Search results for " Patterns"

showing 10 items of 454 documents

Switching to a Second Thiopurine in Adult and Elderly Patients With Inflammatory Bowel Disease: A Nationwide Study From the ENEIDA Registry

2020

Abstract Background and Aims Although commonly used in inflammatory bowel disease [IBD], thiopurines frequently cause intolerance, and switching to a second thiopurine has only been reported in some small series. Ours aims in this study were to evaluate the safety of switching to a second thiopurine in a large cohort, and to assess the impact of age on tolerance. Methods Adult IBD patients from the ENEIDA registry, who were switched to a second thiopurine due to adverse events [excluding malignancies and infections], were identified. At the beginning of thiopurine treatment, patients were divided by age into two groups: 18–50 and over 60 years of age. The rate and concordance of adverse eve…

AdultMalemedicine.medical_specialtyDrug-Related Side Effects and Adverse ReactionsConcordanceInflammatory bowel diseaseelderly03 medical and health sciences0302 clinical medicineinflammatory bowel diseaseInternal medicineAzathioprinemedicineHumans030212 general & internal medicinePractice Patterns Physicians'Adverse effectThiopurine elderly inflammatory bowel diseaseAgedThiopurine methyltransferasebiologyThiopurinebusiness.industryDrug SubstitutionMercaptopurineGastroenterologyAge FactorsGeneral MedicineOdds ratioDrug Tolerancemedicine.diseaseInflammatory Bowel DiseasesConfidence intervaldigestive system diseasesClinical PracticeSpainbiology.proteinAcute pancreatitis030211 gastroenterology & hepatologyFemaleRisk AdjustmentDrug MonitoringbusinessImmunosuppressive Agents
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Are primary-care physician practices related to health behaviors likely to reduce social inequalities in health?

2017

Abstract Our objective was to examine patients' health behaviors and the related practices of their primary-care physicians to determine whether physicians' actions might help to reduce the social inequalities in health behaviors among their patients. Fifty-two general practitioners, who were also medical school instructors in the Parisian area, volunteered to participate. A sample of 70 patients (stratified by sex) aged 40–70 years was randomly chosen from each physician's patient panel and asked to complete a questionnaire about their social position and health behaviors: tobacco and alcohol use, diet, physical activity, and participation in breast and cervical cancer screening. Each phys…

AdultMalemedicine.medical_specialtyEpidemiologyHealth Behavior03 medical and health sciencesBreast cancer screening0302 clinical medicineSex FactorsSurveys and QuestionnairesMedicineSocial positionHumansSocial inequality030212 general & internal medicineSocial determinants of healthPractice Patterns Physicians'030505 public healthmedicine.diagnostic_testPrimary Health Carebusiness.industryPublic Health Environmental and Occupational HealthPrimary care physicianMiddle AgedTest (assessment)DisadvantagedCross-Sectional StudiesSocioeconomic FactorsFamily medicineScale (social sciences)Female0305 other medical sciencebusinessPreventive medicine
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Current practice of chronic hepatitis B treatment in Southern Italy

2012

Abstract Background Treatment choice for chronic HBV infection is a continuously evolving issue, with a wide range of options. We aimed to evaluate the current practice of HBV therapies in the real world in Southern Italy. Methods A prospective study enrolling over a six month period (February–July 2010) all consecutive HBsAg positive subjects, never previously treated, referred to 16 liver units in two Southern Italy regions (Calabria and Sicily). Results Out of 247 subjects evaluated, 116 (46.9%) had HBV-DNA undetectable or lower than 2000 UI/ml. There were 108 (43.7%) inactive carriers, 103 (41.7%) chronic hepatitis, and 36 (14.6%) liver cirrhosis. Antiviral treatment was planned in 94 (…

AdultMalemedicine.medical_specialtyHBsAgGuanineCirrhosisOrganophosphonatesPyrimidinonesNucleosides analoguesAntiviral AgentsPolyethylene GlycolsYoung AdultHepatitis B ChronicChronic hepatitisInterferonPegylated interferonInternal medicineHBVInternal MedicinemedicineHumansHepatitis B e AntigensPractice Patterns Physicians'TenofovirProspective cohort studyAgedAged 80 and overTelbivudinebusiness.industryAdenineAge FactorsInterferon-alphaNucleosidesMiddle AgedHBV; Interferon; Nucleosides analogues; Nucleotides analoguesNucleotides analoguesmedicine.diseaseRecombinant ProteinsItalyLamivudineCurrent practiceImmunologyInterferonFemalePreviously treatedbusinessThymidinemedicine.drugEuropean Journal of Internal Medicine
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The effects of a roundtrip trans-American jet travel on physiological stress, neuromuscular performance, and recovery.

