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Cervical Adjustments

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https://www.readbyqxmd.com/read/29035681/cervical-spine-disease-in-surgeons-performing-arthroscopy-or-laparoscopy
#1
Elizabeth P Norheim, Mary Helen Black, Eunis W Ngor, Jiaxiao M Shi, Marc R Safran, Ronald A Navarro
BACKGROUND: Minimal research exists regarding cervical spine disorders in surgeons who perform endoscopy. METHODS: A confidential on-line survey regarding neck pain (NP), spine disease (SD), and radiculopathy/myelopathy (R/M) was sent to 722 surgeons from a managed, group-based health care system. RESULTS: 415 responded. 361░had endoscopy experience, of whom 24.4% had NP, 20.8% SD, and 3.9% R/M. Most respondents were less than 50 years of age (62...
October 16, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/29029626/higher-educational-attainment-associated-with-reduced-likelihood-of-abnormal-cervical-lesions-among-zambian-women-a-cross-sectional-study
#2
Twaambo Euphemia Hamoonga, Rosemary Ndonyo Likwa, Patrick Musonda, Charles Michelo
BACKGROUND: The high burden of cervical cancer in Zambia prompted the Ministry of Health and partners to develop the cervical cancer prevention program in Zambia (CCPPZ) in 2006. Despite this intervention more women continue to die from the disease and there is little understanding of factors that may be linked with abnormal cervical lesions in the general population. We therefore examined if educational attainment is associated with abnormal cervical lesions among Zambian women aged 15 to 49 years...
October 13, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29028104/the-influence-of-ovulation-induction-and-assisted-conception-on-maternal-and-perinatal-outcomes-of-twin-pregnancies
#3
G Bordi, A D'Ambrosio, I Gallotta, L Di Benedetto, A Frega, F Torcia, M Schimberni, M Bonito, D Caserta
OBJECTIVE: To compare obstetrical and neonatal outcomes of twin pregnancies conceived via assisted reproductive technology (ART) with those of naturally conceived ones and to investigate the influence of the ART procedure type on these parameters. PATIENTS AND METHODS: This observational study included 450 ART and 647 spontaneous twin pregnancies delivered over 15 years at a single university-based hospital of Rome, Italy. Logistic and linear regression models adjusted for confounding factors were used to evaluate the effect of ART and the type of assisted conception (IVF/ICSI, ovulation induction ± intrauterine insemination, egg/embryo donation) on maternal and perinatal outcomes...
September 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29027400/surgical-and-oncologic-outcomes-after-robotic-radical-hysterectomy-as-compared-to-open-radical-hysterectomy-in-the-treatment-of-early-cervical-cancer
#4
Chirag A Shah, Tiffany Beck, John B Liao, Nadia V Giannakopoulos, Dan Veljovich, Pam Paley
OBJECTIVE: The use of robotic radical hysterectomy has greatly increased in the treatment of early stage cervical cancer. We sought to compare surgical and oncologic outcomes of women undergoing robotic radical hysterectomy compared to open radical hysterectomy. METHODS: The clinic-pathologic, treatment, and recurrence data were abstracted through an Institutional Review Board-approved protocol at 2 separate large tertiary care centers in Seattle, Swedish Medical Center and the University of Washington...
November 2017: Journal of Gynecologic Oncology
https://www.readbyqxmd.com/read/29021217/impact-of-patient-provider-race-ethnicity-and-gender-concordance-on-cancer-screening-findings-from-medical-expenditure-panel-survey
#5
Jyoti Malhotra, David Rotter, Jennifer Tsui, Adana A M Llanos, Bijal A Balasubramanian, Kitaw Demissie
BACKGROUND: Racial and ethnic minorities experience lower rates of cancer screening compared to non-Hispanic whites (NHW). Previous studies evaluating the role of patient-provider race, ethnicity or gender concordance in cancer screening have been inconclusive. METHODS: In a cross-sectional analysis using the Medical Expenditure Panel Survey (MEPS), data from 2003-2010 was assessed for associations between patient-provider race, ethnicity and/or gender concordance and, screening (American Cancer Society guidelines) for breast, cervical, and colorectal cancer (CRC)...
