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https://www.readbyqxmd.com/read/28812410/good-outcome-scores-and-high-satisfaction-rate-after-primary-total-ankle-replacement
#1
Ilka Kamrad, Åke Carlsson, Anders Henricson, Håkan Magnusson, Magnus K Karlsson, Björn E Rosengren
Background and purpose - Total ankle replacement (TAR) is gaining popularity for treatment of end-stage ankle arthritis. Large patient-centered outcome studies are, however, few. Here, we report data from the Swedish Ankle Registry. Patients and methods - We examined outcomes after primary TAR in patients from the Swedish Ankle Registry using PROMs (Patient Reported Outcome Measures; generic: EQ-5D and SF-36, region specific: SEFAS (Self-Reported Foot and Ankle Score), and a question on satisfaction). We included 241 patients registered with primary TAR between 2008 and 2016 and who completed PROMs preoperatively and postoperatively up to 24 months...
August 16, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28807189/effect-of-non-monetary-incentives-on-uptake-of-couples-counselling-and-testing-among-clients-attending-mobile-hiv-services-in-rural-zimbabwe-a-cluster-randomised-trial
#2
Euphemia L Sibanda, Mary Tumushime, Juliet Mufuka, Sue Napierala Mavedzenge, Stephano Gudukeya, Sergio Bautista-Arredondo, Karin Hatzold, Harsha Thirumurthy, Sandra I McCoy, Nancy Padian, Andrew Copas, Frances M Cowan
BACKGROUND: Couples' HIV testing and counselling (CHTC) is associated with greater engagement with HIV prevention and care than individual testing and is cost-effective, but uptake remains suboptimal. Initiating discussion of CHTC might result in distrust between partners. Offering incentives for CHTC could change the focus of the pre-test discussion. We aimed to determine the impact of incentives for CHTC on uptake of couples testing and HIV case diagnosis in rural Zimbabwe. METHODS: In this cluster-randomised trial, 68 rural communities (the clusters) in four districts receiving mobile HIV testing services were randomly assigned (1:1) to incentives for CHTC or not...
September 2017: Lancet Global Health
https://www.readbyqxmd.com/read/28803926/differences-in-associations-of-antidepressants-and-hospitalization-due-to-hyponatremia
#3
Shermineh Farmand, Jonatan Lindh, Jan Calissendorff, Jakob Skov, Henrik Falhammar, David Nathanson, Buster Mannheimer
Background Selective serotonin reuptake inhibitors (SSRIs) and other antidepressants are important as a cause for hyponatremia. However, most studies have focused on the effect on sodium levels regardless of clinical symptoms or been too small to be able to discriminate between the effects of specific antidepressant drugs. The objective of the present study was to investigate the association between different groups of antidepressants and the risk of hospitalisation due to hyponatremia. Methods In this register based case-control study of patients in the general Swedish population we identified 14 359 individuals with a main diagnosis of hyponatremia...
August 10, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28802709/sex-differences-in-cancer-risk-and-survival-a-swedish-cohort-study
#4
Cecilia Radkiewicz, Anna L V Johansson, Paul W Dickman, Mats Lambe, Gustaf Edgren
AIM: The aim of this study is to firmly delineate temporal and age trends regarding sex discrepancies in cancer risk and survival as well as quantifying the potential gain achieved by eliminating this inequality. METHODS: We performed a population-based cohort study using data on all adult incident cancer cases (n = 872,397) recorded in the Swedish Cancer Register in 1970-2014. To assess the associations between sex and cancer risk and sex and survival, male-to-female incidence rate ratios (IRRs) and excess mortality ratios (EMRs) adjusted for age and year of diagnosis were estimated using Poisson regression...
