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https://read.qxmd.com/read/30779640/cardiovascular-care-in-women-veterans
#1
Janet K Han, Elizabeth M Yano, Karol E Watson, Ramin Ebrahimi
Cardiovascular disease is the number one cause of death for women in the United States. Of the 1.3 million active duty service members, 16.3% are currently women, and the number of women veterans is expected to increase. Women veterans have higher rates of cardiovascular disease than civilian women and present a unique population. We focus on 5 key areas regarding cardiovascular disease care for women veterans: (1) the rapidly changing demographic; (2) prevalence of traditional risk factors; (3) prevalence of less traditional risk factors (eg, homelessness, military sexual trauma, and mental health disorders); (4) treatment and outcomes of cardiovascular disease; and (5) the current state and future directions of research in this area...
February 19, 2019: Circulation
https://read.qxmd.com/read/30779455/statin-use-among-veterans-with-dialysis-dependent-chronic-kidney-disease
#2
Talar W Markossian, Holly J Kramer, Nicholas J Burge, Ivan V Pacold, David J Leehey, Zhiping Huo, Julia Schneider, Benjamin Ling, Kevin T Stroupe
INTRODUCTION: The benefits of statin medications in patients receiving maintenance dialysis remains controversial and clinical trials overall have shown no benefit. Potential side effects of statin medications include myalgias, myopathy, and memory loss and risk of side effects associated with statin medications increase with higher statin doses. We examined statin use and statin dose among Veterans with dialysis dependent CKD. Such information may help clinicians modulate medication use and reduce pill burden in appropriate patients...
February 19, 2019: Hemodialysis International
https://read.qxmd.com/read/30779446/alcohol-and-women-a-brief-overview
#3
M E McCaul, D Roach, D S Hasin, C Weisner, G Chang, R Sinha
This paper provides a brief overview of research on women and alcohol and introduces a virtual issue of Alcoholism: Clinical and Experimental Research devoted to this important subject. Women-focused topics include the epidemiology of alcohol use among women, health and behavioral consequences of drinking, prenatal alcohol use and interventions, and enhanced alcohol treatment services. The introduction and selected papers highlight: temporal trends that are narrowing the gender gap in alcohol use; mounting evidence of the more rapid progression and greater severity of harmful physiological and behavioral effects of alcohol in women; impact of targeted public health campaigns and public policies on prenatal drinking; and finally intervention strategies to improve detection and care of women who misuse alcohol...
February 19, 2019: Alcoholism, Clinical and Experimental Research
https://read.qxmd.com/read/30779194/proton-pump-inhibitors-and-risk-of-acute-and-chronic-kidney-disease-a-retrospective-cohort-study
#4
Emily Hart, Terry E Dunn, Steven Feuerstein, David M Jacobs
BACKGROUND: Proton pump inhibitors (PPIs) have been linked to acute kidney injury (AKI) and chronic kidney disease (CKD); however, current evidence has only been evaluated in a small number of studies with short follow-up periods. This study examined the association between PPI use and risk of incident AKI and CKD in a large, population-based health-maintenance organization (HMO) cohort. METHODS: Patients aged 18 years or older, without evidence of pre-existing renal disease, started on PPI therapy, and continuously enrolled for at least 12 months between July 1993 and September 2008 were identified in an HMO database...
February 18, 2019: Pharmacotherapy
https://read.qxmd.com/read/30778733/withdrawal-of-antiepileptic-drugs-in-patients-with-low-grade-and-anaplastic-glioma-after-long-term-seizure-freedom-a-prospective-observational-study
#5
M Kerkhof, J A F Koekkoek, M J Vos, M J van den Bent, W Taal, T J Postma, J E C Bromberg, M C M Kouwenhoven, L Dirven, J C Reijneveld, M J B Taphoorn
BACKGROUND: When glioma patients experience long-term seizure freedom the question arises whether antiepileptic drugs (AEDs) should be continued. As no prospective studies exist on seizure recurrence in glioma patients after AED withdrawal, we evaluated the decision-making process to withdraw AEDs in glioma patients, and seizure outcome after withdrawal. METHODS: Patients with a histologically confirmed low grade or anaplastic glioma were included. Eligible patients were seizure free ≥ 1 year from the date of last antitumor treatment, or ≥ 2 years since the last seizure when seizures occurred after the end of the last antitumor treatment...
