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https://www.readbyqxmd.com/read/29652166/ambulance-use-distance-and-outcomes-in-patients-with-suspected-cardiovascular-disease-a-registry-based-geographic-information-system-study
#1
Nariman Sepehrvand, Wendimagegn Alemayehu, Padma Kaul, Rick Pelletier, Aminu K Bello, Robert C Welsh, Paul W Armstrong, Justin A Ezekowitz
BACKGROUND: Despite guideline recommendations, the majority of patients with symptoms suggestive of acute coronary syndrome do not use emergency medical services to reach the emergency department (ED). The aim of this study was to investigate the factors associated with EMS utilisation and subsequent patient outcomes. METHODS: Using administrative data, all patients who presented to an ED in the metropolitan areas of Edmonton and Calgary in the years of 2007-2013 with main ED diagnosis of acute coronary syndrome, stable angina or chest pain were included...
April 1, 2018: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/29629606/cancer-and-complementary-therapies-current-trends-in-survivors-interest-and-use
#2
Maryam Qureshi, Erin Zelinski, Linda E Carlson
BACKGROUND: Cancer survivors use complementary therapies (CTs) for a variety of reasons; however, with interest and use reportedly on the rise and a widening range of products and practices available, there is a need to establish trends in and drivers of interest. We aimed to determine (1) frequencies of use, level of interest, and barriers for 30 specific CTs and (2) whether physical symptoms, perceived stress (PS), or spiritual well-being were related to interest levels. METHOD: A total of 212 cancer outpatients were surveyed at the Tom Baker Cancer Centre in Calgary, Canada...
April 1, 2018: Integrative Cancer Therapies
https://www.readbyqxmd.com/read/29619348/balancing-the-need-for-clinical-photography-with-patient-privacy-issues-the-search-for-a-secure-smartphone-application-to-take-and-store-clinical-photographs
#3
Danielle O Dumestre, Frankie O G Fraulin
Background: Physicians are increasingly using smartphones to take clinical photographs. This study evaluates a smartphone application for clinical photography that prioritizes and facilitates patient security. Methods: Ethics approval was obtained to trial a smartphone clinical photography application, PicSafe Medi. Calgary plastic surgeons and residents used the application to obtain informed consent and photograph patients. Surveys gauging the application's usability, consent process, and photograph storage/sharing were then sent to surgeons and patients...
November 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29618389/barriers-and-facilitators-for-guidelines-with-depression-and-anxiety-in-parkinson-s-disease-or-dementia
#4
Zahra Goodarzi, Heather M Hanson, Nathalie Jette, Scott Patten, Tamara Pringsheim, Jayna Holroyd-Leduc
ABSTRACTOur primary objective was to understand the barriers and facilitators associated with the implementation of high-quality clinical practice guidelines (CPGs) for depression and anxiety in patients with dementia or Parkinson's disease (PD). We conducted focus groups or interviews with participants experiencing dementia or PD, their caregivers, and physicians in Calgary, Alberta, and applied the theoretical domains framework and behaviour change wheel to guide data collection and perform a framework analysis...
April 5, 2018: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29617744/natural-history-of-eosinophilic-esophagitis-a-systematic-review-of-epidemiology-and-disease-course
#5
N J Shaheen, V Mukkada, C S Eichinger, H Schofield, L Todorova, G W Falk
Eosinophilic esophagitis is a chronic immune-mediated esophageal disorder. For its timely diagnosis, clinicians must recognize common symptoms, and understand differences in symptoms across patient groups. The aim of this study is to systematically review the epidemiology and natural history of eosinophilic esophagitis. The MEDLINE, Embase, and Cochrane databases were searched from 1974 to February 2017 for studies describing the epidemiology and natural history of eosinophilic esophagitis. Congress abstracts from 2014 to 2016 were also searched...
