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https://www.readbyqxmd.com/read/29472251/secondary-stroke-prevention-services-in-canada-a-cross-sectional-survey-and-geospatial-analysis-of-resources-capacity-and-geographic-access
#1
Lauren Jewett, Adil Harroud, Michael D Hill, Robert Côté, Theodore Wein, Eric E Smith, Gord Gubitz, Andrew M Demchuk, Demetrios J Sahlas, David J Gladstone, M Patrice Lindsay
BACKGROUND: Rapid assessment and management of transient ischemic attacks and nondisabling strokes by specialized stroke prevention services reduces the risk of recurrent stroke and improves outcomes. In Canada, with its vast geography and with 16.8% of the population living in rural areas, access to these services is challenging, and considerable variation in access to care exists. The purpose of this multiphase study was to identify sites across Canada providing stroke prevention services, evaluate resource capacity and determine geographic access for Canadians...
February 21, 2018: CMAJ Open
https://www.readbyqxmd.com/read/29470346/utilisation-of-declined-liver-grafts-yields-comparable-transplant-outcomes-and-previous-decline-should-not-be-a-deterrent-to-graft-use
#2
Francesca Marcon, Andrea Anja Schlegel, David Bartlett, Marit Kalisvaart, Dawn Bishop, Hynek Mergental, Keith Roberts, Darius Mirza, John Isaac, Paolo Muiesan, Thamara Perera
BACKGROUND: In the United Kingdom, up to 20% of liver graft offers are not utilized for transplantation and the reasons for graft refusal are multi-factorial and not consistent amongst transplant units. METHODS: Liver grafts previously declined by other transplant centers in UK but transplanted in our unit in Birmingham between 2011 and 2015 were analyzed. According to the indicated reason for previous declines, liver grafts were categorized into 3 refusal groups: "quality", "logistics" and "other reasons"...
February 22, 2018: Transplantation
https://www.readbyqxmd.com/read/29468346/drivers-of-sexual-inactivity-among-women-living-with-hiv-and-aids-findings-of-the-genih-study-in-s%C3%A3-o-paulo-brazil
#3
Adriana de Araujo Pinho, Regina Maria Barbosa, Sandra Brignol, Wilza Villela, Simone Souza Monteiro
The advances on HIV/AIDS diagnosis and treatment have enabled people living with HIV/AIDS (PLHA) better quality of life. However, the persistence of HIV-related stigma and discrimination, and the risks triggered by HIV disclosure, may be a barrier to the sexual exercise of PLHA. We investigated the prevalence of sexual inactivity and the reasons given for it among a representative sample of women of reproductive age living with HIV/AIDS (WLWHA) in the municipality of São Paulo, Brazil. We surveyed 918 WLWHA with probability proportional to average number of visits in each of the 18 referral HIV/AIDS services...
February 21, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29465243/converging-energy-transfer-in-polynuclear-ru-ii-multiterpyridine-complexes-significant-enhancement-of-luminescent-properties
#4
Simon Cerfontaine, Lionel Marcélis, Baptiste Laramee-Milette, Garry S Hanan, Frédérique Loiseau, Julien De Winter, Pascal Gerbaux, Benjamin Elias
Ruthenium-based complexes are widely used as photocatalysts, as photosensitizers, or as building blocks for supramolecular assemblies. In the field of solar energy conversion, building light harvesting antenna is of prime interest. Nevertheless, collecting light is mandatory but not sufficient; once collected and transferred, the exciton has to be long-lived enough to be transferred to a catalytic site. If Ru(II) terpyridine complexes are prime building blocks for structural reasons, the short lifetime of their excited state prevents their use as a harvesting center in light antennae...
