Search results for "GD"

showing 10 items of 1142 documents

The Effect of Migraine Prophylaxis on Migraine-Related Resource Use and Productivity

2009

In the US, it is estimated that up to 10% of men and 25% of women, particularly those aged 25-55 years, experience debilitating migraines, such that the condition presents an enormous economic burden for patients, health systems, employers and society. Migraine headache is a particularly prevalent condition associated with major reductions in patients' quality of life. From a payer perspective, the implementation of relevant programmes of migraine prophylaxis is highly desirable. Consistent evidence exists, from several randomized, controlled studies, of the efficacy of amitriptyline, divalproex sodium, propranolol, timolol and topiramate in migraine prophylaxis. Considering resource utiliz…

AdultMaleTopiramatemedicine.medical_specialtyDatabases FactualMigraine DisordersTimololEfficiencyFructosePharmacotherapyCost of IllnessQuality of lifeTopiramatemedicineHumansPharmacology (medical)Amitriptylinebusiness.industrymedicine.diseaseUnited KingdomUnited StatesSurgeryQuality-adjusted life yearPsychiatry and Mental healthRegimenMigraineEmergency medicineCosts and Cost AnalysisQuality of LifeFemaleQuality-Adjusted Life YearsNeurology (clinical)businessmedicine.drugCNS Drugs
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Prognostic Relevance of Cardiorespiratory Fitness as Assessed by Submaximal Exercise Testing for All-Cause Mortality: A UK Biobank Prospective Study

2020

Objective: To investigate if the inverse associations of cardiorespiratory fitness (CRF) with all-cause and cardiovascular mortality in the general population vary among individuals who are at different pre-test risk. Patients and Methods: CRF was assessed through submaximal bike tests in 58,892 participants aged 40-69 years who completed baseline questionnaires between January 1, 2006 and December 31, 2010 in the UK Biobank study. Participants were categorized into risk categories, which determined allocation to an individualized bike protocol. These were “minimal risk (1)”, “small risk (2)” and “medium risk (3)” groups (i.e., those who cycled at 50%, 35% of predicted maximal workload and …

AdultMaleUK Biobankmedicine.medical_specialtyDatabases FactualPopulationsubmaximal testRisk AssessmentMetabolic equivalentrisk predictionInterquartile rangeCause of DeathInternal medicinemedicineHumansProspective StudiesProspective cohort studyeducationAgedBiological Specimen Bankseducation.field_of_studycardiorespiratory fitnessFramingham Risk Scorebusiness.industryHazard ratioCardiorespiratory fitnessGeneral MedicineMiddle AgedPrognosisUnited KingdomCardiorespiratory FitnessCardiovascular DiseasesExercise Testall-cause mortalityFemaleRisk assessmentbusinessMayo Clinic Proceedings
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Single dose of l-dopa makes extinction memories context-independent and prevents the return of fear

2013

Traumatic events can engender persistent excessive fear responses to trauma reminders that may return even after successful treatment. Extinction, the laboratory analog of behavior therapy, does not erase conditioned fear memories but generates competing, fear-inhibitory "extinction memories" that, however, are tied to the context in which extinction occurred. Accordingly, a dominance of fear over extinction memory expression--and, thus, return of fear--is often observed if extinguished fear stimuli are encountered outside the extinction (therapy) context. We show that postextinction administration of the dopamine precursor L-dopa makes extinction memories context-independent, thus strongly…

AdultMaleVentromedial prefrontal cortexPrefrontal CortexContext (language use)AmygdalaDevelopmental psychologyExtinction PsychologicalLevodopaMiceMemorymedicineAnimalsHumansFear conditioningPrefrontal cortexFear processing in the brainMultidisciplinarysocial sciencesExtinction (psychology)FearMiddle AgedAmygdalahumanitiesMice Inbred C57BLmedicine.anatomical_structurePNAS PlusAnxietymedicine.symptomPsychologyNeuroscience
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Accuracy of a no-biopsy approach for the diagnosis of coeliac disease across different adult cohorts

2020

ObjectiveWe aimed to determine the predictive capacity and diagnostic yield of a 10-fold increase in serum IgA antitissue transglutaminase (tTG) antibody levels for detecting small intestinal injury diagnostic of coeliac disease (CD) in adult patients.DesignThe study comprised three adult cohorts. Cohort 1: 740 patients assessed in the specialist CD clinic at a UK centre; cohort 2: 532 patients with low suspicion for CD referred for upper GI endoscopy at a UK centre; cohort 3: 145 patients with raised tTG titres from multiple international sites. Marsh 3 histology was used as a reference standard against which we determined the performance characteristics of an IgA tTG titre of ≥10×ULN for …

AdultMalemedicine.medical_specialty2312AdolescentTissue transglutaminaseSerum igaGastroenterologySensitivity and SpecificityCoeliac diseaseEndoscopy GastrointestinalDiagnosis DifferentialPredictive Value of TestsInternal medicineBiopsyMedicineHumans1506Transglutaminasesbiologymedicine.diagnostic_testbusiness.industryGastroenterologyHistologyMiddle Agedmedicine.diseaseUpper GI endoscopyUnited KingdomImmunoglobulin ATiterCeliac DiseaseCohortbiology.proteinbusinessBiomarkerscoeliac disease
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Multiple lifestyle factors and depressed mood: a cross-sectional and longitudinal analysis of the UK Biobank (N = 84,860)

