Efficacy of antifibrinolytics in pediatric orthopedic surgery: a systematic review and meta-analysis
Antifibrinolytics (AFs) stabilize blood clot formation and reduce bleeding. The purpose of this systematic review and meta-analysis was to determine the impact of AF use on intraoperative blood loss and the need for blood transfusion in pediatric orthopedic surgery. A systematic review was performed using Medline and Embase to identify studies that utilized AFs during pediatric orthopedic surgery. The primary outcome measure was intraoperative blood loss in ml. Secondary outcomes included blood transfusion and thromboembolic events. Pooled estimates were derived from a random-effects model. Heterogeneity was assessed using...
Source: Journal of Pediatric Orthopaedics B - November 29, 2019 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Physeal fractures of the distal femur: does a lower threshold for surgery lead to better outcomes?
Distal femur physeal fractures are known to have a high incidence of complications. Our previous reported experience (pre-2007) showed a 40% complication risk, which prompted changes in our approach. The purpose of this study was to evaluate and compare the complication rate and outcome after implementation of these changes. This is a retrospective study of children with distal femur physeal fractures treated at a level 1 pediatric trauma center between 2007 and 2016. Patient demographics, fracture patterns, treatment and outcomes including complications and its risk factors were recorded and analyzed. We compared current ...
Source: Journal of Pediatric Orthopaedics B - November 29, 2019 Category: Orthopaedics Tags: Knee Source Type: research

Hyperferritinemia worsens the perinatal outcomes of conceptions of pregnancies with preeclampsia
ConclusionIn the presence of hyperferritinemia, preeclampsia patients were associated with a higher rate of unfavorable neonatal outcomes. (Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health)
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - November 29, 2019 Category: OBGYN Source Type: research

Two phase 3, double-blind, placebo-controlled studies of the efficacy and safety of Astodrimer 1% Gel for the treatment of bacterial vaginosis
The objective of these studies was to confirm the efficacy and safety of Astodrimer 1% Gel for treatment of BV.Study DesignWomen with bacterial vaginosis were randomized 1:1 to Astodrimer 1% Gel (Study 1 conducted in the United States, N = 127; Study 2 conducted in the United States, Germany and Belgium, N = 128) or placebo gel (Study 1, N = 123; Study 2, N = 123) at a dose of 5 g vaginally once daily for 7 days. The primary endpoint was clinical cure, defined as i) absence of bacterial vaginosis vaginal discharge; ii)
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - November 29, 2019 Category: OBGYN Source Type: research

Domain-general and domain-preferential neural correlates underlying empathy towards physical pain, emotional situation and emotional faces: An ALE meta-analysis
Publication date: Available online 28 November 2019Source: NeuropsychologiaAuthor(s): Rui Ding, Jie Ren, Shuaixia Li, Xiaowen Zhu, Keye Zhang, Wenbo LuoAbstractEmpathy is essential for social interactions and individual development. Through the empathy field, the domain could be divided into three subgroups according to the stimulus materials adopted in tasks: empathy towards physical pain (PhyE), empathy towards emotional situations (ESuE) and towards emotional faces (ExpE). By far, no empirical studies directly compared the neural correlates underlying three sub-domains. The current study, therefore, utilized ALE meta-an...
Source: Neuropsychologia - November 29, 2019 Category: Neurology Source Type: research

A multimodal analgesic protocol reduced opioid use/misuse after third molar surgery
ConclusionsOutcomes suggest that implementation of a multimodal analgesic protocol with third molar surgery may be effective in reducing use and misuse of opioid drugs. (Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology)
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - November 29, 2019 Category: ENT & OMF Source Type: research

Factors affecting success of reconstruction of extremity injuries with microvascular free flaps
ConclusionsExtensive extremity injuries caused by traumatic events often lead to soft tissue defects that require tissue rearrangement/free tissue transfer for repair. In evaluating patients with free flap/rotational flap reconstruction of these defects, we determined that readmissions mainly resulted from infection, most of which were correlated with poor wound care. To further address our hypothesis, we plan to review patients from 2016 to 2019 to evaluate if any other factors (i.e., orthopedic hardware) may play a role in the rate of infections. (Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology)
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - November 29, 2019 Category: ENT & OMF Source Type: research