October 11, 2017: Cancer Epidemiology, Biomarkers & Prevention
https://www.readbyqxmd.com/read/29020120/hpv-in-women-assisted-by-the-family-health-strategy
#6
Andréia Rodrigues Gonçalves Ayres, Gulnar Azevedo E Silva, Maria Teresa Bustamante Teixeira, Kristiane de Castro Dias Duque, Maria Lúcia Salim Miranda Machado, Carmen Justina Gamarra, José Eduardo Levi
OBJECTIVE: Estimate the prevalence of cervical HPV infection among women assisted by the Family Health Strategy and identify the factors related to the infection. METHODS: A cross-sectional study involving 2,076 women aged 20-59 years old residing in Juiz de Fora, State of Minas Gerais, who were asked to participate in an organized screening carried out in units were the Family Health Strategy had been implemented. Participants answered the standardized questionnaire and underwent a conventional cervical cytology test and HPV test for high oncogenic risk...
October 5, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29019802/design-and-evaluation-of-a-low-cost-speculum-examination-training-model
#7
James E Benson, Allix M Hillebrand, Tamika Auguste
INTRODUCTION: Learning how to perform a speculum examination is a key component of the medical student curriculum, yet there is a paucity of data on the validity of available speculum examination models. This purpose of this study is to design, evaluate, and improve a low-cost speculum examination model. METHODS: A speculum examination training model was created using low-cost or recycled materials from other simulators. A total of 54 medical students, residents, and faculty in the obstetrics and gynecology department of a single academic institution performed speculum examinations on the model...
October 10, 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28993912/the-utility-of-magnetic-resonance-imaging-in-addition-to-computed-tomography-scans-in-the-evaluation-of-cervical-spine-injuries-a-study-of-obtunded-blunt-trauma-patients
#8
Bernard Puang Huh Lau, Hwee Weng Dennis Hey, Eugene Tze-Chun Lau, Pei Yi Nee, Kimberly-Anne Tan, Wah Tze Tan
PURPOSE: Evidence guiding the use of CT and MRI scans in blunt trauma patients who are obtunded remains controversial. This study aims to determine and predict if computed tomography (CT) scans alone can be performed without risking oversight of substantial injuries found on follow-up magnetic resonance imaging (MRI). METHODS: This is a retrospective cohort study of 63 blunt trauma patients with a Glasgow Coma Scale of < 8. Data were collated from electronic medical records and included patient demographics, premorbid mobility, mechanism of injury, suspected level of injury and neurological examination findings...
October 9, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28987332/disparities-in-cancer-screening-by-occupational-characteristics
#9
Stacey A Fedewa, Ann Goding Sauer, Carol DeSantis, Rebecca L Siegel, Ahmedin Jemal
Cancer screening patterns according to occupation characteristics in the United States are not well known, but could be used to help inform cancer control efforts. We examined cervical (CC), breast (BC) and colorectal cancer (CRC) screening prevalence and prevalence ratios (PR) by occupational characteristics in 2010, 2013 and 2015 National Health Interview Surveys (NHIS) among eligible US workers (CC women 21-65years; n=20,997), (BC women ≥40years; n=14,258) and (CRC men and women ≥50years; n=17,333). Cervical, breast and colorectal cancer screening prevalence among US workers was 84...
