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https://www.readbyqxmd.com/read/28350638/short-term-impact-of-meaningful-use-stage-1-implementation-a-comparison-of-health-outcomes-in-2-primary-care-clinics
#1
Anna M Afonso, Susana Alfonso, Toyosi O Morgan
We studied a primary care clinic transitioning to Meaningful Use stage 1 and a comparison clinic within the same health system. In the 6 months following implementation, after adjusting for confounders, mean systolic blood pressure worsened (+3.3 mm Hg; P = .004) in the intervention clinic compared with the comparison clinic. We did not see a change in the mean or proportion of patients meeting target goals for diabetes (hemoglobin A1c) or obesity (body mass index). Our findings suggest that the worsening of systolic blood pressure associated with Meaningful Use implementation is likely due to distractions of system changes negatively impacting health outcomes...
March 27, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28346161/gender-differences-in-sleep-hygiene-practices-and-sleep-quality-in-new-zealand-adolescents-aged-15-to-17-years
#2
Barbara C Galland, Andrew R Gray, Jonathan Penno, Claire Smith, Carmen Lobb, Rachael W Taylor
AIM: To examine, in a nationwide sample of New Zealand adolescents, self-reported sleep hygiene, and specifically evening technology and caffeine use, and body mass index, in relation to sleep quality. DESIGN: Cross-sectional survey. PARTICIPANTS: A total of 692 adolescents (59% girls), predominantly European (78%), with an average age of 16 years 9 months were recruited through schools, community advertising, and social media. MEASURES: All participants completed the Pittsburgh Sleep Quality Index and Adolescent Sleep Hygiene Scale online, and questions about their height, weight, evening technology use, and caffeine consumption...
April 2017: Sleep Health
https://www.readbyqxmd.com/read/28346028/prevalence-and-associated-factors-for-self-reported-asthma-in-a-canadian-population-the-canadian-community-health-survey-2014
#3
Luan M Chu, Punam Pahwa
BACKGROUND: Asthma prevalence is increasing among adults, yet limited information regarding the association between adult asthma and environmental and personal exposures is available using large nationally representative population-based survey. OBJECTIVE: To determine the prevalence of asthma and associated factors for self-reported asthma in a Canadian population aged 12 years and older by using the Canadian Community Health Survey (CCHS) 2014 cross-sectional cohort...
March 27, 2017: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/28345814/dapagliflozin-once-daily-plus-exenatide-once-weekly-in-obese-adults-without-diabetes-sustained-reductions-in-bodyweight-glycaemia-and-blood-pressure-over-1-year
#4
Per Lundkvist, Maria J Pereira, Petros Katsogiannos, C David Sjöström, Eva Johnsson, Jan W Eriksson
AIMS: Dapagliflozin and exenatide reduce bodyweight by differing mechanisms. Dual therapy with these agents reduces bodyweight, adipose tissue volume, glycaemia, and systolic blood pressure (SBP) over 24 weeks. Here, we examined these effects over 1 year in obese adults without diabetes. MATERIALS AND METHODS: Obese adults without diabetes (N = 50; aged 18-70 years; body mass index 30-45 kg/m(2) ) initially randomized to double-blind oral dapagliflozin 10 mg once daily plus subcutaneous long-acting exenatide 2 mg once weekly or placebo entered an open-label extension from 24-52 weeks during which all participants received active treatment...
March 27, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28344846/beating-obesity-factors-associated-with-interest-in-workplace-weight-management-assistance-in-the-mining-industry
#5
Tamara D Street, Drew L Thomas
BACKGROUND: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. METHODS: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight...
March 2017: Safety and Health At Work
https://www.readbyqxmd.com/read/28343458/association-between-urinary-metabolic-profile-and-the-intestinal-effects-of-cocoa-in-rats
#6
Malen Massot-Cladera, Jordi Mayneris-Perxachs, Adele Costabile, Jonathan R Swann, Àngels Franch, Francisco J Pérez-Cano, Margarida Castell
The aim of this study was to elucidate the relationship between the urinary metabolic fingerprint and the effects of cocoa and cocoa fibre on body weight, hormone metabolism, intestinal immunity and microbiota composition. To this effect, Wistar rats were fed, for 3 weeks, a diet containing 10 % cocoa (C10) or two other diets with same the proportion of fibres: one based on cocoa fibre (CF) and another containing inulin as a reference (REF) diet. The rats' 24 h urine samples were analysed by an untargeted 1H NMR spectroscopy-based metabonomic approach...
