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https://www.readbyqxmd.com/read/29790631/allied-health-clinicians-using-translational-research-in-action-to-develop-a-reliable-stroke-audit-tool
#1
Philip Abery, Suzanne Kuys, Mary Lynch, Nancy Low Choy
OBJECTIVE: To design and establish reliability of a local stroke audit tool by engaging allied health clinicians within a privately funded hospital. METHODS: Design: Two-stage study involving a modified Delphi process to inform stroke audit tool development and inter-tester reliability. PARTICIPANTS: Allied health clinicians. INTERVENTIONS: A modified Delphi process to select stroke guideline recommendations for inclusion in the audit tool...
May 23, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29761293/stable-but-progressive-nature-of-heart-failure-considerations-for-primary-care-physicians
#2
REVIEW
Inder Anand
Primary care physicians play a significant role in managing heart failure (HF), with the goals of reducing mortality, avoiding hospitalization, and improving patients' quality of life. Most HF-related hospitalizations and deaths occur in patients with New York Heart Association functional class II or III, many of whom are perceived to have stable disease, which often progresses without clinical symptoms due to underlying deleterious effects of neurohormonal imbalance and endothelial dysfunction. Management includes lifestyle changes and stepped pharmacological therapy directed at the four stages of HF, with aggressive uptitration of therapies, including beta-blockers and inhibitors of the renin-angiotensin-aldosterone system...
May 14, 2018: American Journal of Cardiovascular Drugs: Drugs, Devices, and Other Interventions
https://www.readbyqxmd.com/read/29753929/best-practices-for-developmental-toxicity-assessment-for-classification-and-labeling
#3
George Daston, Aldert Piersma, Leonello Attias, Manon Beekhuijzen, Connie Chen, Jennifer Foreman, Nina Hallmark, Isabelle Leconte
Many chemicals are going through a hazard-based classification and labeling process in Europe. Because of the significant public health implications, the best science must be applied in assessing developmental toxicity data. The European Teratology Society and Health and Environmental Sciences Institute co-organized a workshop to consider best practices, including data quality and consistency, interpretation of developmental effects in the presence of maternal toxicity, human relevance of animal data, and limits of chemical classes...
May 10, 2018: Reproductive Toxicology
https://www.readbyqxmd.com/read/29753655/are-the-u-s-territories-lagging-behind-in-diabetes-care-practices
#4
Rachel P Ogilvie, Shivani A Patel, K M Venkat Narayan, Neil K Mehta
AIMS: Although U.S. territories fall within the mandate outlined by Healthy People 2020, they remain neglected in diabetes care research. We compared the prevalence and secular trends of four recommended diabetes care practices in the U.S. territories of Guam, Puerto Rico, and the U.S. Virgin Islands to the 50 United States and D.C. ("U.S. States") in 2001-2015. METHODS: Data were from 390,268 adult participants with self-reported physician diagnosed diabetes in the Behavioral Risk Factor Surveillance System...
May 9, 2018: Primary Care Diabetes
https://www.readbyqxmd.com/read/29721589/cardiovascular-outcome-in-type-2-diabetes-and-atrial-fibrillation
#5
A Costard-Jäckle, D Tschöpe, T Meinertz
Diabetes is an independent risk factor for atrial fibrillation (AF). Frequently, it is part of the metabolic syndrome cluster, which includes obesity and hypertension that are independently associated with AF. The risk appears to be higher with longer duration of diabetes and inadequate glycemic control. Patients with diabetes and AF have a substantially increased risk of death and serious cardiovascular complications compared with those in sinus rhythm. Conversely, good metabolic control appears to be associated with maintenance of rhythm after successful therapeutic conversion to sinus rhythm by catheter ablation or electrical cardioconversion of AF...
May 2, 2018: Herz
https://www.readbyqxmd.com/read/29706469/what-drives-intentional-overdose-with-non-prescription-drugs-a-cross-sectional-study
#6
K A Al Kubaisi, M D SteCroix, D Vinson, M N Hassan, M R Baig, S L Sharif, A R Abduelkarem
BACKGROUND: Use of overdosage of Non-Prescription Drugs (NPD) among university students is a serious public health issue. However, there are no extensive studies that measured the prevalence of taking more than the recommended dose of NPD and/or identified the risk associated with this behavior among university students. OBJECTIVES: This study was undertaken to assess the prevalence and associated risks of self-overdosage with NPDs in university students in United Arab Emirates (UAE)...