2016

The purpose was to examine the effects of a round trip trans-American jet travel on performance, hormonal alterations, and recovery. Ten matched pairs of recreationally trained men were randomized to either a compression group (COMP) ( n = 10; age: 23.1 ± 2.4 yr; height: 174.8 ± 5.3 cm; body mass: 84.9 ± 10.16 kg; body fat: 15.3 ± 6.0%) or control group (CONT) ( n = 9; age: 23.2 ± 2.3 yr; height: 177.5 ± 6.3 cm; weight: 84.3 ± 8.99 kg; body fat: 15.1 ± 6.4%). Subjects flew directly from Hartford, CT to Los Angeles, CA 1 day before a simulated sport competition (SSC) designed to create muscle damage and returned the next morning on an overnight flight back home. Both groups demonstrated jet…

AdultMalemedicine.medical_specialtyInjury controlPhysiologyAccident preventionPoison controlAthletic Performancecircadian patternspower03 medical and health sciences0302 clinical medicinePhysical medicine and rehabilitationStress PhysiologicalPhysiology (medical)medicineHumansta315Physiological stressIntermittent Pneumatic Compression DevicesJet Lag SyndromeJet (fluid)TravelSleep qualitymuscular performance030229 sport sciencesRecovery of FunctionHormonesUnited StatesSurgeryCircadian Rhythmendocrine systemMuscle FatigueFemaleneuromuscularPsychologySleepumpieritys030217 neurology & neurosurgeryJournal of applied physiology (Bethesda, Md. : 1985)
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Indication Variability in Degenerative Lumbar Spine Surgery: A Four-nation Survey.

2017

Electronic survey.The aim of this study was to identify the international nuances in surgical treatment patterns for severals lumbar degenerative conditions, specifically, to identify differences in responses in each country groupand different treatment trends across countries.Significant variations in treatment of lumbar degenerative conditions exist among spine surgeons, related to the lack of established consensus in the literature.An online survey with preformulated answers was submitted to 52 orthopedic surgeons, 50 neurosurgeons from four different countries (United States, France, Spain, and Germany) regarding five vignette-cases. Cases included: multilevel stenosis, monolevel stenos…

AdultMalemedicine.medical_specialtyMEDLINELumbar vertebrae03 medical and health sciences0302 clinical medicineLumbarGermanySurveys and QuestionnairesmedicineLumbar spine surgeryHumansOrthopedics and Sports Medicine030212 general & internal medicinePractice Patterns Physicians'Surgical treatmentAgedAged 80 and overLumbar VertebraePractice patternsbusiness.industryOrthopedic SurgeonsMiddle AgedUnited StatesSurgerymedicine.anatomical_structureNeurosurgeonsSpainPhysical therapyFemaleSpinal DiseasesNeurology (clinical)Francebusiness030217 neurology & neurosurgerySpine
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3D characterisation of the dynamics of foot joints of adults during walking. Gait pattern identification

2017

A detailed description of the kinematics and kinetics of the ankle, midtarsal and metatarsophalangeal joints of the feet of a healthy adult male population during barefoot walking is provided. Plots of the angles and moments in each plane during the stance phase are reported, along with the mean and standard deviation values of 87 different parameters that characterise the 3D dynamics of the foot joints. These parameters were used to check for similarities between subjects through a hierarchical analysis that allowed three different gait patterns to be identified, most of the differences corresponding to the frontal and transverse planes.

AdultMalemedicine.medical_specialtyPopulationBiomedical EngineeringMetatarsophalangeal jointsBioengineeringKinematicsStandard deviation03 medical and health sciences0302 clinical medicinePhysical medicine and rehabilitationImaging Three-DimensionalFiducial MarkersFoot JointsmedicineCluster AnalysisHumansgait patternseducationGaitMathematicseducation.field_of_studyDynamics (mechanics)030229 sport sciencesGeneral MedicineAnatomydynamicsfoot jointsGaitComputer Science ApplicationsBiomechanical PhenomenaHuman-Computer InteractionTransverse planemedicine.anatomical_structurekinematicskineticsAnkle030217 neurology & neurosurgery
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Descriptive and follow-up study of patients treated surgically for abdominal aortic aneurysm at tertiary hospitals in Spain.

2019

BACKGROUND The aim of this study was to assess potential variability in the clinical characteristics and treatment of patients undergoing elective surgery for abdominal aortic aneurysm (AAA) across five hospitals in Spain. METHODS Multicenter, retrospective cohort study of patients diagnosed with AAA and treated with open surgical repair (OSR) or endovascular aneurysm repair (EVAR). We evaluated clinical and demographic variables, including comorbidity (Charlson Comorbidity Index [CCI]); anatomic characteristics; surgical risk (ASA Score); aneurysm characteristics; and in-hospital and overall mortality. All patients were followed for three years. RESULTS A total of 186 patients were include…