February 18, 2019: Journal of Neuro-oncology
https://read.qxmd.com/read/30778637/-quality-prevention-and-health-promotion-programming-in-long-term-care-the-qualipep-project
#6
REVIEW
Anke Tempelmann, Kai Kolpatzik, Heidi Ehrenreich, Miriam Ströing, Christian Hans
With the demographic shift, the number of persons in need of long-term care is continuing to grow, as is the need for nursing care staff and specialists. Stress levels within the long-term care sector are very high. Multiple legislative reforms have given rise to societal and political awareness of the resulting challenges: Preventive Health Care Act (2015), First and Second Acts and Third Bill to Strengthen Long-term Care (2015-17), Federal Participation Act (2017), and the Bill to Strengthen Nursing Care Staff (2019)...
February 18, 2019: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://read.qxmd.com/read/30778522/seroprotection-at-different-levels-of-the-health-care-system-after-routine-vaccination-with-dtpw-hepb-hib-in-lao-pdr
#7
Lisa Hefele, Sengdavanh Syphan, Dalouny Xayavong, Anousin Homsana, Daria Kleine, Phetsavanh Chanthavilay, Phonethipsavanh Nouanthong, Kinnaly Xaydalasouk, Outavong Phathammavong, Somxay Billamay, Anonh Xeuatvongsa, Daniel Reinharz, Claude P Muller, Antony P Black
BACKGROUND: Lao PDR continues to sustain a considerable burden of vaccine preventable diseases because of incomplete vaccine coverage and weak vaccine responses. We have assessed seroconversion after routine vaccination with DTPw-HepB-Hib to capture weaknesses of vaccine management at the different levels of the health care system. METHODS: 1151 children (8-28 months) with three documented doses of the pentavalent vaccine delivered at Central hospitals in Vientiane and the Provincial hospital, 3 district hospitals and 10 health centers in Bolikhamxay province were enrolled...
February 19, 2019: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://read.qxmd.com/read/30777523/posttransplant-care-of-kidney-transplant-recipients-and-their-donors-in-nigeria
#8
Ifeoma I Ulasi, Chinwuba Ijoma, Obinna Onodugo, Ejikeme Arodiwe, Julius Okoye, Ugochi Onu, Uchenna Ijoma, Ngozi Ifebunandu, Olaronke Afolabi, Ume Nwobodo
OBJECTIVES: Kidney transplantation is not readily available in low-resource settings because of poor health structure, dearth of experts, and pervading poverty. Although many centers now offer kidney transplant, patients still travel outside Nigeria for this service for many reasons and many return home without a detailed medical report. MATERIALS AND METHODS: Medical records of individuals who underwent kidney transplant in Nigeria and elsewhere and who were presently receiving posttransplant care or had received such care from 2002 to 2018 at 4 Nigerian hospitals were retrospectively reviewed and analyzed...
January 2019: Experimental and Clinical Transplantation
https://read.qxmd.com/read/30777301/-feedback-on-a-complementary-care-program-combining-physical-activity-mindfulness-based-meditation-and-socio-aesthetic-care
#9
Cécile Charles, Diane Boinon, Nathalie Renvoisé, Gloria Pallubicki, Charlotte Borch-Jacobsen, Olivier Laplanche, Thomas Ginsbourger, Sarah Dauchy
INTRODUCTION: Increasing physical activity among cancer patients is one of the priority recommendations in tertiary prevention; the level of physical activity is one of the determining factors in reducing the risk of relapse and mortality. However, many barriers to initiation and maintenance of regular physical activity have been identified. A program combining bi-weekly adapted physical activity sessions, mindfulness-based meditation and socio-aesthetic care was put together in 2015, in a Cancer Center, in order to facilitate adherence and sustainable attendance...