April 26, 2018: Annales Pharmaceutiques Françaises
https://www.readbyqxmd.com/read/29688194/-sulodexide-in-treatment-of-chronic-venous-insufficiency-results-of-the-all-russian-multicenter-programme-acveduct
#7
A V Chupin, S E Katorkin, I I Katel'nitskiĭ, O V Katel'nitskaia, I I Prostov, A S Petrikov, A P Koshevoĭ, L F Liudkova
INTRODUCTION: Pharmacotherapy occupies one of the leading places in comprehensive treatment of lower-limb chronic venous diseases (CVD) and their complications. At the same time, there are not so many therapeutic agents intended for treatment of CVD and possessing evidence-based efficacy. Sulodexide (registered in Russia as Vessel Due F) is a drug with a confirmed therapeutic effect in patients with a moderately severe course of chronic venous disease or its late stages. However, the experience of using it in Russia for treatment of patients presenting with initial manifestations of chronic venous insufficiency (CVI) is still scarce...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29685438/antimicrobials-usage-assessments-in-commercial-poultry-and-local-birds-in-north-central-nigeria-associated-pathways-and-factors-for-resistance-emergence-and-spread
#8
N B Alhaji, A E Haruna, B Muhammad, M K Lawan, T O Isola
The World Health Organization's Global Action Plan on antimicrobial resistance (AMR) recommended monitoring of antimicrobial use (AMU) through surveillance and research to help mitigate AMR. This survey was aimed at assessing poultry owners' knowledge/awareness and practices regarding AMU, identified pathways for AMR emergence and spread in small-scale commercial poultry farms and free-range local bird flocks in North-central Nigeria. An interview questionnaire-based cross-sectional study was conducted on commercial poultry farmers and local bird flock keepers in 2017...
June 1, 2018: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/29682674/a-validation-study-of-a-dedicated-software-for-an-automated-in-vivo-dosimetry-control-in-radiotherapy
#9
A Piermattei, F Greco, M Grusio, S Menna, L Azario, G Stimato, E Placidi, S Teodoli, S Cilla, A Porcelli, L Alberico, A Fidanzio
In vivo dosimetry (IVD) is the last step of a radiotherapy quality control program aimed to ensure that the dose delivered is in agreement with that prescribed. IVD procedures based on single detectors are time-consuming and impossible to use for the modern radiotherapy techniques, based on static or kinetic beams (modulated in intensity fluence); this means that more efficient and practical methods are highly recommended. The practical method SOFTDISO, based on the use of electronic portal image device (EPID), provides two tests (i) the R ratio between the reconstructed and the planned isocenter doses to verify an agreement within 5% and (ii) the γ-analysis of the EPID images, to verify γ% ≥ 90% and γmean ≤ 0...
April 23, 2018: Medical & Biological Engineering & Computing
https://www.readbyqxmd.com/read/29681402/-clinical-practice-for-morbidly-obese-endometrial-cancer-patients-a-french-multicentric-study
#10
Cécile Loaec, Edouard Vaucel, Eric Darnis, Patrice Lopes, Gabrielle Selmes, Isabelle Jaffre, Jean-Marc Classe
INTRODUCTION: Morbid obesity may lead to difficulties for management of endometrial cancer. The aim of this study was the assessment of management of endometrial cancer for morbidly obese women and the implementation of recommendations. METHODS: this is retrospective study including women with BMI ≥40kg/m2 treated for endometrial cancer between November 2010 and April 2017 in the university hospital in Nantes and the Cancer Center René Gauducheau in Nantes. Patients' demographics, pre-operative intra operative, post-operative data and survival were analyzed...
April 19, 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29659347/social-justice-at-the-core-of-breastfeeding-protection-promotion-and-support-a-conceptualization
#11
Paige Hall Smith
Despite widespread awareness of the health benefits for both mothers and babies we are far from achieving universal breastfeeding. Breastfeeding rates globally are lower than recommended levels and there are concerns that some global breastfeeding efforts have stalled (1, 2). In addition, we see persistent disparities in breastfeeding rates by race, ethnicity, class and status (3). A growing literature documents how a range of injustices, including gender inequality (7), racism (8), poverty (9), and violence (10, 11) shape whether, how exclusive, and for how long mothers and others will be able to breastfeed or feed their infants human milk...
May 2018: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/29658785/smartphone-use-and-schema-based-learning-in-dentomaxillofacial-radiology-practice-a-case-report-from-one-college-of-dentistry
#12
Young-A Ji, You-Mee Lee, Hyun-Dae Lim, Won-Jong Park, Ji-Hye Jung, Je-Woo Lee, Byung-Do Lee
OBJECTIVES: This study investigates the students' satisfaction and awareness of competency towards smartphone use and schema-based learning in dental radiology practice. METHODS: Third year students undertaking a dental radiology practicum at a dental school were divided into two groups: one group received traditional clinical training, whereas the other group used smartphones in classes and received new training using schema assignments. At the end of the course, students' satisfaction with the training and self-awareness of their competency were surveyed, and their achievement was assessed...
April 30, 2018: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/29657077/reprint-of-marine-omega-3-fatty-acids-in-the-prevention-of-cardiovascular-disease
#13
Trevor A Mori
Omega-6 (ω6) and omega-3 (ω3) fatty acids are two classes of dietary polyunsaturated fatty acids derived from linoleic acid (18:2ω6) and α-linolenic acid (18:3ω3), respectively. Enzymatic metabolism of linoleic and α-linolenic acids generates arachidonic acid (20:4ω6) and eicosapentaenoic acid (20:5ω3; EPA), respectively, both of which are substrates for enzymes that yield eicosanoids with multiple and varying physiological functions. Further elongation and desaturation of EPA yields the 22-carbon fatty acid docosahexaenoic acid (22:6ω3; DHA)...