August 10, 2017: European Journal of Cancer
https://www.readbyqxmd.com/read/28801224/celiac-disease-and-increased-risk-of-pneumococcal-infection-a-systematic-review-and-meta-analysis
#5
Malorie Simons, Lori A J Scott-Sheldon, Yesenia Risech-Neyman, Steven Moss, Jonas F Ludvigsson, Peter Hr Green
BACKGROUND: Celiac disease has been associated with hyposplenism and multiple case reports link Celiac disease and pneumococcal infections; however, increased risk of pneumococcal infection in celiac disease has not been confirmed. The purpose of this study was to conduct a systematic review to determine the risk of pneumococcal infections in celiac disease. METHODS: Relevant studies were identified using electronic bibliographic searches of PubMed, OVID Medline and EMBASE (1980 to February 2017) and reviewing abstracts from major conferences in gastroenterology...
August 8, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28799271/reduced-disease-specific-survival-following-a-diagnosis-of-multiple-primary-cutaneous-malignant-melanomas-a-nationwide-population-based-study
#6
Deborah Utjés, Johan Lyth, Jan Lapins, Hanna Eriksson
Outcome data comparing patients with multiple primary invasive cutaneous malignant melanomas (MPMs) to single primary invasive cutaneous malignant melanoma (SPM) show conflicting results. We have analyzed differences in disease-specific survival between these patients in a nationwide population-based setting. From the Swedish Melanoma Register, 27,235 patients were identified with a first invasive cutaneous malignant melanoma (CMM) between 1990 and 2007, followed-up through 2013. Of these, 700 patients developed MPMs...
August 11, 2017: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/28799214/refill-adherence-and-persistence-to-lipid-lowering-medicines-in-patients-with-type-2-diabetes-a-nation-wide-register-based-study
#7
Sofia Axia Karlsson, Christel Hero, Björn Eliasson, Stefan Franzén, Ann-Marie Svensson, Mervete Miftaraj, Soffia Gudbjörnsdottir, Katarina Eeg-Olofsson, Karolina Andersson Sundell
PURPOSE: This study aimed to describe and compare refill adherence and persistence to lipid-lowering medicines in patients with type 2 diabetes by previous cardiovascular disease (CVD). METHODS: We followed 97 595 patients (58% men; 23% with previous CVD) who were 18 years of age or older when initiating lipid-lowering medicines in 2007-2010 until first fill of multi-dose dispensed medicines, death, or 3 years. Using personal identity numbers, we linked individuals' data from the Swedish Prescribed Drug Register, the Swedish National Diabetes Register, the National Patient Register, the Cause of Death Register, and the Longitudinal Integration Database for Health Insurance and Labour Market Studies...
August 11, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28797864/validation-of-cancer-dyspnea-scale-in-patients-with-advanced-cancer-in-a-palliative-care-setting-in-india
#8
Anuja Damani, Arunangshu Ghoshal, Naveen Salins, Jayita Deodhar, M A Muckaden
CONTEXT: Assessment of dyspnea in patients with advanced cancer is challenging. Cancer Dyspnea Scale (CDS) is a multidimensional scale developed for measurement of dyspnea. It is available only in Japanese, English and Swedish and has not been validated before in the Indian languages. OBJECTIVE: To describe the process of validation and reliability testing of CDS in Indian advanced cancer patients. METHODS: This is a prospective observational study conducted in the palliative care clinic of a tertiary cancer center in Mumbai...
August 7, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28794429/sexual-dimorphism-in-the-genetic-influence-on-human-childlessness
#9
Renske M Verweij, Melinda C Mills, Felix C Tropf, René Veenstra, Anastasia Nyman, Harold Snieder
Previous research has found a genetic component of human reproduction and childlessness. Others have argued that the heritability of reproduction is counterintuitive due to a frequent misinterpretation that additive genetic variance in reproductive fitness should be close to zero. Yet it is plausible that different genetic loci operate in male and female fertility in the form of sexual dimorphism and that these genes are passed on to the next generation. This study examines the extent to which genetic factors influence childlessness and provides an empirical test of genetic sexual dimorphism...
