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https://www.readbyqxmd.com/read/28241214/assessment-of-the-predictive-validity-of-etiologic-stroke-classification
#1
E Murat Arsava, Johanna Helenius, Ross Avery, Mine H Sorgun, Gyeong-Moon Kim, Octavio M Pontes-Neto, Kwang Yeol Park, Jonathan Rosand, Mark Vangel, Hakan Ay
Importance: The ability of present-day etiologic stroke classification systems to generate subtypes with discrete stroke characteristics is not known. Objective: To test the hypothesis that etiologic stroke subtyping identifies different disease processes that can be recognized through their different clinical courses. Design, Setting, and Participants: We performed a head-to-head evaluation of the ability of the Causative Classification of Stroke (CCS), Trial of Org 10172 in Acute Stroke Treatment (TOAST), and ASCO (A for atherosclerosis, S for small-vessel disease, C for cardiac source, and O for other cause) classification systems to generate etiologic subtypes with different clinical, imaging, and prognostic characteristics in 1816 patients with ischemic stroke...
February 27, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28241191/a-large-skin-cancer-screening-quality-initiative-description-and-first-year-outcomes
#2
Laura K Ferris, Melissa I Saul, Yan Lin, Fei Ding, Martin A Weinstock, Alan C Geller, Jian-Min Yuan, Erica Neuren, Spandana Maddukuri, Francis X Solano, John M Kirkwood
Importance: The lack of prospective randomized clinical trials demonstrating that full-body skin examination (FBSE) reduces melanoma morbidity or mortality has prompted an "I" rating from the United States Preventive Services Task Force for population-based skin cancer screening. More data on these screening programs are needed. Objectives: To describe a skin cancer screening quality initiative in a large health care system and to determine if the intervention was associated with screening of a demographically higher-risk population than previous screening programs and if melanoma incidence and thickness differed in screened vs unscreened patients...
February 23, 2017: JAMA Oncology
https://www.readbyqxmd.com/read/28241168/association-of-depression-and-treated-depression-with-epilepsy-and-seizure-outcomes-a-multicohort-analysis
#3
Colin B Josephson, Mark Lowerison, Isabelle Vallerand, Tolulope T Sajobi, Scott Patten, Nathalie Jette, Samuel Wiebe
Importance: A bidirectional relationship exists between epilepsy and depression. However, any putative biological gradient between depression severity and the risk of epilepsy, and the degree to which depression mediates the influence of independent risk factors for epilepsy, has yet to be examined. Objective: To determine the effect of depression on the risk of epilepsy and seizure outcomes. Design, Setting, and Participants: An observational study of a population-based primary care cohort (all patients free of prevalent depression and epilepsy at 18-90 years of age who were active after the Acceptable Mortality Reporting date in The Health Improvement Network database) and a prospectively collected tertiary care cohort (all patients whose data were prospectively collected from the Calgary Comprehensive Epilepsy Programme)...
February 27, 2017: JAMA Neurology
https://www.readbyqxmd.com/read/28241058/the-presence-of-the-putative-gardnerella-vaginalis-sialidase-a-gene-in-vaginal-specimens-is-associated-with-bacterial-vaginosis-biofilm
#4
Liselotte Hardy, Vicky Jespers, Magelien Van den Bulck, Jozefien Buyze, Lambert Mwambarangwe, Viateur Musengamana, Mario Vaneechoutte, Tania Crucitti
Bacterial vaginosis (BV) is a difficult-to-treat recurrent condition in which health-associated lactobacilli are outnumbered by other anaerobic bacteria, such as Gardnerella vaginalis. Certain genotypes of G. vaginalis can produce sialidase, while others cannot. Sialidase is known to facilitate the destruction of the protective mucus layer on the vaginal epithelium by hydrolysis of sialic acid on the glycans of mucous membranes. This process possibly facilitates adhesion of bacterial cells on the epithelium since it has been linked with the development of biofilm in other pathogenic conditions...
