the 54-item FTDS was evaluated through correlational analysis...
November 1, 2017: OTJR: Occupation, Participation and Health
https://www.readbyqxmd.com/read/29123416/frequency-and-clinical-relevance-of-egfr-mutations-and-eml4-alk-translocations-in-octogenarians-with-non-small-cell-lung-cancer
#7
Amanda Tufman, Kathrin Kahnert, Thomas Duell, Diego Kauffmann-Guerrero, Katrin Milger, Christian Schneider, Julia Stump, Zulfiya Syunyaeva, Rudolf Maria Huber, Simone Reu
Background: Tyrosine kinase inhibitors (TKIs) have improved response rates in some patients with non-small cell lung cancer (NSCLC), and testing for EGFR mutation and ALK translocation is recommended for all patients with advanced lung adenocarcinoma. The frequency of driver mutations in elderly and very elderly patients has not been described. Patients and methods: We reviewed EGFR and ALK in patients over the age of 70 years diagnosed and treated at our center in 2015 (subgroups: 70-74, 75-79 and >80 years)...
2017: OncoTargets and Therapy
https://www.readbyqxmd.com/read/29105807/the-direct-health-care-costs-of-eating-disorders-among-hospitalized-patients-a-population-based-study
#8
Claire de Oliveira, Patricia Colton, Joyce Cheng, Marion Olmsted, Paul Kurdyak
OBJECTIVE: To estimate the direct health care costs of eating disorders in Ontario, Canada, in 2012, using a prevalence-based cost-of-illness approach. METHOD: We selected a population-based sample of all patients eligible for public health care insurance over the age of 4 with a hospitalization for an eating disorder at any point since 1988. We estimated total and mean direct net costs per patient in 2012, from the third public payer perspective, by sex, age group, and health service type...
November 6, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/29102570/brake-reaction-time-after-ankle-and-subtalar-arthroscopy
#9
Tinnart Sittapairoj, Chris A Anthony, Chamnanni Rungprai, Yubo Gao, Alexej Barg, Phinit Phisitkul
PURPOSE: To evaluate preoperative and postoperative brake reaction time (BRT) of patients undergoing right-sided ankle or subtalar arthroscopy. METHODS: Patients who underwent right-sided ankle or subtalar arthroscopy were evaluated between May 2015 and February 2017. The inclusion criteria consisted of patients older than 18 years who possessed a valid driver's license, primarily drove vehicles that had automatic transmission, and used their right foot to depress the brake pedal...
November 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29095954/pyrazinamide-clearance-is-impaired-among-hiv-tuberculosis-patients-with-high-levels-of-systemic-immune-activation
#10
Christopher Vinnard, Shruthi Ravimohan, Neo Tamuhla, Jotam Pasipanodya, Shashikant Srivastava, Chawangwa Modongo, Nicola M Zetola, Drew Weissman, Tawanda Gumbo, Gregory P Bisson
Pyrazinamide is the main driver of sterilizing effect in the standard regimen in adults and older children, and this effect is concentration-dependent. Tuberculosis patients co-infected with human immunodeficiency virus (HIV) have an increased risk for poor tuberculosis treatment outcomes and adverse drug events. We sought to determine whether measures of systemic immune activation were related to pyrazinamide pharmacokinetics among HIV/tuberculosis patients. We conducted a prospective cohort study of pyrazinamide pharmacokinetics in HIV/tuberculosis patients in Gaborone, Botswana...
2017: PloS One
https://www.readbyqxmd.com/read/29089888/effect-of-speed-of-processing-training-on-older-driver-screening-measures
#11
Ranmalee Eramudugolla, Kim M Kiely, Sidhant Chopra, Kaarin J Anstey
Objective: Computerized training for cognitive enhancement is of great public interest, however, there is inconsistent evidence for the transfer of training gains to every day activity. Several large trials have focused on speed of processing (SOP) training with some promising findings for long-term effects on daily activity, but no immediate transfer to other cognitive tests. Here, we examine the transfer of SOP training gains to cognitive measures that are known predictors of driving safety in older adults...
2017: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/29073885/cognitive-impairment-and-hypertension-in-older-adults-living-in-extreme-poverty-a-cross-sectional-study-in-peru
#12
Maria Lazo-Porras, Victor Ortiz-Soriano, Miguel Moscoso-Porras, Fernando M Runzer-Colmenares, German Málaga, J Jaime Miranda
BACKGROUND: Previous studies have shown that hypertension is a risk factor for cognitive impairment, but whether this association is also present in extremely poor populations in Low Middle Income Countries settings remains to be studied. Understanding other drivers of cognitive impairment in this unique population also merits attention. METHODS: We performed a secondary analysis using data from the "Encuesta de Salud y Bienestar del Adulto Mayor", a regional survey conducted in an extremely poor population of people older than 65 years old from 12 Peruvian cities in 2012...
October 26, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29067831/social-and-structural-factors-increase-inconsistent-condom-use-by-sex-workers-one-time-and-regular-clients-in-northern-uganda
#13
Putu Duff, Josephine Birungi, Sabina Dobrer, Monika Akello, Godfrey Muzaaya, Kate Shannon
While sex workers (SWs) bear the brunt of the epidemic in Uganda, there remains a dearth of empirical research on the structural drivers of HIV prevention among SWs. This study examined the drivers of inconsistent condom use by one-time and regular clients of young women SWs in Gulu, Northern Uganda. Data were drawn from the Gulu Sexual Health Study, a cross-sectional study of young SWs, aged 14 years and older (2011-2012). SWs were recruited using peer/SW-led outreach, in partnership with The AIDS Support Organization and other CBOs...
