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https://www.readbyqxmd.com/read/28295491/national-trends-in-the-treatment-of-diabetic-nephropathy-in-the-united-states
#1
O Ajiboye, J B Segal
WHAT IS KNOWN AND OBJECTIVE: The prevalence of diabetic nephropathy continues to rise and it remains a strong predictor of morbidity and mortality in diabetic patients. Patients diagnosed with diabetic nephropathy are actively excluded from most trials involving diabetic medications and it is important to understand the prescription patterns in this subset of patients with diabetes. METHODS: Using the IMS Health's National Disease and Therapeutic Index, we analysed the medication prescription patterns for six classes of medications from 2010 to 2014 among patients, 35 years or older, with diabetic nephropathy...
March 15, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28294099/tetanus-vaccination-antibody-persistence-and-decennial-booster-a-serosurvey-of-university-students-and-at-risk-workers
#2
M Borella-Venturini, C Frasson, F Paluan, D DE Nuzzo, G DI Masi, M Giraldo, F Chiara, A Trevisan
The aim of the present research is to verify the immune status against tetanus in students and workers exposed to risk and to ascertain whether a decennial booster is necessary. Antibodies against tetanus were measured in 1433 workers and students of Padua University (Italy). The enrolment criterion was the ability to provide a booklet of vaccinations released by a public health office. The influence of age, gender, the number of vaccine doses, and the interval since the last dose was determined. Ten years after the last dose, the majority of subjects (95·0%) displayed an antibody titre above the protective level (⩾0·10 IU/ml), and half of these (49·1%) had a long-term protective level (⩾1·0 IU/ml)...
March 15, 2017: Epidemiology and Infection
https://www.readbyqxmd.com/read/28292257/medical-appropriateness-of-adult-calls-to-danish-out-of-hours-primary-care-a-questionnaire-based-survey
#3
Karen Busk Nørøxe, Linda Huibers, Grete Moth, Peter Vedsted
BACKGROUND: Optimal utilisation of the out-of-hours primary care (OOH-PC) services remains a concern in public health policy. We need more knowledge on potentially avoidable contacts. This study examines the frequency of medically assessed inappropriate OOH-PC calls from adults, explores factors associated with such assessment, and examines the relation to patient-assessed severity of health problem and fulfilment of expectations. METHODS: We performed secondary analyses of data from a large cross-sectional survey on contacts to Danish OOH-PC...
March 14, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28289110/thirty-minute-office-blood-pressure-monitoring-in-primary-care
#4
Michiel J Bos, Sylvia Buis
PURPOSE: Automated office blood pressure monitoring during 30 minutes (OBP30) may reduce overtreatment of patients with white-coat hypertension in primary health care. OBP30 results approximate those of ambulatory blood pressure monitoring, but OBP30 is much more convenient. In this study, we compared OBP30 with routine office blood pressure (OBP) readings for different indications in primary care and evaluated how OBP30 influenced the medication prescribing of family physicians. METHODS: All consecutive patients who underwent OBP30 for medical reasons over a 6-month period in a single primary health care center in the Netherlands were enrolled...
March 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28286486/using-virtual-reality-in-the-treatment-of-gambling-disorder-the-development-of-a-new-tool-for-cognitive-behavior-therapy
#5
Stéphane Bouchard, Geneviève Robillard, Isabelle Giroux, Christian Jacques, Claudie Loranger, Manon St-Pierre, Maxime Chrétien, Annie Goulet
Virtual reality (VR) can be used in the treatment of gambling disorder to provide emotionally charged contexts (e.g., induce cravings) where patients can practice cognitive behavior therapy (CBT) techniques in the safety of the therapist's office. This raises practical questions, such as whether the cravings are sufficient to be clinically useful but also manageable enough to remain clinically safe. Pilot data are also needed to test the development of a treatment manual and prepare large randomized control trials...
2017: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/28282017/considering-employee-needs-during-a-catastrophe-requires-innovative-recovery-plans-why-traditional-workplace-recovery-solutions-are-outdated
#6
Joe Sullivan
Mobile technology has changed the way we live and operate, with co-working, flexible spaces and home office solutions that offer us the freedom to work when and where we choose. However, when disaster strikes the workplace, people are often the last to be considered in the recovery process. This paper examines strategies for businesses and their employees to continue working after a disaster strikes. It explores the trends in the market, the benefits and drawbacks of different approaches and the attitudes of continuity experts and small business owners who have the responsibility to ensure that businesses, and people, continue to function, even when their main place of work is inaccessible...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28273692/the-extent-and-scope-of-prosthodontic-practice-in-iowa
#7
Ronald L Ettinger, Zachary S Goettsche, Fang Qian
PURPOSE: The purpose of this questionnaire was to ask general dentists in private practice in the state of Iowa about the extent and scope of their prosthodontic practice. MATERIALS AND METHODS: A 22-item questionnaire was developed and tested on 5 general dentists. The Iowa Dental Association agreed to electronically distribute the survey to all general practice dentists in their database. After three rounds, a total of 289 responses were received from the 996 general dentists in the database...
