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https://www.readbyqxmd.com/read/29151199/loneliness-in-older-adults-living-with-hiv
#1
Meredith Greene, Nancy A Hessol, Carla Perissinotto, Roland Zepf, Amanda Hutton Parrott, Cameron Foreman, Robert Whirry, Monica Gandhi, Malcolm John
We conducted a cross-sectional study among HIV-positive adults age ≥ 50 in San Francisco to evaluate the frequency of loneliness, characteristics of those who reported loneliness, and the association of loneliness with functional impairment and health-related quality of life (HRQoL). Participants (N = 356) were predominately male (85%); 57% were white; median age was 56. 58% reported any loneliness symptoms with 24% reporting mild, 22% moderate and 12% severe loneliness. Lonely participants were more likely to report depression, alcohol and tobacco use, and have fewer relationships...
November 18, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/29148828/increased-cellular-aging-by-3-years-of-age-in-latino-preschool-children-who-consume-more-sugar-sweetened-beverages-a-pilot-study
#2
Janet M Wojcicki, Rosalinda Medrano, Jue Lin, Elissa Epel
BACKGROUND: Previous studies in adults and older children find that sugar-sweetened beverage (SSB) consumption increases risk for obesity and cellular aging, as measured by leukocyte telomere length (LTL). METHODS: In a previously described, San Francisco-based Latino birth cohort, where telomere length was measured at birth, we evaluate the relationship between beverage consumption (including SSB and 100% fruit juice), obesity, and LTL at 2-3 years old, as well as change in LTL from birth...
November 17, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/29136559/determinants-of-pedestrian-and-bicyclist-crash-severity-by-party-at-fault-in-san-francisco-ca
#3
Deborah Salon, Andrew McIntyre
Pedestrian and bicyclist safety is of growing concern, especially given the increasing numbers of urban residents choosing to walk and bike. Sharing the roads with automobiles, these road users are particularly vulnerable. An intuitive conceptual model is proposed of the determinants of injury severity in crashes between vehicles and nonmotorized road users. Using 10 years of crash data from San Francisco, CA, we estimate logistic regression models to illuminate key determinants of crash severity for both pedestrian and bicyclist collisions...
November 11, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29132999/radiologists-and-social-media-do-not-forget-about-facebook
#4
Rebecca L Seidel, Aryan Jalilvand, Jean Kunjummen, Lea Gilliland, Richard Duszak
PURPOSE: Facebook (Facebook, Inc, Menlo Park, California, USA) is the most popular social networking platform worldwide. Facebook groups are virtual communities of people who share a common interest. Breast Imaging Radiologists is a Facebook group for radiologists with an interest in breast imaging. The purpose of this study was to analyze the membership and activity of the Breast Imaging Radiologists Facebook group (BIRFG) for 2 years since its inception. METHODS: Using both the Grytics (www...
November 11, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29132150/functional-impairment-and-decline-in-middle-age-a-cohort-study
#5
Rebecca T Brown, L Grisell Diaz-Ramirez, W John Boscardin, Sei J Lee, Michael A Steinman
Background: Difficulties with daily functioning are common in middle-aged adults. However, little is known about the epidemiology or clinical course of these problems, including the extent to which they share common features with functional impairment in older adults. Objective: To determine the epidemiology and clinical course of functional impairment and decline in middle age. Design: Cohort study. Setting: The Health and Retirement Study...
November 14, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29129350/evaluation-of-ecg-algorithms-designed-to-improve-detect-of-transient-myocardial-ischemia-to-minimize-false-alarms-in-patients-with-suspected-acute-coronary-syndrome
#6
Michele M Pelter, Yuan Xu, Richard Fidler, Ran Xiao, David W Mortara, Hu Xiao
BACKGROUND: Patients hospitalized for suspected acute coronary syndrome (ACS) are at risk for transient myocardial ischemia. During the "rule-out" phase, continuous ECG ST-segment monitoring can identify transient myocardial ischemia, even when asymptomatic. However, current ST-segment monitoring software is vastly underutilized due to false positive alarms, with resultant alarm fatigue. Current ST algorithms may contribute to alarm fatigue because; (1) they are not designed with a delay (minutes), rather alarm to brief spikes (i...