2017: PloS One
https://www.readbyqxmd.com/read/28240820/structural-equation-modeling-of-associations-among-taste-related-risk-factors-taste-functioning-and-adiposity
#5
Shristi Rawal, Tania B Huedo-Medina, Howard J Hoffman, Helen Swede, Valerie B Duffy
OBJECTIVE: Variation in taste perception and exposure to risk factors of taste alterations have been independently linked with elevated adiposity. Using a laboratory database, taste-adiposity associations were modeled and examined for whether taste functioning mediates the association between taste-related risk factors and adiposity. METHODS: Healthy women (n = 407, 35.5 ± 16.9 y) self-reported histories of risk factors of altered taste functioning (tonsillectomy, multiple ear infections, head trauma) and were assessed for taste functioning (tongue-tip and whole-mouth intensities of quinine and salt) and density of taste papillae...
February 27, 2017: Obesity
https://www.readbyqxmd.com/read/28240684/left-ventricular-myocardial-performance-index-in-prehypertensive-patients-with-normal-coronary-arteries
#6
Erdoğan Yaşar, Hakan Taşolar, Nusret Açikgöz
OBJECTIVES: Prehypertension, which may be the precursor of hypertension, is an important public health problem in the community. Myocardial performance index (MPI) is a noninvasive Doppler measurement of global ventricular function. Thus, our aim was to evaluate left ventricule (LV) functions with the MPI in prehypertensive patients with normal coronary artery angiography. PATIENTS AND MATERIALS: Forty prehypertensive patients (21 women and 19 men), with blood pressures between 120/80 and 139/89 mmHg, and 40 normotensive controls (18 women and 22 men), with blood pressures under 120/80 mmHg, were included in the study...
February 24, 2017: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/28240578/self-perceived-oral-health-and-use-of-dental-services-by-pregnant-women-in-surrey-british-columbia
#7
Abbas Jessani, Denise Laronde, Kavita Mathu-Muju, Mario A Brondani
OBJECTIVE: The aim of this study was to determine the self-reported oral health status and needs and the patterns of use of dental services by a sample of pregnant women from diverse ethnic backgrounds in the city of Surrey, British Columbia, Canada. METHOD: A 34-item cross-sectional survey was administered to women enrolling in a prenatal program for 4 months in 2012/13. For data analysis, we used a 2-sample t test and tested categorical variables using a χ2 test...
December 2016: Journal—Canadian Dental Association, Journal de L'Association Dentaire Canadienne
https://www.readbyqxmd.com/read/28240381/the-global-network-neonatal-cause-of-death-algorithm-for-low-resource-settings
#8
Ana L Garces, Elizabeth M McClure, Wilton Pérez, K Michael Hambidge, Nancy F Krebs, Lester Figueroa, Carl L Bose, Waldemar A Carlo, Constance Tenge, Fabian Esamai, Shivaprasad S Goudar, Sarah Saleem, Archana B Patel, Melody Chiwila, Elwyn Chomba, Antoinette Tshefu, Richard J Derman, Patricia L Hibberd, Sherri Bucher, Edward A Liechty, Melissa Bauserman, Janet L Moore, Marion Koso-Thomas, Menachem Miodovnik, Robert L Goldenberg
AIM: This study estimated the causes of neonatal death using an algorithm for low-resource areas, where 98% of the world's neonatal deaths occur. METHODS: We enrolled women in India, Pakistan, Guatemala, the Democratic Republic of Congo, Kenya and Zambia from 2014-2016 and tracked their delivery and newborn outcomes for up to 28 days. Antenatal care and delivery symptoms were collected using a structured questionnaire, clinical observation and, or, a physical examination...
February 27, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28240034/health-related-quality-of-life-in-adults-with-irritable-bowel-syndrome-in-a-mexican-specialist-hospital-a-cross-sectional-study
#9
Jaime Alberto Sánchez Cuén, Ana Bertha Irineo Cabrales, Gregorio Bernal Magaña, Felipe de Jesús Peraza Garay
BACKGROUND: Evidence shows the negative impact of irritable bowel syndrome on the quality of life of patients who suffer from the condition as compared to the general population. OBJECTIVE: The objective of this study was to determine the health-related quality of life in adults with irritable bowel syndrome who are receiving treatment at a specialist hospital. MATERIAL AND METHODS: The study had a cross-sectional prospective design. The study included consecutive patients diagnosed with irritable bowel syndrome under the Rome III criteria and attending outpatient appointments...
