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By St. Lukes Medical Library Chesterfield
Mari Gunnes, Birgitta Langhammer, Inger-Lise Aamot, Stian Lydersen, Hege Ihle-Hansen, Bent Indredavik, Kristine H Reneflot, Walburga Schroeter, Torunn Askim
Background: Persistent physical activity is important to maintain motor function across all stages after stroke. Objective: The objective was to investigate adherence to an 18-month physical activity and exercise program. Design: The design was a prospective, longitudinal study including participants with stroke randomly allocated to the intervention-arm of a randomized controlled trial. Methods: The intervention consisted of individualized monthly coaching by a physical therapist who motivated participants to adhere to 30 minutes of daily physical activity and 45 minutes of weekly exercise over 18 months...
October 17, 2018: Physical Therapy
Pantelis Natsiavas, Janne Rasmussen, Maja Voss-Knude, Κostas Votis, Luigi Coppolino, Paolo Campegiani, Isaac Cano, David Marí, Giuliana Faiella, Fabrizio Clemente, Marco Nalin, Evangelos Grivas, Oana Stan, Erol Gelenbe, Jos Dumortier, Jan Petersen, Dimitrios Tzovaras, Luigi Romano, Ioannis Komnios, Vassilis Koutkias
BACKGROUND: Increased digitalization of healthcare comes along with the cost of cybercrime proliferation. This results to patients' and healthcare providers' skepticism to adopt Health Information Technologies (HIT). In Europe, this shortcoming hampers efficient cross-border health data exchange, which requires a holistic, secure and interoperable framework. This study aimed to provide the foundations for designing a secure and interoperable toolkit for cross-border health data exchange within the European Union (EU), conducted in the scope of the KONFIDO project...
October 16, 2018: BMC Medical Informatics and Decision Making
Xiang Zhong, Muxuan Liang, Reynerio Sanchez, Menggang Yu, Pamela R Budd, Julie L Sprague, Marvin A Dewar
BACKGROUND: The objective of this study was to investigate the impact of patient portal adoption on patients' primary care utilization and appointment adherence. METHODS: We conducted a retrospective observational study using a panel difference-in-differences (DID) framework to investigate the use of primary care services by patients, adjusting for their disease burden and allowing for time-dependent portal effect. A large dataset with 46,544 patients of University of Florida (UF) Health during the study period July 2013 - June 2016 was used...
October 16, 2018: BMC Medical Informatics and Decision Making
Ryan K Schmocker, Linda M Cherney Stafford, Emily R Winslow
BACKGROUND: Patient satisfaction is a patient-centered outcome of particular interest. Previous work has suggested that global measures of satisfaction may not adequately evaluate surgical care, therefore the surgery-specific Consumer Assessment of Healthcare Providers and Systems survey was developed. It remains unclear how traditional outcome measures, such as morbidity, impact patient satisfaction. Our aim was to determine whether National Surgical Quality Improvement Program-defined complications impacted satisfaction with the surgeon as measured by a surgery-specific survey, the surgery-specific Consumer Assessment of Healthcare Providers and Systems survey...
October 12, 2018: Surgery
Jane Sandall, Rachel M Tribe, Lisa Avery, Glen Mola, Gerard Ha Visser, Caroline Se Homer, Deena Gibbons, Niamh M Kelly, Holly Powell Kennedy, Hussein Kidanto, Paul Taylor, Marleen Temmerman
A caesarean section (CS) can be a life-saving intervention when medically indicated, but this procedure can also lead to short-term and long-term health effects for women and children. Given the increasing use of CS, particularly without medical indication, an increased understanding of its health effects on women and children has become crucial, which we discuss in this Series paper. The prevalence of maternal mortality and maternal morbidity is higher after CS than after vaginal birth. CS is associated with an increased risk of uterine rupture, abnormal placentation, ectopic pregnancy, stillbirth, and preterm birth, and these risks increase in a dose-response manner...