February 15, 2019: Bulletin du Cancer
https://read.qxmd.com/read/30777299/traumatic-injury-of-the-petrous-part-of-the-temporal-bone-keys-for-reporting-a-complex-diagnosis
#10
M Varo Alonso, C Utrilla Contreras, Á Díez Tascón, P S García Raya, M Martí de Gracia
Fractures of the petrous part of the temporal bone are a common lesion of the base of the skull; most of these fractures result from high-energy trauma. In patients with multiple trauma, these injuries can be detected on CT scans of the head and neck, where the direct and indirect signs are usually sufficient to establish the diagnosis. It is important to these fractures because the temporal bone has critical structures and the complexity of this region increases the risk of error unless special care is taken...
February 15, 2019: Radiología
https://read.qxmd.com/read/30777108/an-online-survey-on-burden-of-illness-among-families-with-post-stem-cell-transplant-mucopolysaccharidosis-type-i-children-in-the-united-states
#11
Therese Conner, Francesca Cook, Vivian Fernandez, Karen Rascati, Vanessa Rangel-Miller
BACKGROUND: Severe mucopolysaccharidosis type I (also known as Hurler syndrome) is a rare devasting recessive genetic disease caused by the deficiency of an enzyme. Hematopoietic stem cell transplant is the standard of care in the United States, usually conducted before the child is 3 years of age, but little is known about the continued medical and educational needs of the child after transplant. A greater understanding of the burden of illness on the primary caregiver is also needed...
February 18, 2019: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/30776967/the-impact-of-different-classes-of-lupus-nephritis-on-maternal-and-fetal-outcomes-a-cohort-study-of-147-pregnancies
#12
B Costa Rodrigues, M Ignacchiti Lacerda, G R Ramires de Jesús, Flávia Cunha Dos Santos, N Ramires de Jesús, R A Levy, E Mendes Klumb
OBJECTIVE: To analyze the impact of different classes of lupus nephritis as risk variables for maternal and fetal adverse outcomes in a cohort of pregnant lupus patients. METHODS: This is a cohort study with retrospective and prospective data collection, conducted at the University Hospital of State University of Rio de Janeiro, Brazil, from 2011 to 2016. A total of 147 pregnancies of 137 systemic lupus erythematosus patients of whom 66 had lupus nephritis were included...
February 18, 2019: Lupus
https://read.qxmd.com/read/30776963/compassion-and-community-in-perinatal-palliative-care-understanding-the-necessity-of-the-patient-perspective-through-narrative-illustration
#13
Jennifer Kuchemba-Hunter
Advancing technology in reproductive medicine has led to more frequent perinatal diagnoses of fatal or life-limiting anomaly. For those parents who choose to continue pregnancies while facing such a diagnosis, compassionate and communal perinatal palliative care provides beneficial physical and psycho-socio-emotional support for these families, so that they may preserve and acknowledge the relationship with their child, no matter how brief his/her life.
February 18, 2019: Journal of Palliative Care
https://read.qxmd.com/read/30776347/current-concepts-in-severe-acute-and-necrotizing-pancreatitis-an-evidence-based-approach
#14
Guru Trikudanathan, Daan Wolbrink, Hjalmar van Santvoort, Shawn Mallery, Martin Freeman, Marc Besselink
The incidence of acute pancreatitis continues to rise, inducing substantial medical and social burden, with annual costs exceeding two billion dollars in the USA alone. Although the majority of patients develop mild pancreatitis, 20% develop severe and/or necrotizing pancreatitis, requiring advanced medical and interventional care. Morbidity resulting from local and systemic complications as well as invasive interventions result in mortality rates historically as high as 30%. There has been substantial evolution of strategies for interventions in recent years, from open surgery to minimally invasive surgical and endoscopic step-up approaches...
February 15, 2019: Gastroenterology
https://read.qxmd.com/read/30776305/management-of-childhood-obesity-an-audit-of-clinical-practice-in-secondary-care
#15
Gloria J Dainty, David M Reith, Barry J Taylor
AIM: Childhood obesity continues to be a major health issue for children world-wide, with well-recognised major health effects. This study evaluated the prevalence of obesity in children presenting to secondary care in Southern New Zealand, as well as their clinical management. METHODS: Obesity prevalence was determined by a review of data contained in the electronic anthropometry database in the region for the period 19 July 2010-16 July 2015. All clinical records were further examined using a standard data extraction form for 333 obese children regarding their clinical management...