April 12, 2018: Fitoterapia
https://www.readbyqxmd.com/read/29657014/resistance-delaying-strategies-on-uk-sheep-farms-a-cost-benefit-analysis
#14
Jane Learmount, Mike J Glover, Mike A Taylor
UK guidelines for the sustainable control of parasites in sheep (SCOPS) were formulated with the primary aim of delaying development of anthelmintic resistance (AR) on UK sheep farms. Promoting their use requires the engagement and commitment of stakeholders. An important driver for behavioural change in sheep farmers is evidence of economic benefits. A recent evaluation of SCOPS guidance in practice demonstrated a significant reduction in anthelmintic use, suggesting economic benefits through a direct reduction in product and labour costs...
April 30, 2018: Veterinary Parasitology
https://www.readbyqxmd.com/read/29649234/reliability-minimal-detectable-change-and-responsiveness-to-change-indicators-to-select-the-best-method-to-measure-sedentary-behaviour-in-older-adults-in-different-study-designs
#15
Manon L Dontje, Philippa M Dall, Dawn A Skelton, Jason M R Gill, Sebastien F M Chastin
INTRODUCTION: Prolonged sedentary behaviour (SB) is associated with poor health. It is unclear which SB measure is most appropriate for interventions and population surveillance to measure and interpret change in behaviour in older adults. The aims of this study: to examine the relative and absolute reliability, Minimal Detectable Change (MDC) and responsiveness to change of subjective and objective methods of measuring SB in older adults and give recommendations of use for different study designs...
2018: PloS One
https://www.readbyqxmd.com/read/29649160/eye-on-the-ball-table-tennis-as-a-pro-health-form-of-leisure-time-physical-activity
#16
Elżbieta Biernat, Sonia Buchholtz, Justyna Krzepota
Background: The article is devoted to an analysis of leisure-time (amateur) table tennis in Poland, its practitioners and the regularities of their activity. Methods: The study examined 12,406 persons in 4689 households (representative for the population). We used binary logistic regression and descriptive statistics in order to identify the patterns and determinants of table-tennis practice in Poland. Results: Table tennis is practised by 2.8% of population, and by 6.6% of physically active Poles. Among adults it is predominantly an occasional recreational game, not performed as a sport per se...
April 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29621848/building-a-bridge-from-the-swamp-to-the-ivory-tower
#17
Clare Heal, Jennifer Banks, Pranav Divakaran, Petra Buttner
BACKGROUND: Primary care research is underfunded. Few randomised controlled trials (RCTs) are conducted in a primary care setting. However, it is important that clinical practice be informed by adequate primary care evidence so general practitioners (GPs) have tools and guidelines applicable to the patients they see. OBJECTIVE: The aim of this article is to describe and reflect on the experience of conducting five RCTs between 2003 and 2017 in a general practice setting with minimal funding, in North Queensland...
March 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29611611/benzodiazepine-prescriptions-on-merchant-ships-without-a-doctor-on-board-analysis-from-medical-records-of-centro-internazionale-radio-medico-cirm
#18
Giulio Nittari, Graziano Pallotta, Marzio Di Canio, Enea Traini, Francesco Amenta
BACKGROUND: Benzodiazepines are drugs widely used for the treatment of anxiety and insomnia. The present study has analysed the prescriptions of this class of drugs among sailing seafarers, to evaluate the appropriateness of prescribed therapies. MATERIALS AND METHODS: This study assessed the benzodiazepine prescriptions made by Centro Internazionale Radio Medico (CIRM) doctors from 2011 to 2015. A total of 17,844 medical records were examined. Analysis considered the prescriptions of benzodiazepines in monotherapy, or in association with other drugs...
2018: International Maritime Health
https://www.readbyqxmd.com/read/29600880/pharmacotherapeutic-strategies-for-treating-hypertension-in-patients-with-obesity
#19
Revathy Carnagarin, Vance Matthews, Cynthia Gregory, Markus P Schlaich
Hypertension and obesity are important health challenges that independently increase cardiovascular morbidity and mortality. There is a lack of randomized controlled trials to clearly inform on preferred drug choices to be adopted in clinical practice for the treatment of obesity-related hypertension (OHT). Adequate differentiation of drug classes for preferential use in obesity or the metabolic syndrome aimed at avoiding adverse effects on body weight and the metabolic profile is neglected in this population, at least in part due to the lack of specific pharmacologic recommendations in hypertension guidelines...
March 30, 2018: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/29567507/acceptability-of-latent-tuberculosis-testing-of-migrants-in-a-college-environment-in-england
#20
C-L Walker, K Duffield, H Kaur, M Dedicoat, R Gajraj
OBJECTIVES: The majority of tuberculosis (TB) cases in England occur from reactivation of latent tuberculosis infection (LTBI) in the settled migrant population. The National Institute for Health and Clinical Excellence recommends that new entrants from high-incidence countries are screened to detect LTBI. This article seeks to describe an outreach programme and testing for LTBI in an innovative setting-ESOL (English for Speakers of Other Languages) classes at a community college (CC) with evaluation of acceptability...
March 19, 2018: Public Health
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