March 8, 2017: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
https://www.readbyqxmd.com/read/28271717/low-sustainability-poor-governance-and-other-challenges-encountered-by-grassroots-non-governmental-organizations-targeting-hiv-prevention-for-men-who-have-sex-with-men-in-china-a-nation-wide-study
#8
Joseph T F Lau, Zixin Wang, Yoona Kim, Jinghua Li, Jing Gu, Phoenix K H Mo, Xiaodong Wang
Grassroots non-governmental organizations (NGOs) played pivotal roles in HIV prevention among men who have sex with men (MSM) in China. Their governance and sustainability issues were under-studied. This nation-wide study surveyed leaders of 202 of the HIV related NGOs in China.58.4% of the leaders believed that their NGO would last for ≤5 years; which was negatively associated with perceived good relationship with CDC. 65.3% mentioned ≥3 non-sustainability issues; associated factors included perceived inadequacies in prevention skills, management skills, policy support, technical support, operational support, and CDC's support; a reverse association was found for frequent collaboration with organizations in China...
March 8, 2017: AIDS Care
https://www.readbyqxmd.com/read/28263322/re-evaluating-the-malawian-farm-input-subsidy-programme
#9
Joseph P Messina, Brad G Peter, Sieglinde S Snapp
The Malawian Farm Input Subsidy Programme (FISP) has received praise as a proactive policy that has transformed the nation's food security, yet irreconcilable differences exist between maize production estimates distributed by the Food and Agriculture Organization of the United Nations (FAO), the Malawi Ministry of Agriculture and Food Security (MoAFS) and the National Statistical Office (NSO) of Malawi. These differences illuminate yield-reporting deficiencies and the value that alternative, politically unbiased yield estimates could play in understanding policy impacts...
March 6, 2017: Nature Plants
https://www.readbyqxmd.com/read/28259566/delayed-onset-digital-ischemia-after-local-anesthetic-with-epinephrine-injection-requiring-phentolamine-reversal
#10
Andy F Zhu, Brandon R Hood, Mark S Morris, Kagan Ozer
The use of low-dose epinephrine in hand surgery has made it possible to perform a wide range of surgical procedures in the office setting. Low-dose epinephrine use is safe, and its vasoconstrictive effects are reversible with phentolamine. In this report, we present late-onset finger ischemia beginning 3 hours after an ipsilateral carpal tunnel and A1 pulley release of the middle finger anesthetized with local anesthetic and low-dose epinephrine (1:100,000). Finger ischemia lasted 14 hours until rescued with phentolamine injection...
March 1, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28245667/novel-technique-for-trialing-peripheral-nerve-stimulation-ultrasonography-guided-stimucath-trial
#11
Chandan G Reddy, Oliver E Flouty, Marshall T Holland, Leigh A Rettenmaier, Mario Zanaty, Foad Elahi
OBJECTIVE Peripheral nerve stimulation (PNS) has been used for the treatment of neuropathic pain for many decades. Despite the specific indications for PNS, clinicians often have difficulty screening for candidates likely to have a good or fair outcome. Given the expense of a permanent implant, most insurance companies will not pay for the implant without a successful PNS trial. And since PNS has only recently been approved by the US Food and Drug Administration, many insurance companies will not pay for a conventional trial of PNS...
March 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28229183/prevalence-of-tobacco-smoking-in-vietnam-findings-from-the-global-adult-tobacco-survey-2015
#12
Hoang Van Minh, Kim Bao Giang, Nguyen Bao Ngoc, Phan Thi Hai, Doan Thi Thu Huyen, Luong Ngoc Khue, Nguyen Tuan Lam, Pham Thi Quynh Nga, Nguyen The Quan, Nguyen Thi Xuyen
OBJECTIVES: We report the prevalence of tobacco smoking among adult populations in Vietnam, 2015. METHODS: The Vietnam GATS 2015 was a nationally representative survey. 9513 households were selected using two-stage random systematic sampling method. Handheld computers were used for capturing data. Data collection was carried-out by National Statistics Office of Vietnam in 2015. Weight was used in all estimates. RESULTS: The Vietnam GATS 2015 found that the prevalence of smoking in Vietnam was 22...
February 2017: International Journal of Public Health
https://www.readbyqxmd.com/read/28225447/environmental-market-factors-associated-with-electronic-health-record-adoption-among-cancer-hospitals
#13
Will L Tarver, Nir Menachemi
BACKGROUND: Although recent literature has explored the relationship between various environmental market characteristics and the adoption of electronic health records (EHRs) among general, acute care hospitals, no such research currently exists for specialty hospitals, including those providing cancer care. PURPOSE: The aim of the study was to examine the relationship between market characteristics and the adoption of EHRs among Commission on Cancer (CoC)-accredited hospitals...
