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https://www.readbyqxmd.com/read/28540634/simplifying-contrast-induced-acute-kidney-injury-prediction-after-primary-percutaneous-coronary-intervention-the-age-creatinine-and-ejection-fraction-score
#1
Gustavo N Araujo, Fernando Pivatto Junior, Bruno Fuhr, Elvis P Cassol, Guilherme P Machado, Felipe H Valle, Luiz C Bergoli, Rodrigo V Wainstein, Carisi A Polanczyk, Marco V Wainstein
Contrast-induced acute kidney injury (CI-AKI) is a common event after percutaneous coronary intervention (PCI). Presently, the main strategy to avoid CI-AKI lies in saline hydration, since to date none pharmacologic prophylaxis proved beneficial. Our aim was to determine if a low complexity mortality risk model is able to predict CI-AKI in patients undergoing PCI after ST elevation myocardial infarction (STEMI). We have included patients with STEMI submitted to primary PCI in a tertiary hospital. The definition of CI-AKI was a raise of 0...
May 24, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28539977/human-immunodeficiency-virus-and-type-2-diabetes
#2
P Avari, S Devendra
The prevalence of diabetes is higher amongst individuals infected with HIV. The major contributor to hyperglycaemia is thought to be iatrogenic, with protease inhibitors being most commonly associated to insulin resistance. This article is to update general practitioners on the diagnosis and management of diabetes in HIV-infected patients. Specific considerations are highlighted including interactions of particular diabetic drugs with antiretroviral therapy (ART). We articulate why the use of Hemoglobin A1c (HbA1c) testing is not recommended as a diagnostic tool...
May 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28528745/measurement-of-electrochemical-conductance-of-penile-skin-using-sudoscan-%C3%A2-a-new-tool-to-assess-neurogenic-impotence
#3
Jean-Pascal Lefaucheur
OBJECTIVES: To investigate the value of electrochemical skin conductance (ESC) measurement at penile level using Sudoscan(®) for the diagnosis of neurogenic impotence in diabetics. METHODS: The following neurophysiological parameters were assessed in 25 male diabetics who complained of impotence and 25 age-matched normal male subjects without erectile dysfunction (age range: 29-70 years): ESC, sympathetic skin responses (SSR), warm detection thresholds (WDT), and cold detection thresholds (CDT) for the penis and the feet, vibration detection thresholds (VDT) for the penis, and sensory nerve conduction study of the dorsal nerve of the penis (DNP) with sensory nerve action potential (SNAP) recording...
May 18, 2017: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/28516067/cognitomics-a-new-approach-for-the-evaluation-of-the-relationship-between-diseases-and-cognition-to-be-designed-based-on-normal-behavioral-tendencies-in-real-life-a-conceptual-framework
#4
EDITORIAL
Ata Pourabbasi, Bagher Larijani
The relationship between medical diseases and cognition has been a point of interest in the last decades. In recent years studies in this field have developed significantly applying various tools such as cognitive tests using psychometric assessments and brain imaging techniques. The main focus of cognitive function in this studies is the process through which this cognition is obtained. It seems a novel methodology is needed while assessing the impact of diseases such as diabetes on cognition based on heavenly religious teachings in which cognition is believed to be the main source of human bliss and not just some measurable quantitative components...
2017: Journal of Diabetes and Metabolic Disorders
https://www.readbyqxmd.com/read/28516001/validity-usefulness-and-cost-of-reteval-system-for-diabetic-retinopathy-screening
#5
Humoud Al-Otaibi, Mohammed D Al-Otaibi, Rajiv Khandekar, Ches Souru, Abdulelah A Al-Abdullah, Hassan Al-Dhibi, Donald U Stone, Igor Kozak
PURPOSE: We studied the validity, usefulness, and relative cost to detect diabetic retinopathy (DR) and sight-threatening DR (STDR) by using a hand-held electrophysiologic tool compared to digital fundus photography. METHOD: Patients with diabetes attending the screening unit of King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia were evaluated by "RETeval", Amsler grid, and digital dilated fundus photography. Fundus images were evaluated by a retina specialist to determine grade of DR...