February 27, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/28239755/increasing-cancer-screening-among-old-order-anabaptist-women-through-specialized-women-s-health-and-integrated-cancer-screening-interventions
#10
Kate McBride, Dionne Gesink
Our objective was to develop, deliver, and evaluate a cancer screening intervention focused on rural Anabaptist communities in Ontario, Canada, to increase routine cancer screenings among women. We carried out three cancer prevention and screening interventions with Old Order Anabaptist women. Each intervention consisted of: transportation to the site, pre-arranged screening services, health teachings, fellowship and shopping, and an evaluative survey. Seventy five women total participated over three interventions...
February 27, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28239604/predictors-of-antenatal-care-skilled-birth-attendance-and-postnatal-care-utilization-among-the-remote-and-poorest-rural-communities-of-zambia-a-multilevel-analysis
#11
Choolwe Jacobs, Mosa Moshabela, Sitali Maswenyeho, Nildah Lambo, Charles Michelo
OBJECTIVE: Optimal utilization of maternal health-care services is associated with reduction of mortality and morbidity for both mothers and their neonates. However, deficiencies and disparity in the use of key maternal health services within most developing countries still persist. We examined patterns and predictors associated with the utilization of specific indicators for maternal health services among mothers living in the poorest and remote district populations of Zambia. METHODS: A cross-sectional baseline household survey was conducted in May 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28239560/risk-factors-for-hearing-impairment-among-adults-with-diabetes-the-hispanic-community-health-study-study-of-latinos-hchs-sol
#12
Kathleen E Bainbridge, Catherine C Cowie, Franklyn Gonzalez, Howard J Hoffman, Elizabeth Dinces, Jeremiah Stamler, Karen J Cruickshanks
AIM: The aim was to examine risk factors for hearing impairment among Hispanic/Latino adults with diabetes. METHODS: Findings are based on 3384 participants aged 18-76 years with diagnosed or previously undetected diabetes who completed audiometric testing as part of the Hispanic Community Health Study/Study of Latinos. We defined hearing impairment as the pure-tone average (PTA) >25 decibels hearing level [dB HL] of pure-tone thresholds at high frequencies (3000, 4000, 6000, and 8000 Hz) in the worse ear and defined a second hearing impairment outcome with the additional requirement of PTA >25 dB HL of low/mid-frequency (500, 1000, and 2000 Hz) thresholds in the worse ear...
December 2016: Journal of Clinical & Translational Endocrinology
https://www.readbyqxmd.com/read/28239481/effectiveness-of-workers-general-health-examination-in-korea-by-health-examination-period-and-compliance-retrospective-cohort-study-using-nationwide-data
#13
Huisu Eom, Jun-Pyo Myong, Eun-A Kim, Bohwa Choi, Soon Woo Park, Young Joong Kang
BACKGROUND: Our study evaluated the effectiveness of the Workers' General Health Examination by health examination period and compliance. METHODS: A retrospective cohort of the health examination participants in 2006 (baseline year: N = 6,527,045) was used. We identified newly occurring cardio-cerebrovascular disease over 7 years (from 2007 to 2013). After stratification by age, sex, and national health insurance type, we identified 7 years' cumulative incidence of cardio-cerebrovascular disease by health examination compliance and estimated its relative risk by health examination period and compliance...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28239459/effects-of-individual-household-and-community-characteristics-on-child-nutritional-status-in-the-slums-of-urban-bangladesh
#14
Karar Zunaid Ahsan, Shams El Arifeen, Md Abdullah Al-Mamun, Shusmita H Khan, Nitai Chakraborty
BACKGROUND: Bangladesh urban population is expected to overtake rural population by 2040, and a significant part of the increase will be in slums. Wide disparities between urban slums and the rest of the country can potentially push country indicators off track unless the specific health and nutrition needs of the expanding slum communities are addressed. The study aims at describing the individual, household and community determinants of undernutrition status among children living in major urban strata, viz...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28239296/cost-effectiveness-of-a-nurse-led-intervention-to-optimise-implementation-of-guideline-concordant-continence-care-study-protocol-of-the-cocon-study
#15
Aaltje P D Jansen, Maaike E Muntinga, Judith E Bosmans, Bary Berghmans, Janny Dekker, Jacqueline Hugtenburgh, Giel Nijpels, Paul van Houten, Miranda G H Laurant, Huub C H van der Vaart