March 31, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29615526/the-effect-of-rearing-environment-on-memory-formation
#6
Cailin M Rothwell, Gaynor E Spencer, Ken Lukowiak
Lymnaea stagnalis is a well-studied model system for determining how changes in the environment influence associative learning and memory formation. For example, some wild strains of Lymnaea , collected from separate geographic locations show superior memory-forming abilities compared to others. Here, we have studied memory formation in two laboratory-bred Lymnaea strains, derived from the same original population in The Netherlands. The two strains were reared in two different laboratories at the University of Calgary (C-strain) and at Brock University (B-strain) for many years and were found to differ in their memory-forming ability...
April 3, 2018: Journal of Experimental Biology
https://www.readbyqxmd.com/read/29615138/variability-of-renal-colic-management-and-outcomes-in-two-canadian-cities
#7
Grant Innes, Andrew McRae, Eric Grafstein, Michael Law, Joel M H Teichman, Bryce Weber, Kevin Carlson, Heidi Boyda, James Andruchow
CLINICIAN'S CAPSULE What is known about the topic? Most ureteral stones pass spontaneously, but intervention is an option. No trials have compared conservative vs. interventional treatment. What did this study ask? We compared 60-day outcomes for ED patients with ureteral colic in Calgary and Vancouver. What did this study find? Index intervention rate was seven-fold higher in Calgary. Calgary patients had more subsequent ED revisits and hospitalizations. Adverse outcomes were associated with intervention for small stones and with non-intervention for large stones...
April 4, 2018: CJEM
https://www.readbyqxmd.com/read/29603917/a-population-based-study-examining-the-influence-of-a-specialized-rapid-access-cancer-clinic-on-initial-treatment-choice-in-localized-prostate-cancer
#8
Larissa J Vos, Clement K Ho, Bryan J Donnelly, J Dean Reuther, Marc Kerba
INTRODUCTION: Treatment decisions in localized prostate cancer are complicated by the available choices. A rapid-access cancer clinic (RAC) has been unique to Calgary, AB, since 2007. This RAC offers multidisciplinary prostate cancer education by a urologist, medical oncologist, and radiation oncologist. It is hypothesized that treatment utilization data from decisions taken at RAC may serve to benchmark the appropriateness of treatment decisions on a population level. METHODS: Records of patients with clinically localized prostate cancer in Alberta between October 1, 2007 and September 30, 2009 were reviewed with ethics approval...
March 19, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/29584866/levels-of-serum-brain-derived-neurotropic-factor-in-individuals-at-ultra-high-risk-for-psychosis-findings-from-the-longitudinal-youth-at-risk-study-lyriks
#9
Jie Yin Yee, Tih-Shih Lee, Jimmy Lee
Background: Identifying biomarkers to enrich prognostication and risk predictions in individuals at high risk of developing psychosis will enable stratified early intervention efforts. Brain-derived neurotrophic factor (BDNF) has been widely studied in schizophrenia and in first-episode psychosis with promising results. The aim of this study was to examine the levels of serum BDNF between healthy controls and individuals with ultra-high risk of psychosis (UHR). Methods: A sample of 106 healthy controls and 105 UHR individuals from the Longitudinal Youth at Risk Study was included in this study...
March 23, 2018: International Journal of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29555341/knowledge-translation-to-optimize-adult-inpatient-glycemic-management-with-basal-bolus-insulin-therapy-and-improve-patient-outcomes
#10
Karmon E Helmle, Sunita Chacko, Trevor Chan, Alison Drake, Alun L Edwards, Glenda E Moore, Leta C Philp, Naomi Popeski, Rhonda L Roedler, Edwin J R Rogers, Gabrielle L Zimmermann, Julie McKeen
OBJECTIVES: To develop and evaluate a Basal Bolus Insulin Therapy (BBIT) Knowledge Translation toolkit to address barriers to adoption of established best practice with BBIT in the care of adult inpatients. METHODS: This study was conducted in 2 phases and focused on the hospitalist provider group across 4 acute care facilities in Calgary. Phase 1 involved a qualitative evaluation of provider and site specific barriers and facilitators, which were mapped to validated interventions using behaviour change theory...