February 22, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/28222849/considering-employee-needs-during-a-catastrophe-requires-innovative-recovery-plans-why-traditional-workplace-recovery-solutions-are-outdated
#14
Joe Sullivan
Mobile technology has changed the way we live and operate, with co-working, flexible spaces and home office solutions that offer us the freedom to work when and where we choose. However, when disaster strikes the workplace, people are often the last to be considered in the recovery process. This paper examines strategies for businesses and their employees to continue working after a disaster strikes. It explores the trends in the market, the benefits and drawbacks of different approaches and the attitudes of continuity experts and small business owners who have the responsibility to ensure that businesses, and people, continue to function, even when their main place of work is inaccessible...
January 1, 2017: Journal of Business Continuity & Emergency Planning
https://www.readbyqxmd.com/read/28220329/disproportional-increase-of-pulmonary-embolism-in-young-females-in-germany-trends-from-2005-to-2014
#15
F Santosa, Ch Moerchel, Ch Berg, K Kröger
We analysed the number of pulmonary embolism (PE) in young females aged 10-39 years in the period from 2005 to 2014 in Germany to see any trends that possibly may reflect some influences of newer oral contraceptives. Detailed lists of all hospitalized cases with the principal diagnosis PE coded as I26 in the years 2005-2014 were provided by the Federal Statistical Office. In males, the absolute number of all hospitalized cases with the principal diagnosis PE increased from 16,066 in 2005 to 25,364 in 2014 (rate +57...
April 2017: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/28219473/needham-at-the-crossroads-history-politics-and-international-science-in-wartime-china-1942-1946
#16
Thomas Mougey
In 1946, the British biochemist Joseph Needham returned from a four-year stay in China. Needham scholars have considered this visit as a revelatory period that paved the way for his famous book series Science and Civilization in China (SCC). Surprisingly, however, Needham's actual time in China has remained largely unstudied over the last seventy years. As director of the Sino-British Scientific Cooperation Office, Needham travelled throughout Free China to promote cooperation between British and Chinese scientists to contain the Japanese invasion during the Second World War...
February 21, 2017: British Journal for the History of Science
https://www.readbyqxmd.com/read/28210082/multitarget-stool-dna-tests-increases-colorectal-cancer-screening-among-previously-noncompliant-medicare-patients
#17
Mark Prince, Lynn Lester, Rupal Chiniwala, Barry Berger
AIM: To determine the uptake of noninvasive multitarget stool DNA (mt-sDNA) in a cohort of colorectal cancer (CRC) screening non-compliant average-risk Medicare patients. METHODS: This cross sectional primary care office-based study examined mt-sDNA uptake in routine clinical practice among 393 colorectal cancer screening non-compliant Medicare patients ages 50-85 ordered by 77 physicians in a multispecialty group practice (USMD Physician Services, Dallas, TX) from October, 2014-September, 2015...
January 21, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/28206785/relationships-among-traumatic-experiences-ptsd-and-posttraumatic-growth-for-police-officers-a-path-analysis
#18
Brian A Chopko, Patrick A Palmieri, Richard E Adams
OBJECTIVE: Law enforcement officers tend to be exposed to a high frequency of potentially traumatic incidents. A dichotomous distinction among these events involves the witnessing of threat or harm to others and the experiencing of threat or harm directly to oneself. Past research suggests that different types of trauma exposure produce varying levels of negative posttraumatic responses including posttraumatic stress disorder (PTSD) symptoms and positive outcomes such as posttraumatic growth (PTG)...
February 16, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28192275/first-trimester-medical-abortion-practices-in-canada-national-survey
#19
MULTICENTER STUDY
Edith R Guilbert, Althea S Hayden, Heidi E Jones, Katharine O'Connell White, E Steven Lichtenberg, Maureen Paul, Wendy V Norman
OBJECTIVE: To understand the current availability and practice of first-trimester medical abortion (MA) in Canada. DESIGN: Using public sources and professional networks, abortion facilities across Canada were identified for a cross-sectional survey on medical and surgical abortion. English and French surveys were distributed by surface or electronic mail between July and November 2013. SETTING: Canada. PARTICIPANTS: A total of 94 abortion facilities were identified...
April 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/28190855/high-maternal-age-and-low-pre-pregnancy-body-mass-index-correlate-with-lower-birth-weight-of-male-infants
#20
Sayuri Fukuda, Yurika Tanaka, Kiyomi Harada, Ayako Saruwatari, Kaori Kitaoka, Kiyoko Odani, Wataru Aoi, Sayori Wada, Yukari Nishi, Tatsuya Oguni, Hiroaki Asano, Nobuko Hagiwara, Akane Higashi
In Japan, the percentage of leanness has been increasing in young women, and the percentage of low birth weight infants (< 2,500 g) has increased. Moreover, the average age of primiparas rose 3.5 years during the last 30 years. The purpose of this study was to clarify the relationship between maternal age and the influence of maternal pre-pregnancy physique on the neonatal physique of infants. Questionnaires were issued to the participants and collected when they submitted their gestational notifications at their local ward office in Kyoto Prefecture...
2017: Tohoku Journal of Experimental Medicine
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