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https://www.readbyqxmd.com/read/28550759/venous-thromboembolism-in-the-elderly-a-narrative-review
#1
REVIEW
T Tritschler, D Aujesky
Persons aged ≥65years not only account for over 60% of venous thromboembolism (VTE) events, they have also a higher mortality and VTE-related morbidity than younger patients, including anticoagulation-related bleeding and the postthrombotic syndrome. However, only few studies have focused specifically on VTE in older persons and practice guidelines commonly extrapolate study results from younger healthier patients to the multimorbid elderly. Evidence suggests that the clinical presentation is more subtle in the elderly with VTE and that commonly used diagnostic modalities, including clinical prediction rules, D-dimer tests, and planar ventilation-perfusion scans are less specific and efficient in older persons...
May 17, 2017: Thrombosis Research
https://www.readbyqxmd.com/read/28549976/brca-mutational-status-initial-disease-presentation-and-clinical-outcome-in-high-grade-serous-advanced-ovarian-cancer-a-multicenter-study
#2
Marco Petrillo, Claudia Marchetti, Rossella De Leo, Angela Musella, Ettore Capoluongo, Ida Paris, Pierluigi Benedetti Panici, Giovanni Scambia, Anna Fagotti
BACKGROUND: In the last decades, several efforts have been done to clarify the role of BRCA mutational status in women with advanced ovarian cancer demonstrating its role in cancer development, as well as the prognostic significance of BRCA genotype. OBJCTIVE: Our aim is to evaluate the correlation between BRCA mutational status and disease presentation in a large series of advanced high-grade serous ovarian cancer patients. STUDY DESIGN: this is a retrospective multicenter study including a consecutive series of newly diagnosed high-grade serous ovarian cancer patients with FIGO Stage IIIC-IV disease, at least 18 months of follow-up time, tested for BRCA 1/2 germline mutation status...
May 23, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28549476/comparing-motivational-self-regulatory-and-habitual-processes-in-a-computer-tailored-physical-activity-intervention-in-hospital-employees-protocol-for-the-paths-randomised-controlled-trial
#3
Dominika Kwasnicka, Corneel Vandelanotte, Amanda Rebar, Benjamin Gardner, Camille Short, Mitch Duncan, Dawn Crook, Martin S Hagger
BACKGROUND: Most people do not engage in sufficient physical activity to confer health benefits and to reduce risk of chronic disease. Healthcare professionals frequently provide guidance on physical activity, but often do not meet guideline levels of physical activity themselves. The main objective of this study is to develop and test the efficacy of a tailored intervention to increase healthcare professionals' physical activity participation and quality of life, and to reduce work-related stress and absenteeism...
May 26, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28549163/factors-influencing-the-academic-performance-of-children-with-sickle-cell-anaemia-in-ekiti-south-west-nigeria
#4
Oladele Simeon Olatunya, Oluwasola Julius Oke, Bankole Peter Kuti, Iyiade Adeseye Ajayi, Oyebanji Olajuyin, Olubunmi Omotosho-Olagoke, Adekunle Bamidele Taiwo, Opeyemi Ayodeji Faboya, Ayodeji Ajibola
Background: There is a paucity of information on factors that influence the school performance of children with sickle cell anaemia (SCA) in Nigeria, despite her huge burden of the disease. Methods: In total, 101 children with SCA were recruited at a paediatric clinic in Nigeria. Their socio-demographic-matched classmates were the controls. Academic performance and cognitive functioning were obtained from school reports and Ziler's Draw-a-Person Test, respectively...