Do hybrid arch bar screws pose a risk to the dentition?
Publication date: December 2019Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, Volume 128, Issue 6Author(s): Danielle Wilt, Chris Kim, Dane St. JohnObjectiveHybrid arch bars have become popular alternatives to traditional Erich arch bars for use in craniomaxillofacial surgery. They offer the benefit of decreased time for application, reduced risk of sharps exposure to healthcare personnel, and decreased risk of compromised periodontal health. However, it has not been established if they pose a significant risk to the dentition. Damage to the teeth, such as violation of the pulpal canal or root fract...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - November 29, 2019 Category: ENT & OMF Source Type: research

The epidemiology of edentulous atrophic mandibular fractures in Europe
The objective of the present study was to assess the demographic variables, causes, and patterns of edentulous atrophic fractures of the mandible managed at several European departments of oral and maxillofacial surgery. The results of this multicenter collaboration over a 10-year period are presented.MethodsThe data of all patients with fractures of the atrophic edentulous mandible from the involved maxillofacial surgical units across Europe between January 1, 2008, and December 31, 2017 were recorded: gender; age; voluptuary habits; comorbidities; etiology; fracture sites; synchronous body injuries; atrophy of the mandib...
Source: Journal of Cranio Maxillofacial Surgery - November 29, 2019 Category: ENT & OMF Source Type: research

Le Fort I Osteotomy in Cleft Patients: Maxillary Advancement and Velopharyngeal Function
ConclusionsThe amount of maxillary advancement does not affect the velopharyngeal function in cleft patients. (Source: Journal of Cranio Maxillofacial Surgery)
Source: Journal of Cranio Maxillofacial Surgery - November 29, 2019 Category: ENT & OMF Source Type: research

Effect of Chlorhexidine/Benzydamine Soaked Pharyngeal Packing on Throat Pain and Postoperative Nausea & Vomiting in Orthognathic Surgery
Publication date: Available online 29 November 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Çağıl Vural, Mehmet Emre Yurttutan, Kevser Tütüncüler Sancak, Ayşegül Mine TüzünerSummaryPharyngeal packing is believed to reduce postoperative nausea and vomiting (PONV) frequency, but has the disadvantage of causing throat pain. The present study aimed to investigate whether applying pharyngeal packs soaked with a combination of chlorhexidine gluconate 0.2% and benzydamine hydrochloride 0.15% (CGBH) were effective in preventing postoperative throat pain and PONV in patients ...
Source: Journal of Cranio Maxillofacial Surgery - November 29, 2019 Category: ENT & OMF Source Type: research

Detection and characterization of anterior loop, accessory mental foramen, and lateral lingual foramen by using cone beam computed tomography
ConclusionsThis study revealed that ALs, AMFs, and LLFs occurred often in the Southern Chinese population. Identifying the presence of the AL, AMF, and LLF is important before surgery in the mental foraminal region. (Source: The Journal of Prosthetic Dentistry)
Source: The Journal of Prosthetic Dentistry - November 29, 2019 Category: Dentistry Source Type: research

The relationship between cancer survivors' well-being and participation in work, activities of daily living and social engagement: Findings from the European Social Survey (2014).
Conclusion: Participation in paid employment, ADLs and social engagement were associated with cancer survivor's well-being. Research evaluating occupational therapy interventions within oncology rehabilitation should be prioritized. PMID: 31774697 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Occupational Therapy)
Source: Scandinavian Journal of Occupational Therapy - November 29, 2019 Category: Occupational Health Tags: Scand J Occup Ther Source Type: research

Laser-Assisted Orthodontic Tooth Movement in Saudi Population: A Prospective Clinical Intervention of Low-Level Laser Therapy in the 1st Week of Pain Perception in Four Treatment Modalities.
Conclusion: The LLLT + SL group revealed significantly promising benefits on PP during OTM. PMID: 31772695 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - November 29, 2019 Category: Anesthesiology Authors: Alam MK Tags: Pain Res Manag Source Type: research

