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Shou Quan Dong, Tikka Prabhjot Singh, Qiu Zhao, Juan Juan Li, Hong Ling Wang
BACKGROUND:  Endoscopic sphincterotomy plus balloon dilation (ESBD) is considered to be a promising method for the removal of large common bile duct (CBD) stones. However, when compared with endoscopic sphincterotomy (EST) alone, the efficacy and safety of ESBD remain controversial. This meta-analysis aimed to compare the efficacy and safety of ESBD vs. EST for the removal of large CBD stones. METHODS:  Electronic databases were searched up to 15 July 2018 for literature that compared ESBD with EST for the removal of CBD stones...
February 20, 2019: Endoscopy
Priscila Katsumi Matsuoka, Rodrigo Aquino Castro, Edmund Chada Baracat, Jorge Milhem Haddad
OBJECTIVE:  To evaluate if performing anti-incontinence procedures during surgical anterior and/or apical prolapse correction in women with asymptomatic urinary incontinence (UI) may prevent stress urinary incontinence (SUI) postoperatively. METHODS:  We have performed a systematic review of articles published in the PubMed, Cochrane Library, and Lilacs databases until March 31, 2016. Two reviewers performed the data collection and analysis, independently. All of the selected studies were methodologically analyzed...
February 2019: Revista Brasileira de Ginecologia e Obstetrícia
Vicente Sperb Antonello, Marjane Caroline Cunegatto, Elisa Tasca Rosin, Júlia Xavier Castilhos, Fabrícia Gamba Beduschi, Daniela Benzano Bumaguin, Ivan Carlos Ferreira Antonello, Mirela Foresti Jimenez
OBJECTIVE:  To analyze the prescription of antimicrobial agents for pregnant women admitted into the obstetrics service who presented with acute pyelonephritis. METHODS:  Three cross-sectional studies were performed comparing the prescription of antimicrobials for pyelonephritis in pregnant women in the time periods evaluated (2010-2011: 99 patients evaluated; 2013: 116 patients evaluated; 2015: 107 patients evaluated), at the Hospital Fêmina, Porto Alegre, in the state of Rio Grande do Sul, Brazil...
February 2019: Revista Brasileira de Ginecologia e Obstetrícia
Johannes Westhofen, Marie-Therese Puth, Henrike Steudel, Eva Münster, Klaus Weckbecker
OBJECTIVE: For the first time, the level of knowledge and attitude towards vaccinations in general as well as seasonal influenza vaccination of midwife trainees in Germany was assessed. METHODS: The cross-sectional study was conducted between May and July 2017. The written standardized questionnaire was completed by all midwife-trainees in North Rhine-Westphalia. The statistical analysis included frequency tables and multiple logistic regression models. RESULTS: All of the 10 Schools for Midwifery in North Rhine-Westphalia participated in the survey and 315 questionnaires (response rate: 95...
February 20, 2019: Das Gesundheitswesen
L Fiaschi, C Nelson-Piercy, S Deb, R King, L J Tata
OBJECTIVES: To assess how nausea and vomiting in pregnancy (NVP) and hyperemesis gravidarum (HG) are managed and treated across primary and secondary care. DESIGN: Population-based pregnancy cohort. SETTING: Medical records (CPRD-GOLD) from England. POPULATION: 417,028 pregnancies, during 1998-2014. METHODS: Proportions of pregnancies with recorded NVP/HG diagnoses, primary care treatment and hospital admissions were calculated...
February 20, 2019: BJOG: An International Journal of Obstetrics and Gynaecology
Martina Ventura, Valeria Belleudi, Paolo Sciattella, Riccardo Di Domenicantonio, Mirko Di Martino, Nera Agabiti, Marina Davoli, Danilo Fusco
BACKGROUND: The relationship between guideline adherence and outcomes in patients with acute myocardial infarction (AMI) has been widely investigated considering the emergency, acute, post-acute phases separately, but the effectiveness of the whole care process is not known. AIM: The study aim was to evaluate the effect of the multicomponent continuum of care on 1-year survival after AMI. METHODS: We conducted a cohort study selecting all incident cases of AMI from health information systems during 2011-2014 in the Lazio region...