October 24, 2017: Journal of Electrocardiology
https://www.readbyqxmd.com/read/29128500/the-social-media-dna-of-mayo-clinic-and-health-care
#7
Amy L Kotsenas, Lee Aase, Makala Arce, Farris K Timimi, Matthew Dacy, Colleen Young, John T Wald
Hippocrates' admonition and the medical community's aversion to risk have caused many physicians and institutions to resist participation in modern social media sites such as Facebook (Facebook, Inc, Menlo Park, California, USA), Twitter (Twitter Inc, San Francisco, California, USA), and YouTube (San Mateo, California, USA). However, because Mayo Clinic's founders were champions of analog social networking, it was among the earliest hospitals worldwide to create official accounts on these digital platforms...
November 8, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29125556/integration-of-gis-electromagnetic-and-electrical-methods-in-the-delimitation-of-groundwater-polluted-by-effluent-discharge-salamanca-spain-a-case-study
#8
Rubén Vidal Montes, Antonio Miguel Martínez-Graña, José Ramón Martínez Catalán, Puy Ayarza Arribas, Francisco Javier Sánchez San Román, Caridad Zazo
The present work envisages the possible geometry of a contaminated plume of groundwater near hospital facilities by combining GIS (Geographic Information System) and geophysical methods. The rock underlying the soil and thin sedimentary cover of the study area is moderately fractured quartzite, which makes aquifers vulnerable to pollution. The GIS methodology is used to calculate the area that would be affected by the effluent source of residual water, based on algorithms that consider ground surface mapping (slopes, orientations, accumulated costs and cost per distance)...
November 10, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29120522/association-between-baseline-serum-hepcidin-levels-and-infection-in-kidney-transplant-recipients-potential-role-for-iron-overload
#9
Mario Fernández-Ruiz, Patricia Parra, Tamara Ruiz-Merlo, Francisco López-Medrano, Rafael San Juan, Natalia Polanco, Esther González, Amado Andrés, José María Aguado
BACKGROUND: The liver-synthesized peptide hepcidin is a key regulator of iron metabolism and correlates with total iron stores. We analyzed the association between pre-transplant hepcidin-25 levels and infection after kidney transplantation (KT). METHODS: Serum hepcidin-25 levels were measured at baseline by high-sensitivity ELISA in 91 patients undergoing KT at our institution between December 2011 and March 2013. The impact of this biomarker on the incidence of post-transplant infection (excluding lower urinary tract infection) during the first year was assessed by Cox regression...
November 9, 2017: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://www.readbyqxmd.com/read/29119124/spanish-consensus-statement-clinical-management-and-treatment-of-tendinopathies-in-sport
#10
Tomas Fernandez-Jaén, Guillermo Álvarez Rey, Francisco Angulo, Jordi Ardevol Cuesta, Rafael Arriaza Loureda, Fernando Ávila España, Juan Ayala, Ramón Balius Matas, Fernando Baró Pazos, Juan de Dios Beas Jiménez, Jorge Candel Rosell, César Cobián Fernandez, Mª Del Pilar Doñoro Cuevas, Francisco Esparza Ros, Josefina Espejo Colmenero, Jorge Fernández de Prado, Juan José García Cota, Jose Ignacio Garrido González, Carlos Gonzalez de Vega, Manuela González Santander, Miguel Ángel Herrador Munilla, Francisco Ivorra Ruiz, Fernando Jiménez Díaz, Antonio Maestro Fernandez, Pedro Manonelles Marqueta, Juan José Muñoz Benito, Ramón Olivé Vilás, Carles Pedret, Xavier Peirau Teres, José Peña Amaro, Jordi Puigdellivoll Grifell, Juan Pérez San Roque, Christophe Ramírez Parenteu, Juan Ribas Serna, Gil Rodas Font, Mikel Sánchez Álvarez, Carlos Sanchez Marchori, Lluis Til Perez, Rosario Ureña Durán, Miguel Del Valle Soto, José María Villalón Alonso, Pedro Guillen García
On October 15, 2016, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of the Spanish Society for Sports Traumatology (SETRADE), the Spanish Society of Sports Medicine (SEMED), the Spanish Association of Medical Services for Football Clubs (AEMEF), the Spanish Association of Medical Services for Basketball Clubs (AEMB), F.C. Barcelona, and Clínica CEMTRO. The purpose was to consider the most appropriate clinical management and treatment of tendinopathies in sports, based on proven scientific data described in the medical literature as well as on each expert's experience...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29116980/rethinking-the-educator-portfolio-an-innovative-criteria-based-model