Prediction of specific wear rate for LM25/ZrO2 composites using Levenberg–Marquardt backpropagation algorithm
In this study, the wear estimation capability of RSM and artificial neural network (ANN) modelling techniques are examined and compared in this study. Though both RSM and ANN model performed well, ANN-based approach is found to be better in fitting to measure output response in comparison with the RSM model. The comparison of the productive capacity of RSM and LMBP (Levenberg–Marquardt backpropagation) neural network architecture for modelling the output, as well as output, predicted for the wear samples in terms of various statistical parameters such as coefficient of determination (R2), etc., has been done. The coe...
Source: Journal of Materials Research and Technology - November 29, 2019 Category: Materials Science Source Type: research

Mixed Features in Depression: The Unmet Needs of Diagnostic and Statistical Manual of Mental Disorders Fifth Edition
Publication date: Available online 28 November 2019Source: Psychiatric Clinics of North AmericaAuthor(s): Isabella Pacchiarotti, Giorgio D. Kotzalidis, Andrea Murru, Lorenzo Mazzarini, Chiara Rapinesi, Marc Valentí, Gerard Anmella, Susana Gomes-da-Costa, Anna Gimenez, Cristian Llach, Giulio Perugi, Eduard Vieta, Norma Verdolini (Source: Psychiatric Clinics of North America)
Source: Psychiatric Clinics of North America - November 29, 2019 Category: Psychiatry Source Type: research

Serum Levels of miR-143 Predict Survival in Critically Ill Patients.
Conclusion: Low miR-143 serum levels are indicative for an unfavorable short- and long-term prognosis in critically ill patients admitted to a medical ICU. Our data suggest a previously unrecognized role for miR-143 measurements as a novel prognostic marker in critically ill patients. PMID: 31772686 [PubMed - in process] (Source: Disease Markers)
Source: Disease Markers - November 29, 2019 Category: Laboratory Medicine Tags: Dis Markers Source Type: research

Segmentation of Overlapping Cytoplasm in Cervical Smear Images via Adaptive Shape Priors Extracted From Contour Fragments
We present a novel approach for segmenting overlapping cytoplasm of cells in cervical smear images by leveraging the adaptive shape priors extracted from cytoplasm’s contour fragments and shape statistics. The main challenge of this task is that many occluded boundaries in cytoplasm clumps are extremely difficult to be identified and, sometimes, even visually indistinguishable. Given a clump where multiple cytoplasms overlap, our method starts by cutting its contour into a set of contour fragments. We then locate the corresponding contour fragments of each cytoplasm by a grouping process. For each cytoplasm, accordin...
Source: IEE Transactions on Medical Imaging - November 29, 2019 Category: Biomedical Engineering Source Type: research

Toward Automated 3D Spine Reconstruction from Biplanar Radiographs Using CNN for Statistical Spine Model Fitting
To date, 3D spine reconstruction from biplanar radiographs involves intensive user supervision and semi-automated methods that are time-consuming and not effective in clinical routine. This paper proposes a new, fast, and automated 3D spine reconstruction method through which a realistic statistical shape model of the spine is fitted to images using convolutional neural networks (CNN). The CNNs automatically detect the anatomical landmarks controlling the spine model deformation through a hierarchical and gradual iterative process. The performance assessment used a set of 68 biplanar radiographs, composed of both asymptoma...
Source: IEE Transactions on Medical Imaging - November 29, 2019 Category: Biomedical Engineering Source Type: research

Transcranial Direct Current Stimulation Alters Functional Network Structure in Humans: A Graph Theoretical Analysis
Transcranial direct current stimulation (tDCS) is routinely used in basic and clinical research, but its efficacy has been challenged on a methodological, statistical and technical basis recently. The arguments against tDCS derive from an insufficient understanding of how this technique interacts with brain processes physiologically. Because of its potential as a central tool in neuroscience, it is important to clarify whether tDCS affects neuronal activity. Here, we investigate influences of offline tDCS on network architecture measured by functional magnetic resonance imaging. Applied to one network node only, offline tD...
Source: IEE Transactions on Medical Imaging - November 29, 2019 Category: Biomedical Engineering Source Type: research