February 21, 2018: Inorganic Chemistry
https://www.readbyqxmd.com/read/29463292/effectiveness-of-interventions-aimed-at-improving-physical-and-psychological-outcomes-of-fall-related-injuries-in-people-with-dementia-a-narrative-systematic-review
#5
Shannon Robalino, Sarange B Nyakang'o, Fiona R Beyer, Chris Fox, Louise M Allan
BACKGROUND: The annual prevalence of falls in people with dementia ranges from 47 to 90%. Falls are a common reason for hospital admission in people with dementia, and there is limited research evidence regarding the care pathways experienced by this population. In addition to immediate management of an injury, prevention of further falls is likely to be an important part of any successful intervention. This review aims to assess the effectiveness of interventions for improving the physical and psychological wellbeing of people with dementia who have sustained a fall-related injury...
February 20, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29463201/effectiveness-of-gonacon-as-an-immunocontraceptive-in-colony-housed-cats
#6
Amy Fischer, Valerie Aw Benka, Joyce Briggs, Marc-Antoine Driancourt, Joanne Maki, Darcy So Mora, Kevin Morris, Kayla A Myers, Linda Rhodes, Lindsey M Vansandt, George Robert Weedon, Julie Wolf, Julie K Levy
Objectives Non-surgical contraceptive management of free-roaming cat populations is a global goal for public health and humane reasons. The objectives of this study were to measure the duration of contraception following a single intramuscular injection of a gonadotropin-releasing hormone-based vaccine (GonaCon) and to confirm its safe use in female cats living in colony conditions. Methods GonaCon (0.5 ml/cat) was administered intramuscularly to 20 intact female cats (queens), and saline was administered to 10 queens serving as sham-treated controls...
February 1, 2018: Journal of Feline Medicine and Surgery
https://www.readbyqxmd.com/read/29462186/lack-of-infrastructure-social-and-cultural-factors-limit-physical-activity-among-patients-with-type-2-diabetes-in-rural-sri-lanka-a-qualitative-study
#7
Arjuna Medagama, Manoj Galgomuwa
INTRODUCTION: South Asians have high prevalence of diabetes, increased cardiovascular risk and low levels of physical activity (PA). Reasons for low levels of PA have not previously been explored among Asians living within their endogenous environment. This qualitative study was performed to explore the contextual reasons that limited PA among type 2 diabetic patients living in a rural community. METHODS: Purposeful sampling recruited 40 participants with long standing type 2 diabetes for this qualitative study...
2018: PloS One
https://www.readbyqxmd.com/read/29461021/respiratory-syncytial-virus-is-an-opportunistic-killer
#8
REVIEW
Mauricio T Caballero, Fernando P Polack
Respiratory syncytial virus (RSV), responsible for more than three million yearly hospitalizations and up to 118 000 deaths in children under 5 years, is the leading pulmonary cause of death for this age group that lacks a licensed vaccine. Ninety-nine percent of deaths due to the virus occur in developing countries. In-hospital RSV fatalities affect previously healthy term infants in association with bacterial sepsis, clinically significant pneumothoraxes and, to a lesser extent, comorbid conditions. Community deaths affect low-income children from socially vulnerable families and appear to be as frequent as inpatient fatalities...
February 20, 2018: Pediatric Pulmonology
https://www.readbyqxmd.com/read/29460275/community-screening-for-visual-impairment-in-older-people
#9
REVIEW
Emily L Clarke, Jennifer R Evans, Liam Smeeth
BACKGROUND: Visual problems in older people are common and frequently under-reported. The effects of poor vision in older people are wide reaching and include falls, confusion and reduced quality of life. Much of the visual impairment in older ages can be treated (e.g. cataract surgery, correction of refractive error). Vision screening may therefore reduce the number of older people living with sight loss. OBJECTIVES: The objective of this review was to assess the effects on vision of community vision screening of older people for visual impairment...