September 2017: European Journal of Human Genetics: EJHG
https://www.readbyqxmd.com/read/28791709/risk-of-being-convicted-of-theft-and-other-crimes-in-anorexia-and-bulimia-nervosa-a-prospective-cohort-study-in-a-swedish-female-population
#10
Shuyang Yao, Ralf Kuja-Halkola, Laura M Thornton, Claes Norring, Catarina Almqvist, Brian M D'Onofrio, Paul Lichtenstein, Niklas Långström, Cynthia M Bulik, Henrik Larsson
OBJECTIVE: We examined epidemiological associations between anorexia nervosa (AN) and bulimia nervosa (BN) and risks of committing theft and other crimes in a nationwide female population. METHOD: Females born in Sweden during 1979-1998 (N = 957,106) were followed from age 15 for up to 20 years using information on clinically diagnosed AN and BN (exposures), convictions of theft and other crimes (outcomes), psychiatric comorbidities, and familial relatedness from Swedish national registers...
August 9, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28790812/risk-factors-for-developing-hypoxic-respiratory-failure-in-copd
#11
Josefin Sundh, Magnus Ekström
BACKGROUND: Hypoxemia is associated with worse outcomes in COPD. The aim of the study was to investigate the prevalence, incidence, and risk factors of hypoxic respiratory failure (HRF) in COPD. PATIENTS AND METHODS: This was a longitudinal analysis of data from the Swedish National Register of COPD. HRF was defined as resting saturation ≤88% or long-term oxygen therapy. Risk factors for developing HRF were analyzed using multiple logistic regression and receiver operating characteristic curve analysis...
2017: International Journal of Chronic Obstructive Pulmonary Disease
https://www.readbyqxmd.com/read/28790142/stress-resilience-and-cancer-risk-a-nationwide-cohort-study
#12
Beatrice Kennedy, Fang Fang, Unnur Valdimarsdóttir, Ruzan Udumyan, Scott Montgomery, Katja Fall
BACKGROUND: Stress resilience is recognised as a determinant of both psychiatric and somatic health, but the potential link between stress resilience and cancer development has not been explored. METHODS: In this nationwide cohort study, we examined the association between stress resilience in adolescence and subsequent cancer risk. We identified a cohort of 284 257 Swedish men, born 1952-1956, who underwent compulsory military enlistment examinations including measures of psychological stress resilience (median age 18 years)...
August 8, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28789620/hospital-admissions-due-to-alcohol-related-disorders-among-young-adult-refugees-who-arrived-in-sweden-as-teenagers-a-national-cohort-study
#13
Hélio Manhica, Karl Gauffin, Ylva B Almquist, Mikael Rostila, Lisa Berg, Ainhoa Rodríguez García de Cortázar, Anders Hjern
BACKGROUND: Psychological distress and lack of family support may explain the mental health problems that are consistently found in young unaccompanied refugees in Western countries. Given the strong relationship between poor mental health and alcohol misuse, this study investigated hospital admissions due to alcohol related disorders among accompanied and unaccompanied young refugees who settled in Sweden as teenagers. METHODS: The dataset used in this study was derived from a combination of different registers...
August 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28782420/the-gendered-economics-of-synchronized-retirement
#14
Per Gustafson
Women generally receive lower pensions than men, and research on gender and pensions has identified a number of factors underlying this pattern. The present article examines one factor that has largely gone unnoticed-synchronized retirement. In most married couples, the husband is older than his wife, yet many couples prefer to retire together. At the same time, pension systems are increasingly designed to discourage early retirement and reward late retirement. If younger wives and older husbands tend to synchronize their retirement, this may reinforce gendered income inequalities among older persons...
January 1, 2017: Research on Aging
https://www.readbyqxmd.com/read/28780620/outcome-of-surgery-for-degenerative-lumbar-scoliosis-an-observational-study-using-the-swedish-spine-register
#15
Tian Cheng, Paul Gerdhem
PURPOSE: The outcome of surgery for degenerative lumbar scoliosis was studied in the Swedish Spine register. METHODS: 209 patients (mean age 66 years) were identified; 45 had undergone decompression and/or fusion of one segment (minor group) and 164 had undergone fusion of two or more segments, with or without decompression (major group). RESULTS: VAS back pain, VAS leg pain, ODI and EQ-5D index improved after surgery in both groups (p < 0...