March 27, 2017: British Journal of Nutrition
https://www.readbyqxmd.com/read/28341464/reproductive-effects-of-oestrogenic-endocrine-disrupting-chemicals-in-astyanax-rivularis-inhabiting-headwaters-of-the-velhas-river-brazil
#7
André Alberto Weber, Davidson Peruci Moreira, Rafael Magno Costa Melo, Augusto Bicalho Cruz Vieira, Paula Suzanna Prado, Mirra Angelina Neres da Silva, Nilo Bazzoli, Elizete Rizzo
The Velhas River is the most polluted river in the state of Minas Gerais, south-eastern Brazil. Due to its historical and environmental relevance, the aim of this study was to evaluate the effects of oestrogenic endocrine disruptors on the reproduction of the lambari Astyanax rivularis, a small-sized species found in headwaters of the São Francisco River basin. Quarterly field samplings were carried out during a reproductive cycle in three streams of the upper Velhas River: S1 (reference site) and S2 and S3 (sites contaminated by untreated sewage)...
March 21, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28341044/decreasing-the-ph-of-milk-replacer-containing-soy-flour-affects-nutrient-digestibility-digesta-ph-and-gastrointestinal-development-of-preweaned-calves
#8
R Zhang, Q-Y Diao, Y Zhou, Q Yun, K-D Deng, D Qi, Y Tu
We evaluated the effect of feeding soy flour-containing milk replacer (MR) with a lower than normal pH on growth, nutrient digestibility, digesta pH, and gastrointestinal development of preweaned calves. The study consisted of 48 neonatal calves, allocated to 8 treatments in a 2-factor 4×2 randomized design. The calves received 2 types of MR containing soy flour. The proportion of soy crude protein (CP) to total CP (SP/CP) in MR was 50% (MR50 treatment) or 80% (MR80 treatment), respectively. The pH of the reconstituted MR was decreased by 1 N HCl from to 6...
January 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28341043/sorghum-forage-in-precision-fed-dairy-heifer-diets
#9
F Pino, A J Heinrichs
Sorghum forage is an alternative crop that is more adapted to drier conditions and more resistant than corn to drought conditions. Thus, sorghum forage maximizes water utilization. The objective of this study was to evaluate sorghum silage (SS), including digestibility and fermentation parameters, in precision-fed dairy heifers. Eight Holstein heifers (13.7±0.6mo of age and 364.8±17.64kg of body weight) fitted with rumen cannulas were used in a replicated 4×4 Latin Square design; treatments were 4 levels of forage to concentrate ratios (85:15, 75:25, 65:35, and 55:45)...
January 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28341042/effect-of-forage-to-concentrate-ratio-with-sorghum-silage-as-a-source-of-forage-on-rumen-fermentation-n-balance-and-purine-derivative-excretion-in-limit-fed-dairy-heifers
#10
K Kljak, F Pino, A J Heinrichs
Sorghum silage has been shown to be a good alternative to corn silage for dairy cows; however, studies regarding heifers are insufficiently explored. Therefore, the objective of this study was to evaluate effects of changing forage to concentrate ratio (FOR:CON) in diets based on sorghum silage on N digestibility, rumen fermentation, N balance, C excretion, and microbial N yield in limit-fed dairy heifers. A split-plot 4×4 Latin square design with 19-d periods (15 d of adaptation and 4 d of sampling) was conducted with 8 rumen cannulated dairy heifers (age 13...