October 13, 2018: Lancet
Damien Subtil, Gilles Brabant, Emma Tilloy, Patrick Devos, Frédérique Canis, Annie Fruchart, Marie-Christine Bissinger, Jean-Charles Dugimont, Catherine Nolf, Christophe Hacot, Sophie Gautier, Jérôme Chantrel, Marielle Jousse, David Desseauve, Jean Louis Plennevaux, Christine Delaeter, Sylvie Deghilage, Anne Personne, Emmanuelle Joyez, Elisabeth Guinard, Eric Kipnis, Karine Faure, Bruno Grandbastien, Pierre-Yves Ancel, François Goffinet, Rodrigue Dessein
BACKGROUND: Preterm delivery during pregnancy (<37 weeks' gestation) is a leading cause of perinatal mortality and morbidity. Treating bacterial vaginosis during pregnancy can reduce poor outcomes, such as preterm birth. We aimed to investigate whether treatment of bacterial vaginosis decreases late miscarriages or spontaneous very preterm birth. METHODS: PREMEVA was a double-blind randomised controlled trial done in 40 French centres. Women aged 18 years or older with bacterial vaginosis and low-risk pregnancy were eligible for inclusion and were randomly assigned (2:1) to three parallel groups: single-course or triple-course 300 mg clindamycin twice-daily for 4 days, or placebo...
October 12, 2018: Lancet
Gregory P Kalemkerian, Billy W Loo, Wallace Akerley, Albert Attia, Michael Bassetti, Yanis Boumber, Roy Decker, M Chris Dobelbower, Afshin Dowlati, Robert J Downey, Charles Florsheim, Apar Kishor P Ganti, John C Grecula, Matthew A Gubens, Christine L Hann, James A Hayman, Rebecca Suk Heist, Marianna Koczywas, Robert E Merritt, Nisha Mohindra, Julian Molina, Cesar A Moran, Daniel Morgensztern, Saraswati Pokharel, David C Portnoy, Deborah Rhodes, Chad Rusthoven, Rafael Santana-Davila, Charles C Williams, Karin G Hoffmann, Miranda Hughes
The NCCN Guidelines for Small Cell Lung Cancer (SCLC) address all aspects of disease management. These NCCN Guidelines Insights focus on recent updates to the NCCN Guidelines for SCLC regarding immunotherapy, systemic therapy, and radiation therapy. For the 2018 update, new sections were added on "Signs and Symptoms of SCLC" and "Principles of Pathologic Review."
October 2018: Journal of the National Comprehensive Cancer Network: JNCCN
Hyunjee Kim, Jenny I Grunditz, Thomas H A Meath, Ana R Quiñones, Said A Ibrahim, K John McConnell
No abstract text is available yet for this article.
October 10, 2018: JAMA Surgery
Kimberly E Kopecky, David Urbach, Margaret L Schwarze
No abstract text is available yet for this article.
September 19, 2018: JAMA Surgery
Michelle P Lin, Olesya Baker, Lynne D Richardson, Jeremiah D Schuur
No abstract text is available yet for this article.
October 15, 2018: JAMA Internal Medicine
Mitchell H Katz
No abstract text is available yet for this article.
October 15, 2018: JAMA Internal Medicine
Emily Reeve, Jennifer L Wolff, Maureen Skehan, Elizabeth A Bayliss, Sarah N Hilmer, Cynthia M Boyd
Importance: Use of harmful and/or unnecessary medications in older adults is prevalent. This can lead to avoidable harms such as adverse drug reactions, falls, hospitalization, and mortality. Primary care physicians report that patient resistance to discontinuing medication use is a significant barrier to deprescribing. Objective: To describe the attitudes of older adults toward deprescribing and to determine whether individual characteristics are associated with these attitudes...
October 15, 2018: JAMA Internal Medicine
Michael K Dougherty, Alison T Brenner, Seth D Crockett, Shivani Gupta, Stephanie B Wheeler, Manny Coker-Schwimmer, Laura Cubillos, Teri Malo, Daniel S Reuland
Importance: Colorectal cancer screening (CRC) is recommended by all major US medical organizations but remains underused. Objective: To identify interventions associated with increasing CRC screening rates and their effect sizes. Data Sources: PubMed, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, and were searched from January 1, 1996, to August 31, 2017. Key search terms included colorectal cancer and screening...
October 15, 2018: JAMA Internal Medicine
Adam C Sheka, Keith M Wirth, Sayeed Ikramuddin
No abstract text is available yet for this article.
