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https://www.readbyqxmd.com/read/28645946/risk-factors-for-admission-at-three-urban-emergency-departments-in-england-a-cross-sectional-analysis-of-attendances-over-1-month
#1
Sharif A Ismail, Ian Pope, Benjamin Bloom, Raquel Catalao, Emilie Green, Rebecca E Longbottom, Gwyneth Jansen, David McCoy, Tim Harris
OBJECTIVE: To investigate factors associated with unscheduled admission following presentation to emergency departments (EDs) at three hospitals in England. DESIGN AND SETTING: Cross-sectional analysis of attendance data for patients from three urban EDs in England: a large teaching hospital and major trauma centre (site 1) and two district general hospitals (sites 2 and 3). Variables included patient age, gender, ethnicity, deprivation score, arrival date and time, arrival by ambulance or otherwise, a variety of ED workload measures, inpatient bed occupancy rates and admission outcome...
June 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/28636704/trends-in-nationwide-herpes-zoster-emergency-department-utilization-from-2006-to-2013
#2
Erica D Dommasch, Cara J Joyce, Arash Mostaghimi
Importance: The effect of vaccination on emergency department (ED) utilization for herpes zoster (HZ) has not been examined to date. Objective: To determine trends in US ED utilization and costs associated with HZ. Design, Setting, and Participants: The Nationwide Emergency Department Sample data set was examined for temporal trends in the number of visits and costs for treatment of HZ in EDs in the United States from January 1, 2006, through December 31, 2013...
June 21, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28634155/perceptions-of-hiv-seriousness-risk-and-threat-among-online-samples-of-hiv-negative-men-who-have-sex-with-men-in-seven-countries
#3
Anna N Chard, Nicholas Metheny, Rob Stephenson
BACKGROUND: Rates of new HIV infections continue to increase worldwide among men who have sex with men (MSM). Despite effective prevention strategies such as condoms and pre-exposure prophylaxis (PrEP), low usage of both methods in many parts of the world hinder prevention efforts. An individual's perceptions of the risk of acquiring HIV and the seriousness they afford to seroconversion are important drivers of behavioral risk-taking. Understanding the behavioral factors suppressing the uptake of HIV prevention services is a critical step in informing strategies to improve interventions to combat the ongoing HIV pandemic among MSM...
June 20, 2017: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/28622624/primary-myelofibrosis-older-age-and-high-jak2v617f-allele-burden-are-associated-with-elevated-plasma-high-sensitivity-c-reactive-protein-levels-and-a-phenotype-of-progressive-disease
#4
Giovanni Barosi, Margherita Massa, Rita Campanelli, Gabriela Fois, Paolo Catarsi, Gianluca Viarengo, Laura Villani, Valentina Poletto, Tiziana Bosoni, Umberto Magrini, Robert P Gale, Vittorio Rosti
We measured plasma levels of high-sensitivity C-reactive protein (hs-CRP) in 526 subjects with primary myelofibrosis (PMF). Thirty-eight percent had an elevated hs-CRP level (≥0.3mg/dL). Elevated hs-CRP levels were associated with a progressive disease phenotype, including anemia, high white blood cell count, low platelet count, increased splenomegaly, increased risk of blast transformation, and worse survival. Age≥52years, but no other demographic characteristics, was associated with an elevated hs-CRP level in multivariable logistic regression (odds ratio [OR], 4...
June 7, 2017: Leukemia Research
https://www.readbyqxmd.com/read/28621204/a-pilot-study-of-sleep-work-practices-visual-processing-speed-and-5-year-motor-vehicle-crash-risk-among-truck-drivers
#5
Karen Heaton, Benjamin J McManus, Rachael Mumbower, David E Vance
The purpose of this pilot study was to explore the relationships between sleep, work practices, speed of processing, and 5-year motor vehicle crash risk among a group of older truck drivers. Anthropometric, demographic, and psychological data were recorded, along with health, sleep, and work histories from a sample of 23 truck drivers. Results from this pilot study suggest that physical fatigue may play a role in processing speed. Future studies should be designed with adequate power and include objective measures of sleep and repeated measures over time to determine 5-year MVC rates...
June 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28619464/the-ageing-society-and-emergency-hospital-admissions
#6
Raphael Wittenberg, Luke Sharpin, Barry McCormick, Jeremy Hurst
There is strong policy interest, in England as elsewhere, in slowing the growth in emergency hospital admissions, which for older people increased by 3.3% annually between 2001/2 and 2012/3. Resource constrains have increased the importance of understanding rising emergency admissions, which in policy discourse is often explained by population aging. This study examines how far the rise in emergency admissions of people over 65 was due to population ageing, how far to the changing likelihood of entering hospital at each age, and how far to other factors which might be more amenable to policy measures...