#11
Kanade Shinkai, Chen Amy Chen, Brian S Schwartz, Helen Loeser, Cynthia Ashe, David M Irby
PROBLEM: Academic medical centers struggle to achieve parity in advancement and promotions between educators and discovery-oriented researchers in part because of narrow definitions of scholarship, lack of clear criteria for measuring excellence, and barriers to making educational contributions available for peer review. Despite recent progress in expanding scholarship definitions and identifying excellence criteria, these advances are not integrated into educator portfolio (EP) templates or curriculum vitae platforms...
November 7, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29116912/spousal-influence-on-physical-activity-in-physically-inactive-pregnant-women-a-cross-sectional-study
#12
JiWon Choi, Yoshimi Fukuoka
Regular physical activity (PA) is recommended during pregnancy, but the prevalence of pregnant women who met the recommended level for PA is very low. In this descriptive study, we examined the association between spousal characteristics (belief, knowledge, social support, and PA level) and pregnant women's PA level in 18 couples living in the San Francisco Bay Area. Among other spousal characteristics, only spousal PA level was a significant predictor of pregnant women's PA level regardless of whether it was unadjusted or adjusted by spouses' age and body index mass (p = ...
November 8, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/29110808/how-big-is-too-big-the-girth-of-bestselling-insertive-sex-toys-to-guide-maximal-neophallus-dimensions
#13
Dylan Isaacson, Roxana Aghili, Non Wongwittavas, Maurice Garcia
BACKGROUND: In our practice we have encountered 4 female-to-male transgender patients seeking neophallus revision surgery for girth precluding penetrative vaginal or anal intercourse. Despite this, there is little evidence available to guide transitioning patients in neophallus sizing. In this work we examined the dimensions of bestselling realistic dildos, presuming that the most popular dimensions would reflect population preferences for penetrative toys and phalluses. AIM: To determine a maximal upper limit for girth compatible with penetrative intercourse based on measurements of bestselling realistic dildos and published erect penile dimensions...
November 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/29108594/studying-neighborhood-crime-across-different-macro-spatial-scales-the-case-of-robbery-in-4-cities
#14
John R Hipp, James C Wo, Young-An Kim
Whereas there is a burgeoning literature focusing on the spatial distribution of crime events across neighborhoods or micro-geographic units in a specific city, the present study expands this line of research by selecting four cities that vary across two macro-spatial dimensions: population in the micro-environment, and population in the broader macro-environment. We assess the relationship between measures constructed at different spatial scales and robbery rates in blocks in four cities: 1) San Francisco (high in micro- and macro-environment population); 2) Honolulu (high in micro- but low in macro-environment population); 3) Los Angeles (low in micro- but high in macro-environment population); 4) Sacramento (low in micro- and macro-environment population)...
November 2017: Social Science Research
https://www.readbyqxmd.com/read/29107507/evaluation-of-ground-calcite-water-heavy-media-cyclone-suspensions-for-production-of-residual-plastic-concentrates
#15
Malcolm Gent, Héctor Muñiz Sierra, Mario Menéndez, Francisco Javier de Cos Juez
Viable recycled residual plastic (RP) product(s) must be of sufficient quality to be reusable as a plastic or source of hydrocarbons or fuel. The varied composition and large volumes of such wastes usually requires a low cost, high through-put recycling method(s) to eliminate contaminants. Cyclone separation of plastics by density is proposed as a potential method of achieving separations of specific types of plastics. Three ground calcite separation medias of different grain size distributions were tested in a cylindrical cyclone to evaluate density separations at 1...