Fast Adaptive Smoothing and Thresholding for Improved Activation Detection in Low-Signal fMRI
Functional magnetic resonance imaging is a noninvasive tool for studying cerebral function. Many factors challenge activation detection, especially in low-signal scenarios that arise in the performance of high-level cognitive tasks. We provide a fully automated fast adaptive smoothing and thresholding (FAST) algorithm that uses smoothing and extreme value theory on correlated statistical parametric maps for thresholding. Performance on experiments spanning a range of low-signal settings is very encouraging. The methodology also performs well in a study to identify the cerebral regions that perceive only-auditory-reliable o...
Source: IEE Transactions on Medical Imaging - November 29, 2019 Category: Biomedical Engineering Source Type: research

Associations between long-term exposure to ambient air pollution and Parkinson's disease prevalence: A cross-sectional study
This study investigated the associations between long-term exposure to particulate matter
Source: Neurochemistry International - November 29, 2019 Category: Neuroscience Source Type: research

Influence of family social support on asthma self-management in adolescents.
Conclusion: This study underscores the importance of family social support in understanding the extent of adolescents' self-management, particularly medication adherence. PMID: 31771375 [PubMed - as supplied by publisher] (Source: Journal of Asthma)
Source: Journal of Asthma - November 29, 2019 Category: Respiratory Medicine Tags: J Asthma Source Type: research

Early Postural Instability in Parkinson's Disease: A Biomechanical Analysis of the Pull Test.
In conclusion, patients in the early stages of PD already exhibit a degree of postural instability due to inefficient postural adjustments, and they can more easily be destabilized by small perturbations than healthy subjects. This balance impairment becomes more pronounced in more advanced PD. In the pull test, pull force to step back should be a variable to consider when testing balance in clinical practice. PMID: 31772733 [PubMed] (Source: Parkinsons Disease)
Source: Parkinsons Disease - November 29, 2019 Category: Neurology Tags: Parkinsons Dis Source Type: research

Plasma α-Glutathione S-Transferase Evaluation in Patients with Acute and Chronic Liver Injury.
Plasma α-Glutathione S-Transferase Evaluation in Patients with Acute and Chronic Liver Injury. Can J Gastroenterol Hepatol. 2019;2019:5850787 Authors: Czuczejko J, Mila-Kierzenkowska C, Szewczyk-Golec K Abstract High concentration of alpha-glutathione S-transferase (α-GST) in the liver and its short half-life make this enzyme clinically useful in assessing hepatocellular damage. We aimed to investigate the significance of α-GST evaluation in monitoring of liver injury in acute and chronic liver diseases. 20 healthy volunteers and 52 patients were included in the study. The patients we...
Source: Canadian Journal of Gastroenterology - November 29, 2019 Category: Gastroenterology Tags: Can J Gastroenterol Hepatol Source Type: research

Analysis of a DNA mixture involving Romani reference populations
Publication date: January 2020Source: Forensic Science International: Genetics, Volume 44Author(s): Francesco Dotto, Julia Mortera, Laura Baldassarri, Vincenzo PascaliAbstractHere we present an Italian criminal case that shows how statistical methods can be used to extract information from a series of mixed DNA profiles. The case involves several different individuals and a set of different DNA traces. The case possibly involves persons of interest of a small population of Romani origin. First, a brief description of the case is provided. Secondly, we introduce some heuristic tools that can be used to evaluate the data and...
Source: Forensic Science International: Genetics - November 29, 2019 Category: Forensic Medicine Source Type: research

Knowledge, Attitudes, and Practices towards Cervical Cancer and Screening amongst Female Healthcare Professionals: A Cross-Sectional Study.
Conclusions: Our study population showed poor knowledge of cervical cancer as a disease. The participants had a fair knowledge of Pap smear testing, but only a quarter of the cohort had undergone testing themselves. This study highlights the need for formal educational programs for the healthcare workers at KFMC specifically to improve their knowledge regarding the risk factors and early signs and symptoms of cervical cancer. PMID: 31772579 [PubMed] (Source: Journal of Oncology)
Source: Journal of Oncology - November 29, 2019 Category: Cancer & Oncology Tags: J Oncol Source Type: research