May 29, 2017: Health Policy
https://www.readbyqxmd.com/read/28605807/visual-sensory-and-visual-cognitive-function-and-rate-of-crash-and-near-crash-involvement-among-older-drivers-using-naturalistic-driving-data
#7
Carrie Huisingh, Emily B Levitan, Marguerite R Irvin, Paul MacLennan, Virginia Wadley, Cynthia Owsley
Purpose: An innovative methodology using naturalistic driving data was used to examine the association between visual sensory and visual-cognitive function and rates of future crash or near-crash involvement among older drivers. Methods: The Strategic Highway Research Program (SHRP2) Naturalistic Driving Study was used for this prospective analysis. The sample consisted of N = 659 drivers aged ≥70 years and study participation lasted 1 or 2 years for most participants...
June 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/28605692/predictors-of-driving-outcomes-including-both-crash-involvement-and-driving-cessation-in-a-prospective-study-of-japanese-older-drivers
#8
Ritsu Kosuge, Kazuko Okamura, Makoto Kihira, Yukako Nakano, Goro Fujita
The first aim of this study was to investigate predictors of future traffic crash involvement, taking into account bias in the handling of data for former drivers. The second aim was to compare characteristics of former drivers and crash-involved drivers in order to gain an understanding of appropriate driving cessation among older drivers. In all, 154 drivers aged 70 years or older participated in the baseline interview and the follow-up survey conducted two years later. In the baseline interview, participants were asked to respond to a questionnaire, take the Useful Field of View test(®) (UFOV), and complete the Mini-Mental State Examination...
June 9, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28605422/risk-exposure-density-explains-mileage-bias-in-older-driver-crash-risk
#9
Jonathan J Rolison
Driver crash rates per mile indicate high crash risk in older age. A reliance on mileage alone may underestimate risk exposure of older drivers as they tend to avoid highways and travel more on non-freeways (e.g., urban roads) that present greater hazards. We introduce risk exposure density as an index of exposure that incorporates mileage, frequency of travel, and travel duration. Population-wide driver fatalities in the U.S. during 2002-2012 were assessed per driver age (16-20, 21-29, 30-39, 40-49, 50-59, 60-69, > 70 years) and gender...
June 9, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28604931/motor-vehicle-crash-risk-among-adolescents-and-young-adults-with-attention-deficit-hyperactivity-disorder
#10
Allison E Curry, Kristina B Metzger, Melissa R Pfeiffer, Michael R Elliott, Flaura K Winston, Thomas J Power
Importance: Attention-deficit/hyperactivity disorder (ADHD) often persists into adolescence, when motor vehicle crash risk peaks. We know little about when adolescents with ADHD get licensed and, once they do, the extent to which they have increased crash risk compared with adolescents without ADHD. Objectives: To examine the association between ADHD and both driver licensing and crash involvement and whether it varies by sex, licensing age, and/or being prescribed ADHD medication at licensure...
June 12, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28601020/health-damaging-policing-practices-among-persons-who-inject-drugs-in-mexico-are-deported-migrants-at-greater-risk
#11
Miguel Pinedo, Leo Beletsky, Nathan Alamillo, Victoria D Ojeda
BACKGROUND: Evidence-based public health and criminal justice policies aimed at addressing the structurally vulnerable population of persons who inject drugs (PWID) and who are involved in the immigrant enforcement and deportation system are lacking. Policing practices are critical structural determinants of HIV among PWID. PWID in Mexico who have been deported from the US are at elevated risk of HIV. METHODS: From 2011 to 2013, 733 PWID were recruited to complete structured questionnaires, including past 6-month experiences with police...
June 7, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28600988/angry-thoughts-in-spanish-drivers-and-their-relationship-with-crash-related-events-the-mediation-effect-of-aggressive-and-risky-driving
#12
David Herrero-Fernández, Sara Fonseca-Baeza
Several studies have related aggressive and risky driving behaviours to accidents. However, the cognitive processes associated with driving aggression have received very little attention in the scientific literature. With the aim of shedding light on this topic, the present research was carried out on a sample of 414 participants in order to validate the Driver's Angry Thoughts Questionnaire (DATQ) with a sample of Spanish drivers and to test the hypothesis of the mediation effect of aggressive and risky driving on the relationship between drivers' angry thoughts and crash-related events...
June 7, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28595022/qualitative-analysis-of-drivers-and-barriers-to-adhering-to-an-exercise-protein-intervention-designed-to-counteract-sarcopenia
#13
Annemarthe L Herrema, Marjan J Westerman, Ellen J I van Dongen, Urszula Kudla, Martijn Veltkamp
Interventions combining protein-rich diets with resistance exercises seem a promising avenue in helping to prevent sarcopenia. However, compliance to health interventions is generally low. The aim of the present study was to provide qualitative insights into the drivers and barriers that older adults experience when trying to comply with a combined dietary and physical exercise intervention. Semi-structured interviews with eighteen older adults participating in such an intervention were conducted and analysed using thematic content analysis...
