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Approaches in Prehospital Sepsis Screening
Discussion In the United States, sepsis is one of the leading causes of death, which requires timely identification and proper treatment (CDC, 2019; Guerra et al., 2020; Polito et al., 2015). Based upon a review of literature conducted from 2014 to 2018, the primary investigators could locate five prehospital EMS screening tools to assist EMS providers in identifying at-risk sepsis patients. The researchers explored how the modified SIRS and qSOFA scoring systems were used in hospital settings in addition to these five prehospital EMS screening tools. The Bas 90-30-90, Guerra, PRESEP, PRESS, and Robson tools have ove...
Source: JEMS Operations - January 5, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Exclusives Patient Care EMS EMT Paramedic Prehospital Sepsis Source Type: news

Healthcare in transition in the Republic of Armenia: the evolution of emergency medical systems and directions forward
AbstractArmenia, an ex-Soviet Republic in transition since independence in 1991, has made remarkable strides in development. The crisis of prioritization that has plagued many post-Soviet republics in transition has meant differential growth in varied sectors in Armenia. Emergency systems is one of the sectors which is neglected in the current drive to modernize. The legacy of the Soviet Semashko system has left a void in specialized care including emergency care. This manuscript is a descriptive overview of the current state of emergency care in Armenia using in-depth key informant interviews and review of published and u...
Source: International Journal of Emergency Medicine - January 12, 2021 Category: Emergency Medicine Source Type: research

Prevalence of overweight and obesity and associated factors among women of childbearing age in Brazil.
CONCLUSION: The results showed an association between excess weight and sociodemographic factors, both determinants of general and reproductive health history. Implementation of effective public health policies is necessary to prevent unfavorable outcomes related to the health of women of childbearing age with excess weight. PMID: 33500016 [PubMed - as supplied by publisher]
Source: Public Health Nutrition - January 27, 2021 Category: International Medicine & Public Health Authors: Lyrio AO, Souza ES, Conceição SDS, Batista JET, Brito SM, Gomes Filho IS, Figueiredo ACMG, da Cruz SS Tags: Public Health Nutr Source Type: research

A prospective study of waist circumference trajectories and incident cardiovascular disease in China: the Kailuan Cohort Study
ConclusionsWC trajectory patterns were associated with altered risk of CVD among Chinese adults, even among people without BMI-defined obesity. When stratifying by age, the association was observed to be higher in younger adults.
Source: American Journal of Clinical Nutrition - December 17, 2020 Category: Nutrition Source Type: research

Prevalence and correlates of suicidal behavior among a national population ‐based sample of adults in Kiribati
ConclusionAlmost one in 10 participants were engaged in suicidal behavior in the past 12  months and several factors were detected which could be targeted in intervention activities.
Source: Asia-Pacific Psychiatry - November 4, 2020 Category: Psychiatry Authors: Supa Pengpid, Karl Peltzer Tags: ORIGINAL ARTICLE Source Type: research

IJERPH, Vol. 18, Pages 3629: Health Knowledge about Smoking, Role of Doctors, and Self-Perceived Health: A Cross-Sectional Study on Smokers ’ Intentions to Quit
IJERPH, Vol. 18, Pages 3629: Health Knowledge about Smoking, Role of Doctors, and Self-Perceived Health: A Cross-Sectional Study on Smokers’ Intentions to Quit International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18073629 Authors: Tianfeng He Lefan Liu Jing Huang Guoxing Li Xinbiao Guo Limited empirical work has been done to compare the effects that health knowledge and advice from doctors have on smokers’ intentions to quit. This paper examines the association of smokers’ intentions to quit with health knowledge, advice from doctors, and self-perceived health. A sample...
Source: International Journal of Environmental Research and Public Health - March 31, 2021 Category: Environmental Health Authors: Tianfeng He Lefan Liu Jing Huang Guoxing Li Xinbiao Guo Tags: Article Source Type: research

Examining elevated blood pressure and the effects of diabetes self-management education on blood pressure among a sample of Marshallese with type 2 diabetes in Arkansas
ConclusionThis study is the first to document the prevalence of diagnosed hypertension and undiagnosed high blood pressure, as well as the effects of DSME on blood pressure among a sample of Marshallese adults with T2DM.
Source: PLoS One - April 22, 2021 Category: Biomedical Science Authors: Pearl A. McElfish Source Type: research

Importance of attributes and willingness to pay for oral anticoagulant therapy in patients with atrial fibrillation in China: A discrete choice experiment
by Jiaxi Zhao, Hao Wang, Xue Li, Yang Hu, Vincent K. C. Yan, Carlos K. H. Wong, Yutao Guo, Marco K. H. Cheung, Gregory Y. H. Lip, Chung-Wah Siu, Hung-Fat Tse, Esther W. Chan BackgroundAdherence to oral anticoagulant therapy in patients with atrial fibrillation (AF) in China is low. Patient preference, one of the main reasons for discontinuation of oral anticoagulant therapy, is an unfamiliar concept in China. Methods and findingsA discrete choice experiment (DCE) was conducted to quantify patient preference on 7 attributes of oral anticoagulant therapy: antidote (yes/no), food –drug interaction (yes/no), frequency of blo...
Source: PLoS Medicine - August 26, 2021 Category: Internal Medicine Authors: Jiaxi Zhao Source Type: research

Age and Life-Sustaining Treatment Preferences in Parkinson Disease
Conclusions Advancing age in PD may correlate with paradoxically more aggressive goals as it relates to life-sustaining treatment preferences including cardiopulmonary resuscitation. This may reflect a response to heightened concern among older adults with PD about the potential for compromised autonomy in the setting of aging.
Source: Neurology Clinical Practice - June 7, 2021 Category: Neurology Authors: Jackowiak, E., Szpara, A., Kotagal, V. Tags: Parkinson's disease/Parkinsonism, Palliative care Research Source Type: research

Risk of Cerebro-Cardiovascular Diseases among Police Officers and Firefighters: A Nationwide Retrospective Cohort Study
CONCLUSION: This study suggests that both police officers and firefighters are at high risk of cerebro-cardiovascular diseases. Therefore, medical protection measures for these occupational groups should be improved.PMID:35619583 | DOI:10.3349/ymj.2022.63.6.585
Source: Yonsei Medical Journal - May 27, 2022 Category: Universities & Medical Training Authors: Jongin Lee Woo-Ri Lee Ki-Bong Yoo Jaelim Cho Jinha Yoon Source Type: research

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