August 5, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28780566/effect-of-reduced-use-of-organic-solvents-on-disability-pension-in-painters
#16
Bengt Järvholm, Alex Burdorf
OBJECTIVE: To investigate whether the decreased use of paints based on organic solvents has caused a decreased risk for neuropsychiatric disorders in painters by studying their incidence in disability pensions. METHODS: The incidence of disability pension in Swedish painters who had participated in health examinations between 1971 and 1993 was studied through linkage with Swedish registers of disability pension over 1971-2010 and compared with the incidence in other construction workers as woodworkers, concrete workers and platers...
August 5, 2017: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28780518/birth-defects-after-use-of-antithyroid-drugs-in-early-pregnancy-a-swedish-nationwide-study
#17
Stine Linding Andersen, Stefan Lönn, Peter Vestergaard, Ove Törring
OBJECTIVE: Antithyroid drugs (ATDs) may have teratogenic effects, but more evidence is needed on the risk and types of birth defects after the use of Methimazole (MMI) and Propylthiouracil (PTU). This study aimed to evaluate the association between the use of ATDs in early pregnancy and birth defects. DESIGN: Swedish nationwide register-based cohort study. METHODS: The study included 684,340 children live-born in Sweden from 2006-2012. Exposure groups defined by maternal ATD use in early pregnancy were: MMI (n=162); PTU (n=218); MMI and PTU (n=66); ATD before or after, but not in pregnancy (n=1,551); and non-exposed (never ATD (n=682,343))...
August 5, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/28771059/the-cox-model-is-better-than-the-fine-and-gray-model-when-estimating-relative-revision-risks-from-arthroplasty-register-data
#18
Jonas Ranstam, Otto Robertsson
Background and purpose - Analysis of the revision-free survival of knee and hip prostheses has traditionally been performed using Kaplan-Meier analysis and Cox regression. The competing risk problem that is related to patients who die during follow-up has recently been increasingly discussed, not least with regard to the problem of choosing a suitable statistical method for the analysis. We compared the results from analyses of Cox models and Fine and Gray models. Methods - We used data simulation based on parameter estimates from the Swedish Knee Arthroplasty Register and assessed hypothetical effects of the studied risk factors...
August 3, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28766395/dual-loyalties-everyday-ethical-problems-of-registered-nurses-and-physicians-in-combat-zones
#19
Kristina Lundberg, Sofia Kjellström, Lars Sandman
BACKGROUND: When healthcare personnel take part in military operations in combat zones, they experience ethical problems related to dual loyalties, that is, when they find themselves torn between expectations of doing caring and military tasks, respectively. AIM: This article aims to describe how Swedish healthcare personnel reason concerning everyday ethical problems related to dual loyalties between care and military tasks when undertaking healthcare in combat zones...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28764735/occurrence-of-cardiorespiratory-diseases-and-impact-on-lifespan-in-swedish-irish-wolfhounds-a-retrospective-questionnaire-based-study
#20
Lovisa Orleifson, Ingrid Ljungvall, Katja Höglund, Jens Häggström
BACKGROUND: According to Swedish animal insurance data, Irish Wolfhounds (IW) are 29 times more likely to die from cardiac causes than the baseline breed. Dilated cardiomyopathy (DCM) has a high prevalence in the breed and the disease has been shown to be hereditary in IW. Few studies address respiratory diseases in IW, but reports suggest that the incidence of pneumonia is high. Respiratory diseases are reported as a common cause of death in the breed along with cardiac, neoplastic, musculoskeletal and gastrointestinal diseases...
August 2, 2017: Acta Veterinaria Scandinavica
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