Influence of Kidney Function on Serum Risperidone Concentrations in Patients Treated With Risperidone.
CONCLUSIONS: Kidney function is an important determinant of risperidone clearance. These data suggest reducing the risperidone dose by 50% in patients with a GFR below 60 mL/min. PMID: 31774943 [PubMed - in process] (Source: Journal of Clinical Psychiatry)
Source: Journal of Clinical Psychiatry - November 29, 2019 Category: Psychiatry Tags: J Clin Psychiatry Source Type: research

Gestational Exposure to Benzodiazepines, 3: Clobazam and Major Congenital Malformations.
Authors: Andrade C Abstract Clobazam is a 1,5-benzodiazepine that has been approved for use, in various parts of the world, as an add-on treatment for seizure disorders and as a treatment for anxiety. Pharmacoepidemiological data from different countries show that a small percentage of women with epilepsy (WWE) receive clobazam during pregnancy. Surprisingly, there has been little to no discussion in literature on the teratogenicity of clobazam. A network meta-analysis published in 2017 found a markedly elevated rate of overall and specific major congenital malformations (MCMs) with clobazam; whereas statistical si...
Source: Journal of Clinical Psychiatry - November 29, 2019 Category: Psychiatry Tags: J Clin Psychiatry Source Type: research

Bayesian Nonparametrics and Biostatistics: The Case of PET Imaging
Journal Name: The International Journal of Biostatistics Issue: Ahead of print (Source: The International Journal of Biostatistics)
Source: The International Journal of Biostatistics - November 29, 2019 Category: Statistics Source Type: research

Evaluation of the risk of metabolic syndrome among shift workers in Tunisia.
Authors: Kacem I, Maoua M, Hasni Y, Kalboussi H, Hafsia M, Souguir S, Ouerdani S, Maaroufi A, El Maalel O, Mrizak N Abstract Background: Shift work is a source of health problems for workers around the world. The metabolic syndrome is one of the pathologies that can occur because of this work pattern. Aims: Investigate possible association between shift work and the development risk of the metabolic syndrome (MS). Methods: A cross-sectional study was conducted among male gender agents of company of electricity production in the Center of Tunisia. This population was divided into two groups according to the ...
Source: Eastern Mediterranean Health Journal - November 29, 2019 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Does gender influence food intake and physical activity pattern among Palestinian adolescents in the Gaza Strip?
This study aimed to assess whether there is a difference in food intake and physical activity patterns among male and female adolescents (12-19 years old) in the Gaza Strip. Methods: The cross-sectional study was conducted in April 2016 among 378 adolescent students, 205 males, 173 females. Researchers utilized quantitative and qualitative measures by incorporating a face-to-face interview questionnaire with the adolescents and focus group discussions with parents. Results: Over 55% of participants were eating healthy foods with high frequency; the proportion of boys was greater than that of girls (P 0.05). In term...
Source: Eastern Mediterranean Health Journal - November 29, 2019 Category: Middle East Health Tags: East Mediterr Health J Source Type: research