2019: PloS One
Jin Mou, Effie L Bolieu, Bethann M Pflugeisen, Paul J Amoroso, Beth Devine, Laura-Mae Baldwin, Laura L Frank, Rebecca H Johnson
BACKGROUND: Timeliness is one of the fundamental yet understudied quality metrics of cancer care. Little is known about cancer treatment delay among adolescent and young adult (AYA) cancer patients. This study assessed cancer treatment delay, with a specific focus on facility transfer and diagnosis/treatment interval. METHODS: Based on MultiCare Health System's (MHS's) institutional cancer registry data of AYA patients diagnosed during 2006-2015, this study analyzed patient demographics, insurance, clinical characteristics, and time of diagnosis and treatment initiation...
February 20, 2019: Journal of Adolescent and Young Adult Oncology
Rodrigo Wiltgen Ferreira, Eduardo Lucia Caputo, César Augusto Häfele, Jeferson Santos Jerônimo, Alex Antonio Florindo, Alan Goularte Knuth, Marcelo Cozzensa da Silva
The article sought to describe awareness of public physical activity programs, practice of physical activity in public programs and barriers related to non-participation in these programs in a national representative sample according to sex, age, skin color, income, state and having been visited by a family health team (EqSF, in Portuguese) in the previous year. This is a cross-sectional survey with data from the Brazilian National Health Survey, 2013. We carried out descriptive analyses using the distribution of relative frequencies and their respective 95% confidence intervals, weighted in the sample design...
February 18, 2019: Cadernos de Saúde Pública
M V H Carvalho, P C Kroll, R T M Kroll, V N Carvalho
Cirrhotic cardiomyopathy historically has been confused as alcoholic cardiomyopathy. The key points for diagnosis of cirrhotic cardiomyopathy have been well explained, however this entity was neglected for a long time. Nowadays the diagnosis of this entity has become important because it is a factor that contributes significantly to morbidity-mortality in cirrhotic patients. Characteristics of cirrhotic cardiomyopathy are a hyperdynamic circulatory state, altered diastolic relaxation, impaired contractility, and electrophysiological abnormalities, particularity QT interval prolongation...
February 14, 2019: Brazilian Journal of Medical and Biological Research, Revista Brasileira de Pesquisas Médicas e Biológicas
Bart S. Ferket, Gorav Ailawadi, Annetine C. Gelijns, Michael Acker, Samuel F. Hohmann, Helena L. Chang, Denis Bouchard,, David O. Meltzer, Robert E. Michler, Ellen G. Moquete, Pierre Voisine, John C. Mullen, Anuradha Lala, Michael J. Mack, A. Marc Gillinov, Vinod H. Thourani, Marissa A. Miller, James S. Gammie, Michael K. Parides, Emilia Bagiella, Robert L. Smith, Peter K. Smith, Judy W. Hung, Lopa N. Gupta, Eric A. Rose, Patrick T. O'Gara, Alan J. Moskowitz, Cardiothoracic Surgical Trials Network (CTSN) Investigators
BACKGROUND: The CTSN (Cardiothoracic Surgical Trials Network) recently reported no difference in left ventricular end-systolic volume index or in survival at 2 years between patients with severe ischemic mitral regurgitation (MR) randomized to mitral valve repair or replacement. However, replacement provided more durable correction of MR and fewer cardiovascular readmissions. Yet, costeffectiveness outcomes have not been addressed. METHODS AND RESULTS: We conducted a cost-effectiveness analysis of the surgical treatment of ischemic MR based on the CTSN trial (n=126 for repair; n=125 for replacement)...