May 2017: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/28513004/effects-of-encapsulated-porcine-islets-on-glucose-and-c-peptide-concentrations-in-diabetic-nude-mice-6%C3%A2-months-after%C3%A2-intraperitoneal-transplantation
#6
Masuhiro Nishimura, Naho Iizuka, Yasutaka Fujita, Osamu Sawamoto, Shinichi Matsumoto
BACKGROUND: In patients with type 1 diabetes, allogeneic islet transplantation can provide normal HbA1c concentrations, but it requires immunosuppression. Transplanting encapsulated islets into the peritoneal cavity could reduce or eliminate the need for immunosuppression. One of the uncertain features of intraperitoneal islet transplantation is the difficulty of measuring C-peptide concentrations in peripheral blood, which is often used for the marker of islet function. We hypothesized that secreted C-peptide from intraperitoneally transplanted islets was mostly consumed in the peritoneal cavity, which resulted in low C-peptide concentrations in peripheral blood...
May 16, 2017: Xenotransplantation
https://www.readbyqxmd.com/read/28511962/interventions-for-prevention-of-type-2-diabetes-in-relatives-a-systematic-review
#7
REVIEW
Elena Dimcheva Dimova, Andrea Rene Mary Mohan, Vivien Swanson, Josie M M Evans
The relatives and partners of people with type 2 diabetes are at increased risk of developing type 2 diabetes. This systematic review examines randomized controlled trials, written in English that tested an intervention, which aimed to modify behaviors known to delay or prevent type 2 diabetes, among the relatives or partners of people with type 2 diabetes. Study quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Seven studies met the inclusion criteria. The majority of studies were at low risk of bias...
May 13, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28495904/assessing-total-retinal-blood-flow-in-diabetic-retinopathy-using-multiplane-en-face-doppler-optical-coherence-tomography
#8
Alex D Pechauer, Thomas S Hwang, Ahmed M Hagag, Liang Liu, Ou Tan, Xinbo Zhang, Maria Parker, David Huang, David J Wilson, Yali Jia
AIM: To assess total retinal blood flow (TRBF) in diabetic retinopathy (DR) using multiplane en face Doppler optical coherence tomography (OCT). METHODS: A 70 kHz spectral-domain OCT system scanned a 2×2 mm area centred at the optic disc of the eyes with DR and healthy participants. The multiplane en face Doppler OCT algorithm generated a three-dimensional volumetric data set consisting of 195 en face planes. The TRBF was calculated from the maximum flow values of each branching retinal vein at an optimised en face plane...
May 11, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28490370/behavioral-interventions-to-promote-adequate-sleep-among-women-protocol-for-a-systematic-review-and-meta-analysis
#9
Lydi-Anne Vézina-Im, Jennette Palcic Moreno, Theresa A Nicklas, Tom Baranowski
BACKGROUND: Short and poor sleep have been associated with adverse health outcomes in adults, such as overweight/obesity and type 2 diabetes, especially among women. Women therefore represent an important target for interventions aimed at improving sleep and such interventions have been advocated to enhance maternal, fetal, and infant health. This systematic review will assess the efficacy or effectiveness of behavioral interventions aimed at promoting adequate sleep among women. The primary outcomes will be changes in sleep duration and/or sleep quality from baseline to post-intervention and to the last available follow-up measured either through self-reports or objectively...
May 11, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28479559/adaptive-workflows-for-diabetes-management-self-management-assistant-and-remote-treatment-for-diabetes
#10
Iván Contreras, Stephan Kiefer, Josep Vehi
Diabetes self-management is a crucial element for all people with diabetes and those at risk for developing the disease. Diabetic patients should be empowered to increase their self-management skills in order to prevent or delay the complications of diabetes. This work presents the proposal and first development stages of a smartphone application focused on the empowerment of the patients with diabetes. The concept of this interventional tool is based on the personalization of the user experience from an adaptive and dynamic perspective...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28475695/in-pursuit-of-anchoring-vignettes-that-work-evaluating-generality-versus-specificity-in-vignette-texts
#11
Hanna Grol-Prokopczyk
Objective: Anchoring vignettes appear with growing frequency in surveys of health and aging, but little research investigates how to optimize their wording. This study experimentally tests whether mentioning specific health conditions and/or medical procedures enhances or undermines vignette validity. Methods: Three series of general health anchoring vignettes were fielded to 2,550 respondents in the Wisconsin Longitudinal Study: one mentioning no specific health conditions or procedures, one mentioning heart disease-related ones, and one mentioning diabetes-related ones...