October 25, 2017: AIDS Care
https://www.readbyqxmd.com/read/29064285/the-combined-effects-of-on-road-and-simulator-training-with-feedback-on-older-drivers-on-road-performance-evidence-from-a-randomized-controlled-trial
#14
Erica Sawula, Jan Polgar, Michel M Porter, Sylvain Gagnon, Bruce Weaver, Satoru Nakagawa, Arne Stinchcombe, Michel Bédard
OBJECTIVE: A number of training programs that seek to improve driving performance among older drivers are available accompanied by a growing interest in their effectiveness. The purpose of the present investigation was to examine the combined effect of 1) basic in-class training (BT); 2) on-road training with individualized feedback (OR); and 3) training on a driving simulator (S). METHOD: Using a randomized controlled trial study design, 78 older drivers were randomly assigned to one of three groups (BT, BT+OR, or BT+OR+S)...
October 24, 2017: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29052018/end-users-product-preference-across-three-multipurpose-prevention-technology-delivery-forms-baseline-results-from-young-women-in-kenya-and-south-africa
#15
Rachel Weinrib, Alexandra Minnis, Kawango Agot, Khatija Ahmed, Fred Owino, Kgahlisho Manenzhe, Helen Cheng, Ariane van der Straten
A multipurpose prevention technology (MPT) that combines HIV and pregnancy prevention is a promising women's health intervention, particularly for young women. However, little is known about the drivers of acceptability and product choice for MPTs in this population. This paper explores approval ratings and stated choice across three different MPT delivery forms among potential end-users. The Trio Study was a mixed-methods study in women ages 18-30 that examined acceptability of three MPT delivery forms: oral tablets, injections, and vaginal ring...
October 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29044846/socio-demographic-factors-drive-regional-differences-in-participation-in-the-national-bowel-cancer-screening-program-an-ecological-analysis
#16
Jiandong Sun, Sonja March, Michael J Ireland, Fiona Crawford-Williams, Belinda Goodwin, Melissa K Hyde, Suzanne K Chambers, Joanne F Aitken, Jeff Dunn
OBJECTIVE: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics. METHODS: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables...
October 18, 2017: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/29036885/fairness-and-eligibility-to-long-term-care-an-analysis-of-the-factors-driving-inequality-and-inequity-in-the-use-of-home-care-for-older-europeans
#17
Stefania Ilinca, Ricardo Rodrigues, Andrea E Schmidt
In contrast with the case of health care, distributional fairness of long-term care (LTC) services in Europe has received limited attention. Given the increased relevance of LTC in the social policy agenda it is timely to evaluate the evidence on inequality and horizontal inequity by socio-economic status (SES) in the use of LTC and to identify the socio-economic factors that drive them. We address both aspects and reflect on the sensitivity of inequity estimates to adopting different definitions of legitimate drivers of care need...
October 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29022422/investigating-cognitive-ability-and-self-reported-driving-performance-of-post-stroke-adults-in-a-driving-simulator
#18
Alison Blane, Torbjörn Falkmer, Hoe C Lee, Tania Dukic Willstrand
Background Safe driving is a complex activity that requires calibration. This means the driver can accurately assess the level of task demand required for task completion and can accurately evaluate their driving capability. There is much debate on the calibration ability of post-stroke drivers. Objectives The aim of this study was to assess the cognition, self-rated performance, and estimation of task demand in a driving simulator with post-stroke drivers and controls. Methods A between-groups study design was employed, which included a post-stroke driver group and a group of similarly aged older control drivers...
October 12, 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/29021637/physical-frailty-and-fitness-of-older-driver
#19
Maria Helena Lenardt, Clovis Cechinel, Maria Angelica Binotto, Nathalia Hammerschmidt Kolb Carneiro, Tânia Maria Lourenço
AIM: to analyze the association between physical frailty and the results of fitness capacity exams for driving vehicles among elder Brazilians. METHODS: this is a cross sectional study, performed in traffic medicine clinics of the city of Curitiba (Brazil). The data was collected through the physical frailty tests, the use of a structured questionnaire, and searches on the records of the Brazilian National Register of Qualified Drivers.To analyze the information, the authors used descriptive statistics and non-parametrical tests...
June 30, 2017: Colombia Médica: CM
https://www.readbyqxmd.com/read/29016896/poor-working-conditions-and-work-stress-among-canadian-sex-workers
#20
P Duff, J Sou, J Chapman, S Dobrer, M Braschel, S Goldenberg, K Shannon
Background: While sex work is often considered the world's oldest profession, there remains a dearth of research on work stress among sex workers (SWs) in occupational health epidemiological literature. A better understanding of the drivers of work stress among SWs is needed to inform sex work policy, workplace models and standards. Aims: To examine the factors that influence work stress among SWs in Metro Vancouver. Methods: Analyses drew from a longitudinal cohort of SWs, known as An Evaluation of Sex Workers' Health Access (AESHA) (2010-14)...
August 23, 2017: Occupational Medicine
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