November 14, 2018: Circulation. Cardiovascular Quality and Outcomes
Susanne Bendesgaard Pedersen, Dóra Körmendiné Farkas, Søren Pihlkjær Hjortshøj, Hans Erik Bøtker, Jens Brock Johansen, Berit Thornvig Philbert, Jens Haarbo, Reimar Wernich Thomsen, Jens Cosedis Nielsen
AIMS: Implantable cardioverter-defibrillator (ICD) treatment prevents sudden cardiac death in high-risk patients. This study examined geographical variation in ICD implantation rates in Denmark and potential causes of variation. METHODS AND RESULTS: We obtained numbers of ICD implantations in the 5 Danish regions and 98 municipalities during 2007-2013 from the Danish Pacemaker and ICD Registry. Standardized implantation rates (SIRs) were computed as ICD implantations per 1,000,000 person-years, and age- and gender-standardized to the Danish population...
February 20, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
Kathleen R Elliott, Emily Jones
BACKGROUND: Studies have shown the frequency of drug misuse is important in the development of a substance use disorder, but little is known about this relationship in the context of opioid misuse and opioid use disorder and withdrawal symptoms. METHODS: Our study included 2694 civilian respondents from the United States 12 years and older who had misused prescription opioids in the past year from the 2014 National Survey on Drug Use and Health. Logistic regression was used to model the association between frequency of prescription opioid misuse and opioid use disorder and withdrawal symptoms, adjusting for age, sex, race/ethnicity, and income level...
February 13, 2019: Drug and Alcohol Dependence
Zheng Li, Xiaorong Liu, Yanfang Yu, Huijie Huang, Xingling Li, Qiang Ji, Kai Li, Youjia Yu, Ding Li, Zhengsheng Mao, Yan Pu, Peng Chen, Feng Chen
In forensic science, the determination of diatoms bears several goals, for example to estimate the post mortem interval (PMI), to determine the cause of death of a corpse found in water as well as to further locate the suspected drowning site. However, to identify diatoms using morphological method beyond the genus level is difficult and requires expert knowledge. During the last decade, a new concept of DNA barcode is becoming a promising approach to identify the taxa of diatoms. In the present study, we performed a diatom morphological analysis covering 10 different water areas in Nanjing section of the Yangtze River...
February 2, 2019: Forensic Science International
Keith L Monson, Maria Antonia Roberts, Kathryn B Knorr, Sherine Ali, Stephen B Meagher, Kevin Biggs, Patti Blume, Donna Brandelli, Albert Marzioli, Robert Reneau, Frank Tarasi
This study addresses the permanence and persistence of friction ridges and the persistence of impressions made from these friction ridges over months and years. Permanence is the unchanging presence and appearance of friction ridge arrangements and their attributes between recurring observations of the skin. Permanence was evaluated from direct photographs of fingers collected over a period of 30-45 days (covering one or more skin regeneration cycles) as well as after 8 or more years had elapsed. Persistence embodies the operational concept of whether or not a pair of images displays sufficient similarity upon which to base an informed decision that they were made by the same finger, while acknowledging certain dissimilarities or distortions due to friction ridge physiology, image capture, matrix, substrate, and applied pressure...
February 8, 2019: Forensic Science International
Ümüt Cirit, Mehmet Ferit Özmen, İbrahim Küçükaslan, Mehmet Köse, Hüseyin Gökhan Kutsal, Elif Merve Çınar
The present study evaluated follicular superstimulatory (FSS) and superovulatory (SOV) responses and in vivo embryo production in lactating Simmental cows treated with FSH starting 1 or 2 days after follicle aspiration (FA). The performance of a lengthened superovulation program, named 6dFSH-P36-hCG60, is described. At random stages of the estrous cycle, cows (n = 52) were subjected to ultrasound-guided transvaginal aspiration of all follicles ≥ 5 mm. After FA, cows were randomly assigned to one of two groups in which FSH treatments started 1 or 2 days after FA (groups FA-1D and FA-2D, respectively)...