February 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29460081/critiquing-the-reasons-for-making-artificial-moral-agents
#10
Aimee van Wynsberghe, Scott Robbins
Many industry leaders and academics from the field of machine ethics would have us believe that the inevitability of robots coming to have a larger role in our lives demands that robots be endowed with moral reasoning capabilities. Robots endowed in this way may be referred to as artificial moral agents (AMA). Reasons often given for developing AMAs are: the prevention of harm, the necessity for public trust, the prevention of immoral use, such machines are better moral reasoners than humans, and building these machines would lead to a better understanding of human morality...
February 19, 2018: Science and Engineering Ethics
https://www.readbyqxmd.com/read/29458850/for-the-greater-good-programmed-cell-death-in-bacterial-communities
#11
REVIEW
Stijn H Peeters, Marien I de Jonge
For a long a time programmed cell death was thought to be a unique characteristic of higher eukaryotes, but evidence has accumulated showing that programmed cell death is a universal phenomenon in all life forms. Many different types of bacterial programmed cell death systems have been identified, rivalling the eukaryotic systems in diversity. Bacteria are singular, seemingly independently living organisms, however they are part of complex communities. Being part of a community seems indispensable for survival in different environments...
March 2018: Microbiological Research
https://www.readbyqxmd.com/read/29456436/learning-activity-predictors-from-sensor-data-algorithms-evaluation-and-applications
#12
Bryan Minor, Janardhan Rao Doppa, Diane J Cook
Recent progress in Internet of Things (IoT) platforms has allowed us to collect large amounts of sensing data. However, there are significant challenges in converting this large-scale sensing data into decisions for real-world applications. Motivated by applications like health monitoring and intervention and home automation we consider a novel problem called Activity Prediction , where the goal is to predict future activity occurrence times from sensor data. In this paper, we make three main contributions...
December 1, 2017: IEEE Transactions on Knowledge and Data Engineering
https://www.readbyqxmd.com/read/29456425/reasons-for-open-and-closed-attitudes-regarding-type-1-diabetes
#13
Jamie K Easler, Helena M Haueter, Susanne Olsen Roper, Donna Freeborn, Tina Dyches
Thirty-one adults with type 1 diabetes participated in this qualitative study to explore reasons why they were willing (had an open attitude) or unwilling (had a closed attitude) to disclose diabetes-related information to others. Participants (61.3% female, mean age 38.48 years, mean duration of diabetes 21.94 years, 100% white) answered open-ended questions about living with type 1 diabetes. Interviews were transcribed verbatim and coded to identify major patterns that emerged in the data. Reasons for open attitudes included support from others, confidence and feeling comfortable, feeling normal despite diabetes, seeking to educate, and feeling that it was not a major concern to share information with others...
February 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29455762/bvs-rdn-iabp-the-afghanistan-of-interventional-cardiology-trials
#14
EDITORIAL
Sundeep Mishra
In the field of medicine and cardiology newer therapy and devices have been launched with a huge promise and a lot of hype. Unfortunately, over the course of time, a good many of them like biovascular scaffold, renal denervation and intra-aortic balloon pump have failed to live up to their initial promise so much so that some of them have been withdrawn. The reason for this downfall may be multifold from incomplete understanding of the patho-physiology of disease, incomplete understanding of mechanism of action of the therapy, in-appropriate application in clinical practice, in-efficient therapy development related to flawed trial design, regulatory impediments placed on the trials or deficits in application of scientific techniques...
January 2018: Indian Heart Journal
https://www.readbyqxmd.com/read/29453362/long-term-bladder-and-bowel-management-after-spinal-cord-injury-a-20-year-longitudinal-study
#15
Gordana Savic, Hans L Frankel, Mohamed Ali Jamous, Bakulesh M Soni, Susan Charlifue
STUDY DESIGN: Prospective observational. AIM: The aim of this study was to analyse changes in bladder and bowel management methods in persons with long-standing spinal cord injury (SCI). SETTING: Two spinal centres in UK. METHOD: Data were collected through interviews and examinations between 1990 and 2010 in a sample of persons injured more than 20 years prior to 1990. RESULTS: For the 85 participants who completed the 2010 follow-up, the mean age was 67...