January 2017: Journal of Dairy Science
https://www.readbyqxmd.com/read/28340457/dermal-exposure-of-applicators-to-chlorpyrifos-on-rice-farms-in-ghana
#11
Albert Atabila, Dung Tri Phung, Jonathan N Hogarh, Paul Osei-Fosu, Ross Sadler, Des Connell, Cordia Chu
Studies evaluating dermal exposure to pesticides among applicators in tropical countries have largely been conducted using the patch dosimetry and hand wiping/washing techniques. This study used the more accurate whole-body dosimetry technique to evaluate dermal exposure to chlorpyrifos among applicators on rice farms in Ghana. The exposure levels were plotted as Cumulative Probability Distribution (CPD). Total Dermal Exposure (TDE) of chlorpyrifos among the median exposed and the 5% highly exposed groups during a spray event were 24 mg and 48 mg, respectively...
March 16, 2017: Chemosphere
https://www.readbyqxmd.com/read/28340177/the-significance-of-internode-length-for-saltatory-conduction-looking-back-at-the-age-of-90
#12
Reinhard L Friede
The development of peripheral nerve fibers involves interdependence between the timing of Schwann cell recruitment during myelination and elongation of the nerve. This adjusts the number and the length of internodes to the length of the fiber. Saltatory conduction in longer nerves involves longer saltations; this makes internode length the factor that determines conduction velocity, thereby adjusting impulse transmission in circuits of different lengths. Myelination increases conduction velocity by means of saltatory conduction but what determines the saltatory conduction is not so much the indispensable insulating adjunct of myelin as the length of the internodes that separate the excitable membrane segments...
March 14, 2017: Journal of Neuropathology and Experimental Neurology
https://www.readbyqxmd.com/read/28339714/effect-of-whole-yeast-cell-product-supplementation-citristim%C3%A2-on-immune-responses-and-cecal-microflora-species-in-pullet-and-layer-chickens-during-an-experimental-coccidial-challenge
#13
Ashley D Markazi, Victor Perez, Mamduh Sifri, Revathi Shanmugasundaram, Ramesh K Selvaraj
Three separate experiments were conducted to study the effects of whole yeast cell product supplementation in pullets and layer hens. Body weight gain, fecal and intestinal coccidial oocyst counts, cecal microflora species, cytokine mRNA amounts, and CD4+ and CD8+ T-cell populations in the cecal tonsils were analyzed following an experimental coccidial infection. In Experiment I, day-old Leghorn layer chicks were fed 3 experimental diets with 0, 0.1, or 0.2% whole yeast cell product (CitriStim®, ADM, Decatur, IL)...
February 21, 2017: Poultry Science
https://www.readbyqxmd.com/read/28339436/pain-related-limitations-in-daily-activities-following-thoracic-surgery-in-a-united-states-population
#14
Emine O Bayman, Richard Lennertz, Timothy J Brennan
BACKGROUND: Ringsted et al created a statistically validated questionnaire to assess pain-related limitations in daily activities following thoracic surgery and translated it to English. We utilized the questionnaire to assess the impact of pain impairing certain daily activities in a United States thoracic surgery population. OBJECTIVES: Examine if the questionnaire developed and translated to English by Ringsted et al to assess the effects of chronic pain after thoracic surgery on daily activities would be applicable in a sample of thoracic surgery patients in the United States...
March 2017: Pain Physician
https://www.readbyqxmd.com/read/28339272/connecting-few-body-inelastic-decay-to-quantum-correlations-in-a-many-body-system-a-weakly-coupled-impurity-in-a-resonant-fermi-gas
#15
Sébastien Laurent, Matthieu Pierce, Marion Delehaye, Tarik Yefsah, Frédéric Chevy, Christophe Salomon
We study three-body recombination in an ultracold Bose-Fermi mixture. We first show theoretically that, for weak interspecies coupling, the loss rate is proportional to Tan's contact. Second, using a ^{7}Li/^{6}Li mixture we probe the recombination rate in both the thermal and dual superfluid regimes. We find excellent agreement with our model in the BEC-BCS crossover. At unitarity where the fermion-fermion scattering length diverges, we show that the loss rate is proportional to n_{f}^{4/3}, where n_{f} is the fermionic density...