May 5, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28474301/risk-score-model-of-type-2-diabetes-prediction-for-rural-chinese-adults-the-rural-deqing-cohort-study
#12
X Chen, Z Wu, Y Chen, X Wang, J Zhu, N Wang, Q Jiang, C Fu
OBJECTIVE: Risk score (RS) model is a cost-effective tool to identify adults who are at high risk for diabetes. This study was to develop an RS model of type 2 diabetes (T2DM) prediction specifically for rural Chinese adults. METHODS: A prospective whole cohort study (n = 28,251) and a sub-cohort study (n = 3043) were conducted from 2006-2014 and 2006-2008 to 2015 in rural Deqing, China. All participants were free of T2DM at baseline. Incident T2DM cases were identified through electronic health records, self-reported and fasting plasma glucose testing for the sub-cohort, respectively...
May 4, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28473873/high-awareness-of-diabetes-in-the-health-care-system-in-greenland-measured-as-a-proportion-of-population-tested-with-glycated-haemoglobin-within-2%C3%A2-years
#13
Michael Lynge Pedersen
BACKGROUND: Sixty years ago diabetes was almost non-existent in Greenland and until the beginning of this century awareness of diabetes was quite minimal. A high prevalence of undiagnosed diabetes has been reported in repeated population surveys. Increased focus on diabetes has been made a priority within the health care system since 2008, and in 2010 glycated haemoglobin was introduced as a diagnostic tool to further facilitate the diagnosis of diabetes. OBJECTIVE: The aim of this study was to estimate the age and gender specific use of glycated haemoglobin in 2014 and 2015, as an indicator of diagnostic activity and awareness of diabetes, and to estimate the prevalence of diagnosed pre-diabetes and diabetes among adults in Greenland aged 20-79 years of age...
2017: Diabetology & Metabolic Syndrome
https://www.readbyqxmd.com/read/28472140/validation-of-a-diabetes-numeracy-test-in-arabic
#14
Hussah Alghodaier, Hoda Jradi, Najwa Samantha Mohammad, Amen Bawazir
BACKGROUND: The prevalence of diabetes Mellitus in Saudi Arabia is 24%, ranking it among the top ten Worldwide. Diabetes education focuses on self-management and relies on numeracy skills. Poor numeracy may go unrecognized and it is important to have an assessment tool in Arabic to measure such a skill in diabetes care. OBJECTIVES: To validate a 15-item Diabetes Numeracy Test (DNT-15) in the Arabic Language as a tool to assess the numeracy skills of patients with diabetes and to test its properties among Saudi patients with diabetes...
2017: PloS One
https://www.readbyqxmd.com/read/28464578/-prognostic-factors-of-postoperative-delayed-gastric-emptying-after-pancreaticoduodenectomy-a-predictive-model
#15
H T Tan, Y Zong, Z Q Zhao, L F Wu, J Liu, B Sun, H C Jiang
Objective: To study the prognostic factors of delayed gastric emptying(DGE) after pancreaticoduodenectomy(PD) and construct a prognostic predictive model for clinical application. Methods: Clinic data of 401 consecutive patients who underwent PD between January 2012 and July 2016 in the First Affiliated Hospital of Harbin Medical University were retrospectively collected and analyzed. The patients were randomly selected to modeling group(n=299) and validation group(n=102) at a ratio of 3∶1. The data of modeling group were subjected to univariate and multivariate analysis for prognostic factors and to construct a prognostic predictive model of DGE after PD...