October 16, 2018: JAMA: the Journal of the American Medical Association
Amir A Ghaferi, Oliver A Varban
No abstract text is available yet for this article.
October 16, 2018: JAMA: the Journal of the American Medical Association
Erin S LeBlanc, Carrie D Patnode, Elizabeth M Webber, Nadia Redmond, Megan Rushkin, Elizabeth A O'Connor
Importance: Overweight and obesity have been associated with adverse health effects. Objective: To systematically review evidence on benefits and harms of behavioral and pharmacotherapy weight loss and weight loss maintenance interventions in adults to inform the US Preventive Services Task Force. Data Sources: MEDLINE, PubMed Publisher-Supplied Records, PsycINFO, and the Cochrane Central Register of Controlled Trials for studies published through June 6, 2017; ClinicalTrials...
September 18, 2018: JAMA: the Journal of the American Medical Association
Susan J Curry, Alex H Krist, Douglas K Owens, Michael J Barry, Aaron B Caughey, Karina W Davidson, Chyke A Doubeni, John W Epling, David C Grossman, Alex R Kemper, Martha Kubik, C Seth Landefeld, Carol M Mangione, Maureen G Phipps, Michael Silverstein, Melissa A Simon, Chien-Wen Tseng, John B Wong
Importance: More than 35% of men and 40% of women in the United States are obese. Obesity is associated with health problems such as increased risk for coronary heart disease, type 2 diabetes, various types of cancer, gallstones, and disability. Obesity is also associated with an increased risk for death, particularly among adults younger than 65 years. Objective: To update the US Preventive Services Task Force (USPSTF) 2012 recommendation on screening for obesity in adults...
September 18, 2018: JAMA: the Journal of the American Medical Association
Wendy C King, Amanda S Hinerman, Steven H Belle, Abdus S Wahed, Anita P Courcoulas
Importance: Estimates of weight regain following bariatric surgery vary widely. Objective: To describe weight regain after reaching nadir weight following Roux-en-Y gastric bypass (RYGB) surgery and compare weight regain measures for association with outcomes. Design, Setting, and Participants: Prospective cohort study of 2458 adults who underwent bariatric surgery at 10 hospitals in 6 US cities between March 2006 and April 2009. Assessments were conducted within 30 days' presurgery, at 6 months' postsurgery, and then annually until January 2015...
October 16, 2018: JAMA: the Journal of the American Medical Association
David P Fisher, Eric Johnson, Sebastien Haneuse, David Arterburn, Karen J Coleman, Patrick J O'Connor, Rebecca O'Brien, Andy Bogart, Mary Kay Theis, Jane Anau, Emily B Schroeder, Stephen Sidney
Importance: Macrovascular disease is a leading cause of morbidity and mortality for patients with type 2 diabetes, and medical management, including lifestyle changes, may not be successful at lowering risk. Objective: To investigate the relationship between bariatric surgery and incident macrovascular (coronary artery disease and cerebrovascular diseases) events in patients with severe obesity and type 2 diabetes. Design, Setting, and Participants: In this retrospective, matched cohort study, patients with severe obesity (body mass index ≥35) aged 19 to 79 years with diabetes who underwent bariatric surgery from 2005 to 2011 in 4 integrated health systems in the United States (n = 5301) were matched to 14 934 control patients on site, age, sex, body mass index, hemoglobin A1c, insulin use, observed diabetes duration, and prior health care utilization, with follow-up through September 2015...
October 16, 2018: JAMA: the Journal of the American Medical Association
Tobias Tritschler, Noémie Kraaijpoel, Grégoire Le Gal, Philip S Wells
Importance: Venous thromboembolism (VTE), comprising deep vein thrombosis (DVT) and pulmonary embolism (PE), is a common and potentially fatal disease. Objective: To summarize the advances in diagnosis and treatment of VTE of the past 5 years. Evidence Review: A systematic search was conducted in EMBASE Classic, EMBASE, Ovid MEDLINE, and other nonindexed citations using broad terms for diagnosis and treatment of VTE to find systematic reviews and meta-analyses, randomized trials, and prospective cohort studies published between January 1, 2013, and July 31, 2018...
October 16, 2018: JAMA: the Journal of the American Medical Association
2018-10-18 20:46:12
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