February 18, 2019: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/30776284/-transition-of-adolescents-with-attention-deficit-hyperactivity-disorder-implications-for-treatment-of-adults
#16
José Martínez-Raga, María López-Cerveró
Attention deficit hyperactivity disorder (ADHD) is a chronic, complex and multifactorial neurodevelopmental disorder associated with high rates of concurrent psychiatric disorders, along with problems and complications on different areas of individual functioning. ADHD is not exclusively a childhood disorder, 40-60% persisting into adulthood with an estimated prevalence of 2.5-5%. Adolescence is a stage where great and continuous changes occur, associated with a lower adherence to treatment, a greater vulnerability to the emergence of academic problems, more risk-behaviors, the onset of substance use and higher rates of other comorbid disorders...
2019: Medicina
https://read.qxmd.com/read/30775903/determination-of-free-psa-fpsa-and-fpsa-psa-ratio-using-a-point-of-care-device
#17
Inês Anselmo da Costa, Jörg Hennenlotter, Tilman Todenhöfer, Eva Neumann, Susanne Deininger, Stefan Aufderklamm, Jens Bedke, Arnulf Stenzl, Steffen Rausch
BACKGROUND: Prostate specific antigen (PSA) and free PSA (fPSA) are important tools for diagnosing prostate cancer (PC). Efforts are continuously undertaken to provide more patient-centered healthcare. The application of point-of-care (POC) systems for laboratory analyses represents a step in this direction. Previous investigations on total PSA measurements using a POC system (concile® Ω100 POC reader) showed good concordance with standard laboratory measurements. For the same POC reader a novel system for fPSA was developed...
January 1, 2019: Clinical Laboratory
https://read.qxmd.com/read/30775853/continued-attendance-for-paediatric-weight-management-a-multicentre-qualitative-study-of-parents-reasons-and-facilitators
#18
Biagina-Carla Farnesi, Arnaldo Perez, Nicholas L Holt, Katherine M Morrison, Rebecca Gokiert, Laurent Legault, Jean-Pierre Chanoine, Arya M Sharma, Geoff D C Ball
Although prolonged engagement in paediatric weight management (PWM) is associated with positive treatment outcomes, little is currently known about enablers of long-term programme attendance. The purpose of our study was to explore families' reasons for and facilitators of their continued attendance at health services for PWM. Semi-structured, individual interviews were conducted with parents of children (10-17 year old; body mass index ≥85th percentile) who completed the active phase of treatment in one of four Canadian multidisciplinary clinics for PWM...
February 18, 2019: Clinical Obesity
https://read.qxmd.com/read/30775556/a-coordination-project-for-improvement-of-osteoporosis-medication-use-among-patients-who-sustained-an-osteoporotic-fracture-the-israeli-experience
#19
Noemi Heyman, Isaac Etzion, Merav Ben Natan
Objectives: The aim of this study was to examine whether coordination between healthcare providers at an inpatient rehabilitation facility and healthcare providers in a community setting improves osteoporosis medication use in the community. Methods: In 2012, a coordination project between an inpatient geriatric rehabilitation facility located in north-central Israel and general practitioners in the community setting was initiated. In this retrospective pseudo-experimental study, we compared osteoporosis medication use among patients who were hospitalized at the facility following an osteoporotic fracture during 2011-2012, and who constituted the control group (n=120), and patients who were hospitalized at the facility during 2013-2015, and who constituted the trial group (n=129)...
December 2018: Osteoporosis and Sarcopenia
https://read.qxmd.com/read/30775549/locomotive-syndrome-in-japan
#20
REVIEW
Hideaki Ishibashi
The present aging rate in Japan of some 28% will continue to increase along with the advancing age of elderly persons. Therefore, the demand for care will also increase. Approximately 25% of the need for nursing-care defined by the Japanese long-term care insurance system is associated with disorders or deterioration of locomotive organs. Therefore, the prevention and treatment of diseases in the locomotor system and maintenance of motor function are important for extended healthy life span and to decrease the demand for long-term care...
September 2018: Osteoporosis and Sarcopenia
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