May 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28453475/modifiable-risk-factors-for-prevention-of%C3%A2-dementia-in-midlife-late-life-and-the-oldest-old-validation-of-the-libra-index
#16
Stephanie J B Vos, Martin P J van Boxtel, Olga J G Schiepers, Kay Deckers, Marjolein de Vugt, Isabelle Carrière, Jean-François Dartigues, Karine Peres, Sylvaine Artero, Karen Ritchie, Lucia Galluzzo, Emanuele Scafato, Giovanni B Frisoni, Martijn Huisman, Hannie C Comijs, Simona F Sacuiu, Ingmar Skoog, Kate Irving, Catherine A O'Donnell, Frans R J Verhey, Pieter Jelle Visser, Sebastian Köhler
BACKGROUND: Recently, the LIfestyle for BRAin health (LIBRA) index was developed to assess an individual's prevention potential for dementia. OBJECTIVE: We investigated the predictive validity of the LIBRA index for incident dementia in midlife, late life, and the oldest-old. METHODS: 9,387 non-demented individuals were recruited from the European population-based DESCRIPA study. An individual's LIBRA index was calculated solely based on modifiable risk factors: depression, diabetes, physical activity, hypertension, obesity, smoking, hypercholesterolemia, coronary heart disease, and mild/moderate alcohol use...
2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28443371/solutions-to-address-diabetes-related-financial-burden-and-cost-related-nonadherence-results-from-a-pilot-study
#17
Minal R Patel, Kenneth Resnicow, Ian Lang, Kathleen Kraus, Michele Heisler
BACKGROUND: Cost-related nonadherence (CRN) to recommended self-management behaviors among adults with chronic conditions such as diabetes is prevalent. Few behavioral interventions to mitigate CRN have been tested and evaluated. AIMS: We developed a financial burden resource tool and examined its acceptability and the preliminary effects on patient-centered outcomes among adults with diabetes or prediabetes seen in a clinical setting. METHOD: We report a pre-post one-group design pilot study...
April 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28440751/validation-in-daily-clinical-situations-of-diascope-%C3%A2-a-software-developed-to-help-healthcare-professionals-individualize-antidiabetic-treatment-in-type-2-diabetes
#18
Francisco Javier Ampudia-Blasco, Francisco Javier García-Soidán, Manuela Rubio Sánchez, Tra-Mi Phan
INTRODUCTION: DiaScope(®) is a software to help in individualized prescription of antidiabetic treatment in type 2 diabetes. This study assessed its value and acceptability by different professionals. MATERIAL AND METHODS: DiaScope(®) was developed based on the ADA-EASD 2012 algorithm and on the recommendation of 12 international diabetes experts using the RAND/UCLA appropriateness method. The current study was performed at a single session. In the first phase, 5 clinical scenarios were evaluated, selecting the most appropriated therapeutic option among 4 possibilities (initial test)...
March 2017: Endocrinol Diabetes Nutr
https://www.readbyqxmd.com/read/28435445/cardiometabolic-risk-factors-metabolic-syndrome-and-pre-diabetes-in-adolescents-in-the-sierra-region-of-ecuador
#19
Sharon L Casapulla, Cheryl A Howe, Gabriela Rosero Mora, Darlene Berryman, Mario J Grijalva, Edgar W Rojas, Masato Nakazawa, Jay H Shubrook
BACKGROUND: Excess weight (overweight and obesity) is the major modifiable risk factor for type 2 diabetes mellitus (T2DM) and other non-communicable diseases. However, excess weight may not be as predictive of diabetes risk as once thought. While excess weight and other obesity-related non-communicable diseases are of growing concern in low-middle income countries in Latin America, there is limited research on risk factors associated with T2DM in adolescents. This study investigated prevalence of overweight, obesity, prediabetes, diabetes and metabolic syndrome in adolescents in Ecuador...
2017: Diabetology & Metabolic Syndrome
https://www.readbyqxmd.com/read/28431133/prediction-of-sudden-and-non-sudden-cardiac-death-in-post-infarction-patients-with-reduced-left-ventricular-ejection-fraction-by-periodic-repolarization-dynamics-madit-ii-substudy
#20
Konstantinos D Rizas, Scott McNitt, Wolfgang Hamm, Steffen Massberg, Stefan Kääb, Wojciech Zareba, Jean-Philippe Couderc, Axel Bauer
Aims: To test the value of Periodic Repolarization Dynamics (PRD), a recently validated electrocardiographic marker of sympathetic activity, as a novel approach to predict sudden cardiac death (SCD) and non-sudden cardiac death (N-SCD) and to improve identification of patients that profit from ICD-implantation. Methods and results: We included 856 post-infarction patients with left-ventricular ejection fraction (LVEF) ≤30% of the MADIT-II trial in sinus rhythm...
April 18, 2017: European Heart Journal
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