AdultMalemedicine.medical_specialtyTime Factorsmedicine.medical_treatment030204 cardiovascular system & hematology030230 surgeryEndovascular aneurysm repairTertiary Care Centers03 medical and health sciencesBlood Vessel Prosthesis Implantation0302 clinical medicineAneurysmPostoperative ComplicationsRisk FactorsmedicineHumansHospital MortalityRisk factorElective surgeryPractice Patterns Physicians'AgedRetrospective StudiesAged 80 and overbusiness.industryMortality ratePatient SelectionEndovascular ProceduresRetrospective cohort studyOdds ratioMiddle Agedmedicine.diseaseAbdominal aortic aneurysmSurgeryLogistic ModelsTreatment OutcomeElective Surgical ProceduresSpainMultivariate AnalysisFemaleCardiology and Cardiovascular MedicinebusinessAortic Aneurysm AbdominalFollow-Up StudiesInternational angiology : a journal of the International Union of Angiology
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Antibiotic prophylaxis habits in dental implant surgery among dentists in Spain. A cross-sectional survey

2018

Background The use of antibiotics to prevent dental implant failures and postoperative infections remains a controversial issue. The objectives of this study were to assess the current antibiotic prescribing patterns and antibiotic prescribing frequency of dentists in Biscay (Spain) in conjunction with routine dental implant surgery among healthy patients and to determine whether any consensus has been reached by such practitioners and last published evidence was being followed. Material and Methods Observational cross-sectional study: electronic survey. This study was reported according to the STROBE guidelines. This anonymous questionnaire contained open-ended and close-ended questions. A…

AdultMalemedicine.medical_specialtymedicine.drug_classCross-sectional studymedicine.medical_treatmentAntibioticsDrug Prescriptions03 medical and health sciencesYoung Adult0302 clinical medicineInternal medicinemedicineHumans030212 general & internal medicineAntibiotic prophylaxisMedical prescriptionDental implantGeneral DentistryAgedPractice Patterns Dentists'Response rate (survey)business.industryResearch030206 dentistryAntibiotic ProphylaxisMiddle Aged:CIENCIAS MÉDICAS [UNESCO]Surgery OralConfidence intervalDental ImplantationCross-Sectional StudiesOtorhinolaryngologySpainHealth Care SurveysUNESCO::CIENCIAS MÉDICASSurgeryObservational studyFemaleOral SurgerybusinessMedicina Oral, Patología Oral y Cirugía Bucal
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Survey of Spanish dentists on the prescription of antibiotics and antiseptics in surgery for impacted lower third molars

2015

Background: This study explored the attitude of registered dentists in Biscay towards prescribing antibiotics and/ or antiseptics to prevent potential infections after surgical extraction of completely bone-impacted third molars in otherwise healthy individuals, with no history of infection. Material and Methods: We sent letters to 931 registered dentists in Biscay, with an explanation of the study objectives, description of a case of lower third molar impaction, including a panoramic radiograph, and a questionnaire. The questionnaire asked whether they would prescribe antibiotics and/or antiseptics, in the hypothetical case of lower third molar extraction surgery presented, and if so, when…

AdultMolarmedicine.medical_specialtyAttitude of Health Personnelmedicine.drug_classAntibioticsAlternative medicineDentistryOdontologíaDrug Prescriptions03 medical and health sciences0302 clinical medicineSurveys and QuestionnairesSurgical extractionmedicineHumansPractice Patterns Physicians'Antibiotic prophylaxisMedical prescriptionGeneral DentistryAgedbusiness.industryPractice patternsResearchTooth Impacted030206 dentistryAntibiotic ProphylaxisMiddle Aged:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludAnti-Bacterial AgentsOtorhinolaryngologySpainDentistry030220 oncology & carcinogenesisHealthy individualsTooth ExtractionUNESCO::CIENCIAS MÉDICASAnti-Infective Agents LocalMolar ThirdSurgeryOral Surgerybusiness
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Treatment of cutaneous lupus erythematosus: current practice variations

2015

The treatment of cutaneous lupus erythematous (CLE) remains a challenge. Most of the therapeutic options used in CLE have not been tested in randomized controlled studies and to date no agent has been approved. Therefore, CLE treatment is mostly based on personal experience. To better characterize therapeutic habits among physicians treating CLE patients, a questionnaire-based study about various aspects of topical and systemic treatment for CLE has been performed. The questionnaire was distributed among CLE experts, mostly from Japan, the USA, and Europe. A total of 82 completed questionnaires were assessed. High-potent and potent corticosteroids as well as calcineurin inhibitors were the…

Adultmedicine.medical_specialtyCalcineurin InhibitorsDiseaseControlled studiesSystemic therapyAntimalarials030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicineJapanRheumatologyAdrenal Cortex HormonesSurveys and QuestionnairesLupus Erythematosus CutaneousmedicineHumansPractice Patterns Physicians'Aged030203 arthritis & rheumatologybusiness.industryfungiTreatment optionsMiddle AgedDermatologyUnited StatesEuropeCalcineurinTreatment OutcomeCurrent practiceConcomitantImmunologyCutaneous Lupus ErythematosusbusinessLupus
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