May 26, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28549101/loneliness-and-objectively-measured-physical-capability-in-middle-aged-adults
#5
Rikke Lund, Jelena Laban, Gitte L Petersen, Agnete Dissing, Åse Marie Hansen, Naja H Rod
Loneliness is associated with poor functional ability in older people. Little is known about this association in the middle-aged. The aim is to investigate if perceived loneliness is associated with lower physical capability among middle-aged men and women and if the associations of loneliness with physical capability interact with socioeconomic position and cohabitation status. 5224 participants from Copenhagen Aging and Midlife Biobank (CAMB) aged 49-62 years (mean age 54) were included. Handgrip strength (measured by a dynamometer) and maximal number of chair rises in 30 s was recorded...
May 25, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28549077/clinical-criteria-for-subtyping-parkinson-s-disease-biomarkers-and-longitudinal-progression
#6
Seyed-Mohammad Fereshtehnejad, Yashar Zeighami, Alain Dagher, Ronald B Postuma
Parkinson's disease varies widely in clinical manifestations, course of progression and biomarker profiles from person to person. Identification of distinct Parkinson's disease subtypes is of great priority to illuminate underlying pathophysiology, predict progression and develop more efficient personalized care approaches. There is currently no clear way to define and divide subtypes in Parkinson's disease. Using data from the Parkinson's Progression Markers Initiative, we aimed to identify distinct subgroups via cluster analysis of a comprehensive dataset at baseline (i...
May 25, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/28548619/stages-of-change-model-has-limited-value-in-explaining-the-change-in-use-of-cannabis-among-adolescent-participants-in-an-efficacious-motivational-interviewing-intervention
#7
Hans B Dupont, Math J J M Candel, Paul Lemmens, Charles D Kaplan, Dike van de Mheen, Nanne K De Vries
Previously, a Dutch randomized controlled trial evaluating an intervention aimed at changing adolescents' cannabis use, called Moti-4, has shown its efficacy. A secondary analysis of the Moti-4 data investigated the process of change specified by the Stage of Change (SOC) model in cannabis use during the trial. Seventy-one Moti-4 participants and 60 controls were recruited for the study with a pre-test, post-test (T1), and six-month follow-up (T2). All participants showed signs of problematic cannabis use. No contribution of the Moti-4 intervention to a change in SOC between T1 and T2 was found...
May 26, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28548558/the-role-of-genetic-testing-in-epilepsy-diagnosis-and-management
#8
Yvonne G Weber, Saskia Biskup, Katherine L Helbig, Sarah von Spiczak, Holger Lerche
Epilepsy is a common neurological disorder characterized by recurrent unprovoked seizures. More than 500 epilepsy-associated genes have been described in the literature. Most of these genes play an important role in neuronal excitability, cortical development or synaptic transmission. A growing number of genetic variations have implications on diagnosis and prognostic or therapeutic advice in terms of a personalized medicine. Area covered: The review presents the different forms of genetic epilepsies with respect to their underlying genetic and functional pathophysiology and aims to give advice for recommended genetic testing...
May 26, 2017: Expert Review of Molecular Diagnostics
https://www.readbyqxmd.com/read/28548347/the-impact-of-normative-perceptions-on-alcohol-consumption-in-military-veterans
#9
Heather Krieger, Eric R Pedersen, Clayton Neighbors
BACKGROUND AND AIMS: Perceptions of both descriptive norms (prevalence of drinking) and injunctive norms (others' approval of drinking) relate to alcohol consumption but mechanisms for these associations have received little attention, especially in military samples. This study tested the direct and indirect associations between perceived descriptive and injunctive norms on drinking through personal attitudes (i.e., personal approval) in a veteran sample. DESIGN: Data were collected as part of a longitudinal randomized controlled alcohol intervention study...