Quality of cause-of-death data in Brazil: Garbage codes among registered deaths in 2000 and 2015
Conclusion: the efforts of the MoH in implementing the investigation of GC-R codes have contributed to the progress of data quality. Investment is still necessary to improve the quality of cause-of-death statistics.RESUMO Introdu ção: a confiabilidade dos dados de mortalidade é essencial para avaliação e planejamento da saúde. No Brasil, uma alta proporção de óbitos é atribuída a causas que não devem ser consideradas como causa básica (CBO) de óbitos, códigos garbage (CG). Para enfrentar essa questão, em 2005 o M...
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Garbage codes assigned as cause-of-death in health statistics
(Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Investigation of garbage code deaths to improve the quality of cause-of-death in Brazil: results from a pilot study
Conclusion: After results analysis, the GC investigation protocol was modified, and the implementation scaled up to 60 cities in 2017.RESUMO Introdu ção: Estatísticas confiáveis em mortalidade são importante fonte de evidências de tendências e diferenciais na saúde da população. No Brasil, o Sistema de Informação sobre Mortalidade é responsável por compilar dados da causa de morte (CM). Embora tenha havido sucesso na redução de c ausas mal definidas de morte, ainda há um problema com outros códigos ga...
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Change in the profile of causes of death after investigation of hospital deaths in Belo Horizonte, Brazil, 2017
Conclusion: The investigation on reported hospital deaths is one of the strategies to improve mortality statistics, reducing the occurrence of GC among reported deaths and changing the mortality profile in these facilities. The importance of continuous physician training in cause-of-death certification is emphasized. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Profile of deaths from unspecified stroke after investigation of garbage codes in 60 cities in Brazil, 2017
Conclusion: The investigations allowed the identification of subgroups of deaths due to stroke. In addition to the research, however, it is important to conduct physician training in the adequate filling in of the DC, in order to improve estimates of specific stroke mortality, and to enable appropriate targeting of health actions and services. (Source: Revista Brasileira de Epidemiologia)
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Drug-Related Problems and Associated Factors among Patients Admitted with Chronic Kidney Disease at Jimma University Medical Center, Jimma Zone, Jimma, Southwest Ethiopia: A Hospital-Based Prospective Observational Study.
Authors: Garedow AW, Mulisa Bobasa E, Desalegn Wolide A, Kerga Dibaba F, Gashe Fufa F, Idilu Tufa B, Debalke S, Kumela Goro K Abstract Background: There is an alarming rise of chronic kidney disease prevalence globally associated with significant morbidity and mortality necessitating special attention as one of the major growing public health problems. Medication-related problems are common in hospitalized patients including chronic kidney disease and may lead to increase hospital stay and health care cost and augment the risk of morbidity and mortality. Objective: To determine prevalence of medication-related ...
Source: International Journal of Nephrology - November 29, 2019 Category: Urology & Nephrology Tags: Int J Nephrol Source Type: research

Brachial vein transposition: an alternative to hemodialysis arteriovenous graft
Conclusions Transposition of brachial ve in is an alternative to arteriovenous graft. (Source: Jornal Vascular Brasileiro)
Source: Jornal Vascular Brasileiro - November 29, 2019 Category: Surgery Source Type: research

GSE141142 An immune-centric exploration of BRCA1 and BRCA2 germline mutation related breast and ovarian cancers
Conclusion: : Tumor mutation burdon (TMB) is not associated with the magnitude of the immune response in hereditary BRCA1/2 related breast and ovarian cancers or in sporadic TNBC and sporadic HGSOC. Hereditary tumors express phenotypes as heterogenous as sporadic tumors with various degree of “BRCAness” and various characteristics of the immune microenvironments. The subtyping criteria developed for sporadic tumors can be applied for the classification of hereditary tumors and possibly also characterization of their immune microenvironment. A high HRD score may be a good candidate bi omarker for response to pla...
Source: GEO: Gene Expression Omnibus - November 29, 2019 Category: Genetics & Stem Cells Tags: Expression profiling by high throughput sequencing Homo sapiens Source Type: research

Effectiveness of Tailored Dietary Counseling in Treating Malnourished Outpatients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
This study investigated whether tailored nutrition counseling could improve dietary intake, nutritional status, functional outcomes, and health-related quality of life (QoL) of malnourished outpatients with COPD.DesignWe conducted a randomized controlled trial in which participants were randomly assigned to either the intervention group (IG) or the control group (CG).Participants/settingOne hundred and twenty malnourished outpatients with COPD participated in the study between May and November 2017 at the National Lung Hospital, Hanoi, Vietnam.InterventionThe IG received tailored nutrition counseling once per month for 3 m...
Source: Journal of the Academy of Nutrition and Dietetics - November 29, 2019 Category: Nutrition Source Type: research