October 5, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28985879/resource-utilization-associated-with-cervical-hematoma-after-thyroid-and-parathyroid-surgery
#10
Erin K Greenleaf, Neerav Goyal, Christopher S Hollenbeak, Melissa M Boltz
BACKGROUND: Postoperative cervical hematoma (PCH) after thyroid and parathyroid surgery is a well-known complication. This study used data from the Nationwide Inpatient Sample to identify risk factors, estimate mortality, length of stay (LOS), and total costs attributable to PCH in patients undergoing procedures for thyroid and parathyroid diseases. METHODS: Patients aged >18 y who underwent thyroid or parathyroid surgery between 2001 and 2011 were identified and stratified by the occurrence of PCH...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28984757/the-association-between-diabetes-hyperglycemia-and-the-prognosis-of-cervical-cancer-patients-a-systematic-review-and-meta-analysis
#11
REVIEW
Shu Chen, Miaomiao Tao, Lingqiong Zhao, Xianquan Zhang
BACKGROUND: The predictive roles of diabetes in the prognosis of many types of cancer have been well studied, but its role in predicting the prognosis of cervical cancer is still controversial. The aim of the study is to evaluate the association between diabetes/hyperglycemia and the prognosis of cervical cancer. METHODS: We conducted a systematic review for peer-reviewed studies indexed in PubMed, Embase, Web of Science, and Wanfang published before December 2016...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28983579/cost-effectiveness-of-two-dose-human-papillomavirus-vaccination-in-singapore
#12
Sun Kuie Tay, Bee-Wah Lee, Woo Yun Sohn, I-Heng Lee, Gaurav Mathur, Melvin Sanicas, Georges Van Kriekinge
INTRODUCTION: Cervical cancer is the tenth most common cancer and the eighth most frequent cause of death among women in Singapore. Human papillomavirus (HPV) infection is the necessary cause of cervical cancer and therefore the risk of cervical cancer can be substantially reduced through vaccination. This study was conducted to evaluate the cost-effectiveness of two-dose HPV vaccination, as part of a national vaccination programme for 12-year-old girls in Singapore, from the perspective of the healthcare payer...
October 6, 2017: Singapore Medical Journal
https://www.readbyqxmd.com/read/28975603/identifying-a-candidate-population-for-ovarian-conservation-in-young-women-with-clinical-stage-ib-iib-cervical-cancer
#13
Koji Matsuo, Muneaki Shimada, Satoshi Yamaguchi, Hiroyuki Kanao, Toru Nakanishi, Toshiaki Saito, Shoji Kamiura, Takashi Iwata, Mikio Mikami, Toru Sugiyama
This study seeks to identify risk factors associated with ovarian metastasis and to characterize a population with minimum risk of ovarian metastasis in young women with stage IB-IIB cervical cancer. This was a nation-wide multicenter retrospective study in Japan examining consecutive cases of surgically-treated women with clinical stage IB-IIB cervical cancer who had oophorectomy at radical hysterectomy (n=5,697). Multivariable analysis was performed to identify independent risk factors for ovarian metastasis...
October 4, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28974628/thrombectomy-in-acute-stroke-with-tandem-occlusions-from-dissection-versus-atherosclerotic-cause
#14
Benjamin Gory, Michel Piotin, Diogo C Haussen, Henrik Steglich-Arnholm, Markus Holtmannspötter, Julien Labreuche, Christian Taschner, Sebastian Eiden, Raul G Nogueira, Panagiotis Papanagiotou, Maria Boutchakova, Adnan Siddiqui, Bertrand Lapergue, Franziska Dorn, Christophe Cognard, Monika Killer-Oberpfalzer, Salvatore Mangiafico, Marc Ribo, Daniel Behme, Alejandro M Spiotta, Mikael Mazighi, Francis Turjman
BACKGROUND AND PURPOSE: Tandem steno-occlusive lesions were poorly represented in randomized trials and represent a major challenge for endovascular thrombectomy in acute anterior circulation strokes. The impact of the cervical carotid lesion cause (ie, atherosclerotic versus dissection) on outcome of tandem patients endovascularly treated remains to be assessed. METHODS: We retrospectively analyzed individual data of prospectively collected consecutive tandem patients treated with endovascular thrombectomy...
October 3, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28967199/levels-and-determinants-of-breast-and-cervical-cancer-screening-uptake-in-hiv-infected-women-compared-with-the-general-population-in-france
#15
L Tron, F Lert, B Spire, R Dray-Spira
OBJECTIVES: Cancer is a growing concern for HIV-infected people, and screening plays a major role in alleviating the burden it causes. We sought to investigate the levels and determinants of breast cancer screening (BCS) and cervical cancer screening (CCS) in HIV-infected women as compared with the general population. METHODS: The Agence Nationale de Recherche sur le Sida et les Hépatites Virales (ANRS)-Vespa2 study was conducted in 2011 in a national representative sample of 3022 HIV-infected hospital out-patients in France...