May 26, 2017: Addiction
https://www.readbyqxmd.com/read/28547864/sociodemographic-determinants-of-spatial-disparities-in-early-childhood-caries-an-ecological-analysis-in-braunschweig-germany
#10
Frederic Meyer, André Karch, Kristin Maria Schlinkmann, Johannes Dreesman, Johannes Horn, Nicole Rübsamen, Henny Sudradjat, Rainer Schubert, Rafael Mikolajczyk
OBJECTIVES: To identify spatial disparities in dental caries experience (measured by dmft (decayed missing filled teeth) index) of children in the city of Braunschweig and to evaluate whether these disparities can be explained by sociodemographic characteristics. METHODS: We examined the dental health of children aged 3-6 years visiting a daycare centre (DCC) in the metropolitan area of Braunschweig between 2009 and 2014 by combining data on dental health from the annual visits of the local health service with aggregated data on sociodemographic factors for Braunschweig's city districts...
May 26, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28547850/detection-of-contact-traces-of-powdery-substances
#11
Wojciech Pawłowski, Łukasz Matyjasek, Monika Karpińska
The current practice in securing the contact traces of chemical substances taken from clothes belonging to a person suspected of manual handling explosives is focused on pockets and cuffs. The outerwear worn by people who had contact with fluorescent powders that simulate explosives and drugs was the subject of this study. Clothes were first exposed to the test substance for a period of time and then analyzed by fluorescence methods to determine the location of the highest quantity of traces. The results obtained from the study confirm that the areas with the highest concentration of powdery traces are different from those suggested by current forensic practice...
May 26, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28547748/do-personality-traits-of-nurses-have-an-effect-on-conflict-management-strategies
#12
Nigar Erdenk, Serap Altuntaş
AIM: This research was conducted in a descriptive, correlational and cross-sectional design to determine whether personality traits of nurses have an effect on conflict management strategies. BACKGROUND: It is known that integration, avoidance and compromise conflict management strategies are the most frequent strategies used among nurses and obligation and domination are the least frequent. However, the reasons behind their strategy choice are not known. It is predicted that one of the reasons is the personality characteristics of the nurses...
May 25, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28547663/pediatric-predispositional-genetic-risk-communication-potential-utility-for-prevention-and-control-of-melanoma-risk-as-an-exemplar
#13
Yelena P Wu, Darren Mays, Wendy Kohlmann, Kenneth P Tercyak
Predispositional genetic testing among minor children is intensely debated due to the potential benefits and harms of providing this type of genetic information to children and their families. Existing guidelines on pediatric genetic testing state that predispositional testing could be appropriate for minors if preventive services exist that mitigate children's risk for or severity of the health condition in question. We use the example of hereditary melanoma to illustrate the rationale for and potential application of genetic risk communication for an adult-onset cancer to a pediatric population where childhood behaviors may reduce risk of disease later in life...
May 25, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28546968/assessment-of-nonscholastic-abilities-and-its-associated-factors-among-medical-students-an-exploratory-study
#14
S Ganesh Kumar, Sonali Sarkar
BACKGROUND: Nonscholastic abilities among medical students are an important area of concern for the health professionals. Very few studies had been conducted in the past with regard to it. OBJECTIVE: This study was an exploratory study aimed to assess the nonscholastic abilities among medical students in a medical institution in coastal South India. MATERIALS AND METHODS: This study assessed three broad domains of nonscholastic abilities namely personal qualities, interpersonal activities, and communication skills among 106 medical students using a structured questionnaire (27 questions with a total score of 27)...
2017: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/28546649/seeing-is-not-believing-how-viewing-pornography-shapes-the-religious-lives-of-young-americans
#15
Samuel L Perry, George M Hayward
Pornography has become increasingly accessible in the United States, and particularly for younger Americans. While some research considers how pornography use affects the sexual and psychological health of adolescents and emerging adults, sociologists have given little attention to how viewing pornography may shape young Americans' connection to key social and cultural institutions, like religion. This article examines whether viewing pornography may actually have a secularizing effect, reducing young Americans' personal religiosity over time...