February 8, 2019: Theriogenology
Alyssa J Cornelius, Rachel Moxon, Jane Russenberger, Barbara Havlena, Soon Hon Cheong
Canine dystocia is a common problem that increases the risk of mortality to the dam and stillbirths for the pups. Understanding the risk factors for dystocia and stillbirth can help guide decision making to improve outcomes of whelping management. This study aimed to 1) evaluate risk factors for canine dystocia; and 2) assess risk factors for stillbirth in puppies, by examining all whelpings and puppies born in two breeding populations of guide dogs for a defined period of time. Dystocia risk factors were evaluated using a repeated measures model on 2,489 litters with an overall dystocia rate of 23...
February 8, 2019: Theriogenology
Lan Yao, Dongfang Wang, Qingyan Fu, Liping Qiao, Hongli Wang, Li Li, Wenwen Sun, Qing Li, Lin Wang, Xin Yang, Zhuohui Zhao, Haidong Kan, Aiyong Xian, Gehui Wang, Hang Xiao, Jianmin Chen
Fireworks displays are a traditional form of celebration during the Chinese Spring Festival (Festival). In response to the heavy air pollution caused by fireworks, Shanghai, a megacity in China, has imposed regulatory measures on the use of fireworks in recent years. To investigate air quality trends before and after firework regulation was established and quantify its efficiency, gaseous pollutants, PM2.5 levels, and PM2.5 chemical composition were synchronously measured at 1 h time intervals at an urban site and a suburban site in Shanghai in the period during and around the Festival from 2013 to 2017...
February 20, 2019: Environment International
Sara Polcaro-Pichet, Tom Kosatsky, Brian J Potter, Marianne Bilodeau-Bertrand, Nathalie Auger
BACKGROUND: We sought to determine if cold temperature and snowfall are independently associated with stroke mortality, and whether effects differ between hemorrhagic and ischemic stroke. MATERIALS AND METHODS: We conducted a case-crossover study of 13,201 stroke deaths utilizing weather records between the months of November and April for Quebec, Canada from 1981 to 2015. We compared exposure to cold temperature and snowfall with controls days when stroke death did not occur...
February 20, 2019: Environment International
Marcus Dörr, Vivien Nohturfft, Noé Brasier, Emil Bosshard, Aleksandar Djurdjevic, Stefan Gross, Christina J Raichle, Mattias Rhinisperger, Raphael Stöckli, Jens Eckstein
OBJECTIVES: The WATCH AF (SmartWATCHes for Detection of Atrial Fibrillation) trial compared the diagnostic accuracy to detect atrial fibrillation (AF) by a smartwatch-based algorithm using photoplethysmographic (PPG) signals with cardiologists' diagnosis by electrocardiography (ECG). BACKGROUND: Timely detection of AF is crucial for stroke prevention. METHODS: In this prospective, 2-center, case-control trial, a PPG pulse wave recording using a commercially available smartwatch was obtained along with Internet-enabled mobile ECG in 672 hospitalized subjects...
February 2019: JACC. Clinical Electrophysiology
Nicola Vousden, Elodie Lawley, Hannah L Nathan, Paul T Seed, Muchabayiwa Francis Gidiri, Shivaprasad Goudar, Jane Sandall, Lucy C Chappell, Andrew H Shennan
BACKGROUND: In 2015, an estimated 303 000 women died in pregnancy and childbirth. Obstetric haemorrhage, sepsis, and hypertensive disorders of pregnancy account for more than 50% of maternal deaths worldwide. There are effective treatments for these pregnancy complications, but they require early detection by measurement of vital signs and timely administration to save lives. The primary aim of this trial was to determine whether implementation of the CRADLE Vital Sign Alert and an education package into community and facility maternity care in low-resource settings could reduce a composite of all-cause maternal mortality or major morbidity (eclampsia and hysterectomy)...
March 2019: Lancet Global Health
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