December 27, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/29554146/evaluation-of-classical-and-novel-autoantibodies-for-the-diagnosis-of-primary-biliary-cholangitis-autoimmune-hepatitis-overlap-syndrome-pbc-aih-os
#11
Henry H Nguyen, Abdel Aziz Shaheen, Natalia Baeza, Ellina Lytvyak, Stefan J Urbanski, Andrew L Mason, Gary L Norman, Marvin J Fritzler, Mark G Swain
BACKGROUND AND AIMS: Up to 20% of Primary Biliary Cholangitis (PBC) patients are estimated to have features that overlap with Autoimmune Hepatitis (AIH). Patients with PBC-AIH overlap syndrome (PBC-AIH OS) have been reported to exhibit suboptimal responses to ursodeoxycholic acid therapy, and are more likely to progress to cirrhosis. Anti-double stranded DNA (anti-dsDNA) and anti-p53 have been previously suggested to be potential autoantibodies for identifying patients with PBC-AIH OS...
2018: PloS One
https://www.readbyqxmd.com/read/29534681/increasing-incidence-of-syphilis-among-patients-engaged-in-hiv-care-in-alberta-canada-a-retrospective-clinic-based-cohort-study
#12
Raynell Lang, Ron Read, Hartmut B Krentz, Soheil Ramazani, Mingkai Peng, Jennifer Gratrix, M John Gill
BACKGROUND: Syphilis is a global health concern disproportionately affecting HIV-infected populations. In Alberta, Canada, the incidence of syphilis in the general population has recently doubled with 25% of these infections occurring in HIV-infected patients. The Southern Alberta HIV Clinic (SAC) and Calgary STI Program (CSTI) analyzed the epidemiologic characteristics of incident syphilis infections in our well-defined, HIV-infected population over 11 years. METHODS: Since 2006, as routine practice of both the Southern Alberta Clinic (SAC) and Calgary STI Programs (CSTI), syphilis screening has accompanied HIV viral load measures every four months...
March 13, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29533799/ambient-volatile-organic-compounds-vocs-in-calgary-alberta-sources-and-screening-health-risk-assessment
#13
Md Aynul Bari, Warren B Kindzierski
Exposure to ambient volatile organic compound (VOCs) in urban areas is of interest because of their potential chronic and acute adverse effects to public health. Limited information is available about VOC sources in urban areas in Canada. An investigation of ambient VOCs levels, their potential sources and associated risks to public health was undertaken for the urban core of Alberta's largest city (downtown Calgary) for the period 2010-2015. Twenty-four hour arithmetic and geometric mean concentrations of total VOCs were 42μg/m3 and 39μg/m3 , respectively and ranged from 16 to 160μg/m3 , with winter levels about two-fold higher than summer...
March 10, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29518062/robust-segmentation-of-planar-and-linear-features-of-terrestrial-laser-scanner-point-clouds-acquired-from-construction-sites
#14
Reza Maalek, Derek D Lichti, Janaka Y Ruwanpura
Automated segmentation of planar and linear features of point clouds acquired from construction sites is essential for the automatic extraction of building construction elements such as columns, beams and slabs. However, many planar and linear segmentation methods use scene-dependent similarity thresholds that may not provide generalizable solutions for all environments. In addition, outliers exist in construction site point clouds due to data artefacts caused by moving objects, occlusions and dust. To address these concerns, a novel method for robust classification and segmentation of planar and linear features is proposed...
March 8, 2018: Sensors
https://www.readbyqxmd.com/read/29512489/assessment-of-hand-superficial-oxygenation-during-ischemia-reperfusion-in-healthy-subjects-versus-systemic-sclerosis-patients-by-2d-near-infrared-spectroscopic-imaging
#15
Bushra Jalil, Valentina Hartwig, Ovidio Salvetti, Luca Potì, Luna Gargani, Tatiana Barskova, Marco Matucci Cerinic, A L'Abbate
BACKGROUND AND OBJECTIVE: Patients affected by systemic sclerosis (SSc) develop functional and structural microcirculatory dysfunction, which progressively evolves towards systemic tissue fibrosis (sclerosis). Disease initially affects distal extremities, which become preferential sites of diagnostic scrutiny. This pilot investigation tested the hypothesis that peripheral microcirculatory dysfunction in SSc could be non-invasively assessed by 2D Near Infrared Spectroscopic (NIRS) imaging of the hand associated with Vascular Occlusion Testing (VOT)...