May 22, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28592405/current-and-emerging-topical-antibacterials-and-antiseptics-agents-action-and-resistance-patterns
#14
REVIEW
Deborah A Williamson, Glen P Carter, Benjamin P Howden
Bacterial skin infections represent some of the most common infectious diseases globally. Prevention and treatment of skin infections can involve application of a topical antimicrobial, which may be an antibiotic (such as mupirocin or fusidic acid) or an antiseptic (such as chlorhexidine or alcohol). However, there is limited evidence to support the widespread prophylactic or therapeutic use of topical agents. Challenges involved in the use of topical antimicrobials include increasing rates of bacterial resistance, local hypersensitivity reactions (particularly to older agents, such as bacitracin), and concerns about the indiscriminate use of antiseptics potentially coselecting for antibiotic resistance...
July 2017: Clinical Microbiology Reviews
https://www.readbyqxmd.com/read/28587188/a-review-of-activity-trackers-for-senior-citizens-research-perspectives-commercial-landscape-and-the-role-of-the-insurance-industry
#15
REVIEW
Salvatore Tedesco, John Barton, Brendan O'Flynn
The objective assessment of physical activity levels through wearable inertial-based motion detectors for the automatic, continuous and long-term monitoring of people in free-living environments is a well-known research area in the literature. However, their application to older adults can present particular constraints. This paper reviews the adoption of wearable devices in senior citizens by describing various researches for monitoring physical activity indicators, such as energy expenditure, posture transitions, activity classification, fall detection and prediction, gait and balance analysis, also by adopting consumer-grade fitness trackers with the associated limitations regarding acceptability...
June 3, 2017: Sensors
https://www.readbyqxmd.com/read/28578729/drivers-of-dietary-behaviours-in-women-living-in-urban-africa-a-systematic-mapping-review
#16
Stefanie C Gissing, Rebecca Pradeilles, Hibbah A Osei-Kwasi, Emmanuel Cohen, Michelle Holdsworth
OBJECTIVE: To (i) systematically review the literature to determine the factors influencing diet and dietary behaviour in women living in urban Africa; (ii) present these in a visual map; and (iii) utilize this to identify potentially important areas for future research. DESIGN: Systematic mapping review. The review protocol was registered at PROSPERO (http://www.crd.york.ac.uk/PROSPERO/; registration number CRD42015017749). Six databases were systematically searched, followed by reference and citation searching...
June 5, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28571061/psychology-of-the-facelift-patient
#17
David Sarcu, Peter Adamson
This paper presents an extensive literature review of the psychology of facelift patients as it has evolved over the past 50 years. Earlier studies revealed significant levels of pre and perioperative depression. Facelift patients generally exhibit emotional and social concerns about facial appearance that are higher than the general population. Many are undergoing midlife situational stresses and may lack the positive characteristics to deal with them. The most common diagnoses seen include depression, impulsivity, unstable personality, and passive dependence, albeit not necessarily serious...
June 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28570621/effect-of-glaucoma-on-eye-movement-patterns-and-laboratory-based-hazard-detection-ability
#18
Samantha Sze-Yee Lee, Alex A Black, Joanne M Wood
PURPOSE: The mechanisms underlying the elevated crash rates of older drivers with glaucoma are poorly understood. A key driving skill is timely detection of hazards; however, the hazard detection ability of drivers with glaucoma has been largely unexplored. This study assessed the eye movement patterns and visual predictors of performance on a laboratory-based hazard detection task in older drivers with glaucoma. METHODS: Participants included 30 older drivers with glaucoma (71±7 years; average better-eye mean deviation (MD) = -3...
2017: PloS One
https://www.readbyqxmd.com/read/28564700/nighttime-driving-in-older-adults-effects-of-glare-and-association-with-mesopic-visual-function
#19
Janessa A Kimlin, Alex A Black, Joanne M Wood
Purpose: To examine the associations between nighttime driving performance of older drivers and photopic, mesopic, and glare-based tests of visual function. Methods: Participants included 26 older drivers (71.8 ± 6.3 years), with minimal or no eye disease, but who reported vision-related nighttime driving difficulties. Nighttime driving performance was assessed on a closed-road circuit, which included intermittent glare. An overall driving performance score was calculated based on detection of signs, pedestrians, wooden animals and road markings, lane-keeping, and avoidance of low contrast hazards...
May 1, 2017: Investigative Ophthalmology & Visual Science
https://www.readbyqxmd.com/read/28562473/trends-in-utilization-and-cost-of-cervical-spine-surgery-using-the-national-inpatient-sample-database-2001-2013
#20
Caterina Y Liu, Corinna C Zygourakis, Seungwon Yoon, Tamara Kliot, Christopher Moriates, John Ratliff, R Adams Dudley, Ralph Gonzales, Praveen V Mummaneni, Christopher P Ames
STUDY DESIGN: Retrospective review OBJECTIVE.: To determine national rates of cervical spine surgery and to examine factors that underlie cost variation SUMMARY OF BACKGROUND DATA.: There has been an increase in the rate and cost of spinal surgery over the past decades, but there is little understanding of the drivers of cost variation at the national level. METHODS: We analyzed 419,830 patients who underwent cervical spine surgery (anterior cervical fusion, posterior cervical fusion, posterior cervical decompression, combined anterior/posterior cervical fusion) for degenerative conditions in the 2001-2013 NIS database...
May 29, 2017: Spine
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