March 2017: HIV Medicine
https://www.readbyqxmd.com/read/28965955/changes-in-the-prevalence-of-human-papillomavirus-following-a-national-bivalent-human-papillomavirus-vaccination-programme-in-scotland-a-7-year-cross-sectional-study
#16
Kimberley Kavanagh, Kevin G Pollock, Kate Cuschieri, Tim Palmer, Ross L Cameron, Cameron Watt, Ramya Bhatia, Catherine Moore, Heather Cubie, Margaret Cruickshank, Chris Robertson
BACKGROUND: On Sept 1, 2008, Scotland launched routine vaccination for human papillomavirus (HPV) types 16 and 18, targeted at 12-13-year-old girls, of whom 92·4% were fully vaccinated in 2008-09. In this study, we report on vaccine effectiveness of the bivalent vaccine in these vaccinated women who attended for routine cervical screening at age 20-21 years. METHODS: In this 7-year cross-sectional study (covering birth cohorts 1988-1995), we sampled approximately 1000 samples per year from those attending cervical screening at age 20-21 years and tested each for HPV...
September 28, 2017: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/28965365/swallowing-disorders-and-1-year-functional-decline-in-community-dwelling-older-adults-receiving-home-care
#17
Kenji Takeuchi, Michiko Furuta, Yuka Okabe, Shino Suma, Toru Takeshita, Sumio Akifusa, Munehisa Adachi, Toshinori Kinoshita, Takeshi Kikutani, Yoshihisa Yamashita
The purpose of this study was to clarify the effect of swallowing disorders on functional decline in community-dwelling older adults receiving home care. This was a 1-year follow-up survey of 176 individuals ≥60 years living at home and receiving homecare services, without total dependence in basic daily living activities, in two mid-sized municipalities in Fukuoka, Japan. Functional decline was measured using the Barthel index (BI), and the primary outcome was total dependence in basic daily living activities (BI <20 points)...
October 1, 2017: Journal of Oral Rehabilitation
https://www.readbyqxmd.com/read/28962572/impact-of-hpv-vaccination-health-gains-in-the-italian-female-population
#18
Andrea Marcellusi
BACKGROUND: Human papillomavirus (HPV) is the leading cause of cervical cancer and other malignant and benign neoplastic lesions. HPV vaccination has three potential goals: to prevent transmission, infection, and disease. At present, there are no available data about health consequences of HPV immunization in Italy. The aim of this study is to evaluate the effect of current HPV vaccination strategy in Italy. METHODS: A multistate morbidity-mortality model was developed to estimate the infection process in a theoretical cohort of Italian women...
September 29, 2017: Population Health Metrics
https://www.readbyqxmd.com/read/28960293/prevalence-risk-factors-and-pregnancy-outcomes-of-cervical-cell-abnormalities-in-the-puerperium-in-a-hyperendemic-hiv-setting
#19
Hopolang C Maise, Dhayendre Moodley, Motshedisi Sebitloane, Suzanne Maman, Benn Sartorius
OBJECTIVE: To investigate the impact of cervical cell abnormalities detected in the puerperium in association with HIV-1 infection on pregnancy outcomes. METHODS: The present study was a secondary data analysis of pregnancy outcomes, Pap smear results, HIV results, and participant demography from a behavioral intervention randomized controlled trial of 1480 pregnant women aged 18 years or more conducted at a periurban primary health clinic in South Africa during 2008-2010...
September 28, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28957477/barriers-to-cervical-cancer-screening-faced-by-immigrants-a-registry-based-study-of-1-4-million-women-in-norway
#20
Maarit K Leinonen, Suzanne Campbell, Giske Ursin, Ameli Tropé, Mari Nygård
Background: Immigrants from certain low- and middle-income countries are more prone to cancers attributed to viral infections in early life. Cervical cancer is caused by human papillomavirus but is highly preventable by regular screening. We assessed participation among immigrants in a population-based cervical screening programme and identified factors that predicted non-adherence within different immigrant groups. Methods: We used data from several nationwide registries...
October 1, 2017: European Journal of Public Health
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