October 26, 2017: Waste Management
https://www.readbyqxmd.com/read/29104028/effectiveness-of-immersive-virtual-reality-in-surgical-training-a-randomized-control-trial
#16
Yeshwanth Pulijala, Minhua Ma, Matthew Pears, David Peebles, Ashraf Ayoub
PURPOSE: Surgical training methods are evolving with the technological advancements, including the application of virtual reality (VR) and augmented reality. However, 28 to 40% of novice residents are not confident in performing a major surgical procedure. VR surgery, an immersive VR (iVR) experience, was developed using Oculus Rift and Leap Motion devices (Leap Motion, Inc, San Francisco, CA) to address this challenge. Our iVR is a multisensory, holistic surgical training application that demonstrates a maxillofacial surgical technique, the Le Fort I osteotomy...
October 13, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29103798/cannabis-intoxication-case-series-the-dangers-of-edibles-containing-tetrahydrocannabinol
#17
Kathy T Vo, Howard Horng, Kai Li, Raymond Y Ho, Alan H B Wu, Kara L Lynch, Craig G Smollin
STUDY OBJECTIVE: Cannabis and its principal active constituent, Δ9-tetrahydrocannabinol (THC), are increasingly available as edibles resembling commercially available food products. In this case series, we describe a population of predominantly pediatric patients who were inadvertently exposed to a THC-containing product in San Francisco. METHODS: Twelve children and 9 adults were identified, with 16 patients having detectable serum THC and THC metabolites. All patients presented to hospitals with a variety of constitutional symptoms and all were discharged home within 12 hours...
November 3, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29102558/analysis-of-academic-medical-center-graduate-medical-education-websites-for-policies-regarding-restrictive-covenants-in-non-acgme-fellowships
#18
Jeremy S Juern, David M Stahl, John A Weigelt
BACKGROUND: The topic of restrictive covenants in fellowships that are not approved by the Accreditation Council for Graduate Medical Education (ACGME) has not been studied. OBJECTIVE: To investigate the presence of institutional polices at academic medical centers regarding restrictive covenants in non-ACGME fellowships. METHODS: The graduate medical education (GME) office website of 132 academic medical centers was evaluated and searched for the following as of June 1, 2017: presence of any ACGME residency or fellowship, presence of any non-ACGME fellowship, presence of GME policies and procedures, presence of a restrictive covenant policy, and if that policy applies to non-ACGME fellowships...
October 25, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29100561/-positioning-on-alcohol-consumption-semfyc
#19
EDITORIAL
Rodrigo Córdoba, Francisco Camarelles, Joaquín San José
No abstract text is available yet for this article.
November 2017: Atencion Primaria
https://www.readbyqxmd.com/read/29099913/trends-in-the-san-francisco-hiv-epidemic-in-the-getting-to-zero-era
#20
Susan Scheer, Ling Hsu, Sandra Schwarcz, Sharon Pipkin, Diane Havlir, Susan Buchbinder, Nancy A Hessol
Background: San Francisco (SF) has launched interventions to reduce new HIV infections and HIV-associated morbidity and mortality during the SF "Getting to Zero (GTZ)" era. We measured recent changes in HIV care indicators to assess the success of these interventions. Methods: SF residents newly HIV-diagnosed from 2009-2014 were included. We measured temporal changes from HIV diagnosis to a) linkage to care ≤ 3 months, b) initiation of antiretroviral therapy (ART) ≤12 months, c) viral suppression (VS) ≤12 months, d) development of AIDS ≤3 months, e) death ≤12 months and f) retention in care 6-12 months after linkage...
November 1, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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