June 2017: Social Forces; a Scientific Medium of Social Study and Interpretation
https://www.readbyqxmd.com/read/28546067/are-there-consistent-behavioral-differences-between-sexes-and-male-color-morphs-in-pelvicachromis-pulcher
#16
Cheryl M Sedlak Seaver, Peter L Hurd
Adult sex ratios in the kribensis cichlid (Pelvicachromis pulcher) are influenced by environmental conditions during early development. These environmental sex-determining factors may also organize life-long variation in social behavior within each sex. If this is true, then individual differences in behavior may be, at least in part, expressions of the relative strength of sexual differentiation of that individual. As adults, kribensis males take on one of four alternative color morphs. Males of the yellow morph tend toward breeding monogamously and are produced at higher frequency under female-biasing environmental conditions, while males of the red morph tend more towards breeding polygynously and are produced more frequently by male-biasing early environments...
May 10, 2017: Zoology: Analysis of Complex Systems, ZACS
https://www.readbyqxmd.com/read/28545898/risk-averse-personalities-have-a-systemically-potentiated-neuroendocrine-stress-axis-a-multilevel-experiment-in-parus-major
#17
Alexander T Baugh, Rebecca A Senft, Marian Firke, Abigail Lauder, Julia Schroeder, Simone L Meddle, Kees van Oers, Michaela Hau
Hormonal pleiotropy-the simultaneous influence of a single hormone on multiple traits-has been hypothesized as an important mechanism underlying personality, and circulating glucocorticoids are central to this idea. A major gap in our understanding is the neural basis for this link. Here we examine the stability and structure of behavioral, endocrine and neuroendocrine traits in a population of songbirds (Parus major). Upon identifying stable and covarying behavioral and endocrine traits, we test the hypothesis that risk-averse personalities exhibit a neuroendocrine stress axis that is systemically potentiated-characterized by stronger glucocorticoid reactivity and weaker negative feedback...
May 22, 2017: Hormones and Behavior
https://www.readbyqxmd.com/read/28545833/cognitive-stimulation-therapy-for-dementia-pilot-studies-of-acceptability-and-feasibility-of-cultural-adaptation-for-india
#18
Shruti Raghuraman, Monisha Lakshminarayanan, Sridhar Vaitheswaran, Thara Rangaswamy
OBJECTIVE: This study aims to culturally adapt, translate, and test the feasibility and acceptability of delivering cognitive stimulation therapy (CST) for persons with mild to moderate dementia in Chennai, India. METHODS: The adaptation followed a five-stage process in accordance with the formative method for adapting psychotherapy. Focus-group discussions with experts and feedback from participants, carers, and facilitators after two consecutive pilot studies provided the basis for adaptation...
April 27, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28545785/somatization-among-persons-with-turkish-origin-results-of-the-pretest-of-the-german-national-cohort-study
#19
Eva Morawa, Nico Dragano, Karl-Heinz Jöckel, Susanne Moebus, Tilman Brand, Yesim Erim
OBJECTIVE: Despite the emerging need to examine mental health of immigrants, there are no investigations designed to analyze representative samples in Germany. The aim of the present study was to explore the severity of somatic symptoms/somatization among a sample of considerable size consisting of persons with Turkish origin. We studied whether somatization was associated with sociodemographic and migration-related characteristics. METHODS: This examination was part of a pretest for a large national epidemiological cohort study in Germany...
May 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28545755/are-alcohol-trajectories-a-useful-way-of-identifying-at-risk-youth-a-multiwave-longitudinal-epidemiologic-study
#20
David D Vachon, Robert F Krueger, Daniel E Irons, William G Iacono, Matt McGue
OBJECTIVE: Trajectory approaches are a popular way of identifying subgroups of children and adolescents at high risk for developing alcohol use problems. However, mounting evidence challenges the meaning and utility of these putatively discrete alcohol trajectories, which can be analytically derived even in the absence of real subgroups. This study tests the hypothesis that alcohol trajectories may not reflect discrete groups-that the development of alcohol use is continuous rather than categorical...
June 2017: Journal of the American Academy of Child and Adolescent Psychiatry
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