Advanced Placement Paramedic Education for Health Care Professionals: A Descriptive Evaluation
This study evaluated the demographics and performance of nonemergency medical services health care professionals who attended an advanced placement paramedic education program at a Midwestern university.MethodsThis was a retrospective evaluation of student data from 2007 to 2017. Descriptive statistics were used to tabulate demographics, program performance, and individual performance in the National Paramedic Certification Examination.ResultsThe program admitted 305 students; registered nurses (95%) were the majority of students. Of the 305 admitted students, 271 (88.9%) fulfilled all program requirements and were eligibl...
Source: Journal of Emergency Nursing - November 29, 2019 Category: Nursing Source Type: research

HIV pretreatment drug resistance among cisgender MSM and transgender women from Lima, Peru.
Authors: Trebelcock WL, Lama JR, Duerr A, Sanchez H, Cabello R, Gilada T, Segura P, Reisner SL, Mayer KH, Mullins J, Bender Ignacio RA Abstract INTRODUCTION: Transmitted, or any pretreatment drug resistance (TDR, PDR) can compromise efficacy of first-line antiretroviral therapy (ART). In Peru, genotypic resistance testing is not routinely performed before ART initiation, and estimated PDR prevalence prior to 2012 ranged from 1.0% to 4.7%. We aimed to update estimates of PDR prevalence in men who have sex with men (cis-MSM) and transgender women (TW). METHODS: We obtained HIV sequences from three studies of ART-...
Source: Journal of the International AIDS Society - November 29, 2019 Category: Infectious Diseases Tags: J Int AIDS Soc Source Type: research

Mental disorders and quality of life in patients awaiting liver transplantation
CONCLUSION: A high-prevalence of psychiatric disorders was found among all clinical conditions most associated with indication for liver transplantation. Attention is drawn to the absence of patients with psychotic disorders, which suggests that transplantation may not have been indicated for this group of patients. For these reasons, professionals caring for liver transplant candidates should be highly vigilant for the presence of mental disorders, regardless of the etiology of liver disease. Specialized care is recommended to minimize the early exclusion of patients with no other therapeutic possibilities, as well as car...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Nutritional indicators of malnutrition in hospitalized patients
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

ASSOCIATION OF TNF-α-308G>A POLYMORPHISMAND CELIAC DISEASE
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Predictive parameters to identify incontinent patients amenable for rehabilitation treatment: the muscular synergies evaluation
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Genexpert for abdominal tuberculosis
CONCLUSION: NRS was more sensitive than other indicators in the diagnosis of malnutrition. Patients at risk were older and had lower HEC values, calf circumference, BMI and lymphocyte count. Low lymphocyte count was considered a factor associated with nutritional risk by the NRS.RESUMO CONTEXTO: A desnutri ção está associada a fatores clínicos, incluindo maior tempo de internação, aumento da morbimortalidade e custos hospitalares. OBJETIVO: Investigar a prevalência de desnutrição por diferentes indicadores nutricionais e identificar fatores que contribuem para a...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Antibiotic resistance surveillance of helicobacter pylori at the biobÍo region (chile) in a decade
ABSTRACT BACKGROUND: Helicobacter pylori infection in Chile remains as a public and private health-care system ’ s challenge, with a prevalence of the infection over 70%. Nowadays, antibiotic treatment of the infection is mandatory to prevent the arising of severe associated diseases but failures in the eradication therapy mainly due to clarithromycin resistance has been observed worldwide and first line eradication therapy seems to be not effective anymore in several geographical areas. Thus, health-care systems are committed to maintain an epidemiological surveillance upon the evolution of the antibiotic resistance...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research

Sarcopenia and severity of non-alcoholic fatty liver disease
ABSTRACT BACKGROUND: Non-alcoholic fatty liver disease is characterized by deposition of lipids in the hepatic parenchyma exceeding 5% of liver weight in the absence of other conditions, such as viral or alcoholic hepatitis and metabolic disease. Non-alcoholic fatty liver disease is the most common form of chronic liver disease in several countries. In addition to liver complications, recent studies have shown a relation between liver fat and sarcopenia. OBJECTIVE: Determine the association between sarcopenia and the severity of non-alcoholic hepatic steatosis diagnosed by abdominal ultrasonography. METHODS: A clinical, cr...
Source: Arquivos de Gastroenterologia - November 29, 2019 Category: Gastroenterology Source Type: research