BACKGROUND: Guidelines on urinary incontinence recommend that absorbent products are only used as a coping strategy pending definitive treatment, as an adjunct to ongoing therapy, or for long-term management after all treatment options have been explored. However, these criteria are rarely met and a significant share of long-term product users could still benefit from therapeutic interventions recommended in guidelines for urinary incontinence. Better implementation of these guidelines can potentially result in both health benefits for women and long-term cost savings for society...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28239016/discrepancy-between-actual-and-perceived-weight-status-in-rural-patients-variations-by-race-and-gender
#16
K Bryant Smalley, Jacob C Warren, B David Morrissey
The study's goal was to determine if differences in weight misperception by race and/or gender occur within a sample of economically disadvantaged rural patients with diabetes and/or hypertension. Diabetic and hypertensive patients were enrolled in the study from a network of federally qualified health centers (FQHCs) in the rural South. Multivari-ate logistic regression analysis suggests that, even when controlling for age, education level, employment status, and poverty, rural African American patients with chronic disease are more likely than their White counterparts to misperceive their weight status (OR = 1...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28239009/life-begins-at-60-identifying-the-social-support-needs-of-african-american-women-aging-with-hiv
#17
Lari Warren-Jeanpiere, Heather Dillaway, Pilar Hamilton, Mary Young, Lakshmi Goparaju
HIV chronicity has resulted in increased life expectancy for many African American women who acquired the disease during the epidemic's peak years. As these women live longer and age, their social support needs may increase. Five focus groups were conducted in Washington, DC with 23 HIV-positive African American women aged 52-65 to explore women's perceptions about how aging and HIV chronicity affects their social support needs. Participants were recruited from the longitudinal Women's Interagency HIV Study (WIHS) participant pool...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238998/factors-associated-with-contraceptive-use-among-women-of-reproductive-age-in-rural-districts-of-burkina-faso
#18
Joseph K Wulifan, Jacob Mazalale, Albrecht Jahn, Hervé Hien, Patrick Christian Ilboudo, Nicolas Meda, Paul Jacob Robyn, Saidou Hamadou, Ousmane Haidara, Manuela De Allegri
Given the current low contraceptive use and corresponding high levels of unwanted pregnancies leading to induced abortions and poor maternal health outcomes among rural populations, a detailed understanding of the factors that limit contraceptive use is essential. Our study investigated household and health facility factors that influence contraceptive use decisions among rural women in rural Burkina Faso. We collected data on fertile non-pregnant women in 24 rural districts in 2014. Of 8,657 women, 1,098 used a modern contraceptive...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238994/can-incentives-reduce-the-barriers-to-use-of-antenatal-care-and-delivery-services-in-kenya-results-of-a-qualitative-inquiry
#19
Eleanor Fleming, Joanna Gaines, Katherine O'Connor, Judith Ogutu, Nancy Atieno, Salimah Atieno, Mary L Kamb, Robert Quick
A qualitative inquiry was used to assess if incentives consisting of a hygiene kit, protein-fortified flour, and delivery kit reduced barriers to antenatal care and delivery services in Nyanza Province, Kenya. We conducted 40 interviews (baseline: five nurses, six mothers, one focus group of five mothers; follow-up: nine nurses, 19 mothers) to assess perceptions of these services. Mothers and nurses identified poor quality of care, fear of HIV diagnosis and stigma, inadequate transport, and cost of care as barriers...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238892/attitudes-toward-health-and-taste-of-food-among-women-with-bulimia-nervosa-and-women-of-a-non-clinical-sample
#20
Priscila Koritar, Sonia Tucunduva Philippi, Marle Dos Santos Alvarenga
Taste preferences and health concerns play important roles in determining eating attitudes, thus influencing food choices. Disordered eating attitudes are common among women, and can lead to the development and maintenance of eating disorders (ED). Attitudes toward health and taste of food among ED patients and its comparison with non-clinical women are not well known, and this knowledge could improve eating interventions. In this study, we compared taste preferences and health concerns in 27 women with diagnosis of bulimia nervosa (BN) and 216 women of a non-clinical sample...
February 23, 2017: Appetite
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