March 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29503230/effects-of-a-lifestyle-intervention-on-psychosocial-well-being-of-severe-mentally-ill-residential-patients-elips-a-cluster-randomized-controlled-pragmatic-trial
#16
Annemarie P M Stiekema, Anne Looijmans, Lisette van der Meer, Richard Bruggeman, Robert A Schoevers, Eva Corpeleijn, Frederike Jörg
Large studies investigating the psychosocial effects of lifestyle interventions in patients with a severe mental illness (SMI) are scarce, especially in residential patients. This large, randomized controlled, multicentre pragmatic trial assessed the psychosocial effects of a combined diet-and-exercise lifestyle intervention targeting the obesogenic environment of SMI residential patients. Twenty-nine sheltered and clinical care teams were randomized into intervention (n=15) or control (n=14) arm. Team tailored diet-and-exercise lifestyle plans were set up to change the obesogenic environment into a healthier setting, and team members were trained in supporting patients to make healthier choices...
March 1, 2018: Schizophrenia Research
https://www.readbyqxmd.com/read/29481104/individual-differences-in-semantic-processing-insights-from-the-calgary-semantic-decision-project
#17
Penny M Pexman, Melvin J Yap
Most previous studies of semantic processing have examined group-level data. We investigated the possibility that there might be individual differences in semantic decision performance even among the standard undergraduate population and that such differences might provide insights into semantic processing. We analyzed the Calgary Semantic Decision Project dataset, which includes concrete/abstract semantic decision responses to thousands of words and also a vocabulary measure for each of 312 participants. Results of our analyses showed that semantic decision responses had good reliability, and that the speed of those responses was related to individual differences as assessed by vocabulary scores and also by diffusion model parameters...
February 26, 2018: Journal of Experimental Psychology. Learning, Memory, and Cognition
https://www.readbyqxmd.com/read/29439722/tomatidine-and-analog-fc04-100-possess-bactericidal-activities-against-listeria-bacillus-and-staphylococcus-spp
#18
Isabelle Guay, Simon Boulanger, Charles Isabelle, Eric Brouillette, Félix Chagnon, Kamal Bouarab, Eric Marsault, François Malouin
BACKGROUND: Tomatidine (TO) is a plant steroidal alkaloid that possesses an antibacterial activity against the small colony variants (SCVs) of Staphylococcus aureus. We report here the spectrum of activity of TO against other species of the Bacillales and the improved antibacterial activity of a chemically-modified TO derivative (FC04-100) against Listeria monocytogenes and antibiotic multi-resistant S. aureus (MRSA), two notoriously difficult-to-kill microorganisms. METHODS: Bacillus and Listeria SCVs were isolated using a gentamicin selection pressure...
February 13, 2018: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29438295/patient-centered-communication
#19
Cynthia A Naughton
As the population ages, morbidity and mortality associated with chronic disease will increase. Some patient-centered improvements have been made in health care services, but optimal health has not been fully realized. Only when pharmacists have a holistic understanding of an individual patient, including their experience of illness and medication, can they effectively assess appropriateness, safety, efficacy, and adherence to medications and develop realistic treatment plans. When patients are involved in their care, they are better able to manage complex chronic conditions by understanding and adhering to their plan of care...
February 13, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29421173/effects-of-chlorpromazine-on-sleep-quality-clinical-and-emotional-measures-among-patients-with-schizophrenia
#20
Qingli Meng, Rongqin Li, Feng Hou, Qiulan Zhang
OBJECTIVES: The present study was aimed to examine the effects of chlorpromazine on sleep quality, clinical and emotional measures in people suffering from schizophrenia. PATIENTS AND METHODS: Twenty-five patients with schizophrenia or schizoaffective disorder were enrolled in this study. Our study included a one-week running-in no-treatment period and two-month experimental period. Patients received chlorpromazine during the experimental period. The baseline and treatment outcome were recorded...
February 2018: Clinical Neurology and Neurosurgery
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