March 10, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/28338771/blood-pressure-control-during-chronic-kidney-disease-progression
#16
Seulbi Lee, Hyung Jung Oh, Eun-Kyung Lee, Oesook Lee, Eunhee Ha, Seung-Jung Kim, Duk-Hee Kang, Kyu Bok Choi, Dong-Ryeol Ryu
BACKGROUND: Hypertension is a major cause of end-stage renal disease, and blood pressure (BP) control is crucial in patients with chronic kidney disease (CKD). However, it is generally inadequately controlled in CKD patients. We investigated the prevalence of CKD patients with inadequate BP control and its related factors, based on the CKD stage. METHODS: We analyzed the health examination sample cohort database, which consisted of the randomly selected participants among all the citizens who received the health examination provided by National Health Insurance Service of Korea in 2012 and 2013...
February 16, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28338663/prevalence-and-associated-factors-of-blepharoptosis-in-korean-adult-population-the-korea-national-health-and-nutrition-examination-survey-2008-2011
#17
M H Kim, J Cho, D Zhao, K I Woo, Y-D Kim, S Kim, S W Yang
PurposeThis study aimed to evaluate the prevalence and associated factors of involutional blepharoptosis in a nationwide representative sample in Korea.MethodsCross-sectional study 20 941 Korean men and women 40 years of age and older who participated in last 2 years (2008 and 2009) of the 4th wave of the Korean National Health and Nutrition Examination Survey (KNHANES) IV and the first 2 years (2010 and 2011) of KNHANES V. Ocular examinations were performed by ophthalmologists trained in procedure and grading methods, and blepharoptosis was defined as a marginal reflex distance <2 mm on either eye...
March 24, 2017: Eye
https://www.readbyqxmd.com/read/28338445/socioeconomic-status-and-outcomes-after-sport-related-concussion-a-preliminary-investigation
#18
Scott L Zuckerman, Brian Holt Zalneraitis, Douglas J Totten, Kolin E Rubel, Andrew W Kuhn, Aaron M Yengo-Kahn, Christopher M Bonfield, Allen K Sills, Gary S Solomon
OBJECTIVE A significant proportion of patients experience long-term symptoms after sport-related concussion (SRC), and several factors have been associated with this protracted recovery. Limited data exist on the role of socioeconomic status (SES) on SRC outcomes. The objective in this study was to conduct a preliminary investigation to determine the effect of SES on outcomes after SRC in student-athletes treated at a regional sports concussion center. METHODS A retrospective cohort study of 282 middle school, high school, and collegiate student-athletes was conducted...
March 24, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28338434/coexistence-of-obstructive-sleep-apnea-worsens-the-overall-outcome-of-intracranial-aneurysm-a-pioneer-study
#19
Shyamal C Bir, Anil Nanda, Hugo Cuellar, Hai Sun, Bharat Guthikonda, Cesar Liendo, Alireza Minagar, Oleg Y Chernyshev
OBJECTIVE Obstructive sleep apnea (OSA) is associated with the progression of abdominal and thoracic aortic aneurysms. However, the role of OSA in the overall outcome of intracranial aneurysms (IAs) has not yet been established. Authors of this report investigated the role of OSA in the overall outcome of IAs. METHODS Radiological and clinical data on patients (from 2010 through 2015) with confirmed IA were retrospectively reviewed. Significant differences between the OSA and non-OSA groups were determined using a chi-square test...
March 21, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28337523/hip-fracture-incidence-and-social-deprivation-results-from-a-french-ecological-study
#20
M -P Petit, J Bryère, M Maravic, F Pallaro, C Marcelli
The association between socioeconomic status (SES) and hip fracture (HF) incidence was analyzed in France in 2008. In men and women, a decrease in HF incidence was observed as the social deprivation index increased. This result may be partly due to the protective effect of increasing body weight against HF. INTRODUCTION: Regional variations in hip fracture (HF) incidence exist worldwide. Reasons for these variations remain unknown. As regional variations have also been observed for socioeconomic status, we analyzed the association between socioeconomic deprivation (SED) and HF incidence in France in 2008...
March 23, 2017: Osteoporosis International
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