February 16, 2018: Spinal Cord
https://www.readbyqxmd.com/read/29451917/perceived-behavioral-control-as-a-potential-precursor-of-walking-three-times-a-week-patient-s-perspectives
#16
Peter Busse, J Jaime Miranda
BACKGROUND: Behavior change theories can identify people's main motivations to engage in recommended health practices and thus provide better tools to design interventions, particularly human centered design interventions. OBJECTIVES: This study had two objectives: (a) to identify salient beliefs about walking three times a week for 30 minutes nonstop among patients with hypertension in a low-resource setting and, (b) to measure the relationships among intentions, attitudes, perceived social pressure and perceived behavioral control about this behavior...
2018: PloS One
https://www.readbyqxmd.com/read/29451614/agreement-between-underlying-cause-and-preventability-of-infant-deaths-before-and-after-the-investigation-in-recife-pernambuco-state-brazil-2014
#17
Lays Janaina Prazeres Marques, Dayane da Rocha Pimentel, Conceição Maria de Oliveira, Mirella Bezerra Rodrigues Vilela, Paulo Germano Frias, Cristine Vieira do Bonfim
OBJECTIVE: to assess the agreement and describe the causes and preventability of infant deaths before and after the investigation. METHODS: investigation files and death certificates of infants under one year, of mothers living in Recife, Brazil, in 2014 were used; the Cohen kappa index was adopted for agreement analysis of the underlying causes of death; the list of preventable causes of deaths by interventions of the Brazilian National Health System was also adopted...
2018: Epidemiologia e Servicos de Saude: Revista do Sistema Unico de Saude do Brasil
https://www.readbyqxmd.com/read/29449946/prescriber-continuity-and-medication-availability-in-older-adults-with-cardiometabolic-conditions
#18
Matthew L Maciejewski, Bradley G Hammill, Corrine I Voils, Laura Ding, Elizabeth A Bayliss, Lesley H Curtis, Virginia Wang
Background: Many older adults have multiple conditions and see multiple providers, which may impact their use of essential medications. Objective: We examined whether the number of prescribers of these medications was associated with the availability of medications, a surrogate for adherence, to manage diabetes, hypertension or dyslipidemia. Methods: A retrospective cohort of 383,145 older adults with diabetes, hypertension or dyslipidemia in the US Medicare program living in 10 states...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29447790/fine-particulate-matter-and-incident-coronary-heart-disease-in-the-regards-cohort
#19
Matthew Shane Loop, Leslie A McClure, Emily B Levitan, Mohammad Z Al-Hamdan, William L Crosson, Monika M Safford
Chronic exposure to fine particulate matter (PM 2.5 ) is accepted as a causal risk factor for coronary heart disease (CHD). However, most of the evidence for this hypothesis is based upon cohort studies in whites, comprised of either only males or females who live in urban areas. It is possible that many estimates of the effect of chronic exposure to PM 2.5 on risk for CHD do not generalize to more diverse samples. METHODS: Therefore, we estimated the relationship between chronic exposure to PM 2...
March 2018: American Heart Journal
https://www.readbyqxmd.com/read/29444674/the-gendered-experience-with-respect-to-health-seeking-behaviour-in-an-urban-slum-of-kolkata-india
#20
Moumita Das, Federica Angeli, Anja J S M Krumeich, Onno C P van Schayck
BACKGROUND: Empirical evidence shows that the relationship between health-seeking behaviour and diverse gender elements, such as gendered social status, social control, ideology, gender process, marital status and procreative status, changes across settings. Given the high relevance of social settings, this paper intends to explore how gender elements interact with health-seeking practices among men and women residing in an Indian urban slum, in consideration of the unique socio-cultural context that characterises India's slums...
February 14, 2018: International Journal for Equity in Health
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