2020

Abstract Background There is now evolving data exploring the relationship between depression and various individual lifestyle factors such as diet, physical activity, sleep, alcohol intake, and tobacco smoking. While this data is compelling, there is a paucity of longitudinal research examining how multiple lifestyle factors relate to depressed mood, and how these relations may differ in individuals with major depressive disorder (MDD) and those without a depressive disorder, as ‘healthy controls’ (HC). Methods To this end, we assessed the relationships between 6 key lifestyle factors (measured via self-report) and depressed mood (measured via a relevant item from the Patient Health Questio…

AdultMalemedicine.medical_specialtyAdolescentExacerbationlcsh:Medicinebehavioral disciplines and activitiesYoung Adult03 medical and health sciencesScreen time0302 clinical medicineInternal medicinemental disordersmedicineLifestyle medicineHumansLife StyleLifestyle medicineDepression (differential diagnoses)Biological Specimen BanksDepressive Disorder MajorPhysical activitybusiness.industrylcsh:RGeneral Medicinemedicine.diseaseMental healthUnited KingdomScreen timeDiet030227 psychiatryPatient Health QuestionnaireCross-Sectional StudiesDiet Health Lifestyle medicine Mood disorders Physical activity Screen time Adolescent Adult Biological Specimen Banks Cross-Sectional Studies Depressive Disorder Major Female Humans Male United Kingdom Young Adult Life StyleMood disordersHealthMood disordersMajor depressive disorderFemalebusiness030217 neurology & neurosurgeryResearch Article
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Variable geographic distribution of Blastocystis subtypes and its potential implications.

2012

Blastocystis is a common intestinal micro-eukaryote found in both humans and non-human hosts and known to be genetically very diverse. It has been divided into numerous subtypes (STs), nine of which have been identified in humans to date. Surveys of ST prevalence have started to emerge over the past few years but to date no data are available for any African country except Egypt and Tanzania. In this study, we determined the prevalence of Blastocystis STs in populations from Libya, Liberia and Nigeria, as well as expanding the dataset available for the UK. A total of 356 Blastocystis STs were identified in this study, 271 from the UK, 38 from Libya, 25 from Liberia and 22 from Nigeria. SSU …

AdultMalemedicine.medical_specialtyAdolescentGenotypeVeterinary (miscellaneous)Blastocystis InfectionsDNA RibosomalYoung AdultEpidemiologyGenetic variationGenotypemedicinePrevalenceRNA Ribosomal 18SHumansChildBlastocystisGenetic diversityMolecular EpidemiologybiologyMolecular epidemiologyGenetic VariationDNA Protozoanbiology.organism_classificationUnited KingdomPhylogeographyPhylogeographyInfectious DiseasesTanzaniaGeographyInsect ScienceAfricaBlastocystisParasitologyFemaleDemographyActa tropica
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Memory B Cell Subpopulations in the Aged

2006

The literature on immunosenescence has focused mainly on T cell impairment. With the aim of gaining insight into B cell immunosenescence, the authors investigated the serum IgD levels in 24 young and 21 old people and analyzed their relationship with the number of CD19 CD27 memory cells. Serum IgD were quantified by the use of radial immunodiffusion and the lymphocyte population CD19 CD27 was identified by a FACScan flow cytometer. Serum IgD levels were significantly lower (p 0.0001) in old subjects, and the percentage of CD19 CD27 lymphocytes were significantly increased (p 0.01) in old subjects. Finally, a significant negative correlation was found (p 0.01) between serum concentrations of…

AdultMalemedicine.medical_specialtyAgingLymphocyteT cellPopulationAntigens CD19B-Lymphocyte Subsetschemical and pharmacologic phenomenaimmunosenescence memory B cells IgD CD27Immunoglobulin DCD19immune system diseaseshemic and lymphatic diseasesInternal medicinemedicineHumanseducationMemory B cellB cellAgedAged 80 and overSettore MED/04 - Patologia Generaleeducation.field_of_studybiologyhemic and immune systemsImmunosenescenceImmunoglobulin DTumor Necrosis Factor Receptor Superfamily Member 7Endocrinologymedicine.anatomical_structureImmunologybiology.proteinFemaleGeriatrics and GerontologyImmunologic Memory
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A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK

2013

Background Individual, family and service level characteristics and outcomes are described for adult and adolescent patients receiving specialist inpatient or day patient treatment for anorexia nervosa (AN). Potential predictors of treatment outcome are explored. Method Admission and discharge data were collected from patients admitted at 14 UK hospital treatment units for AN over a period of three years (adult units N = 12; adolescent N = 2) (patients N = 177). Results One hundred and seventy-seven patients with a severe and enduring illness with wide functional impairment took part in the study. Following inpatient care, physical improvement was moderate/good with a large increase in BMI,…

AdultMalemedicine.medical_specialtyAnorexia NervosaAdolescentSelf-conceptTreatment responseCohort StudiesFeeding and Eating DisordersPatient satisfactionmedicineHumansExpressed emotionPsychiatryInpatientsInpatient carePredictorsbusiness.industrymedicine.diseaseSelf ConceptUnited KingdomTreatmentHospitalizationPsychiatry and Mental healthEating disordersTreatment OutcomeMoodPatient SatisfactionAnorexia nervosa (differential diagnoses)Eating disordersFemalebusinessResearch ArticleCohort studyBMC Psychiatry
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Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC st…

2006

Abstract Objective Estimate the prevalence of urinary incontinence (UI), overactive bladder (OAB), and other lower urinary tract symptoms (LUTS) among men and women in five countries using the 2002 International Continence Society (ICS) definitions. Methods This population-based, cross-sectional survey was conducted between April and December 2005 in Canada, Germany, Italy, Sweden, and the United Kingdom using computer-assisted telephone interviews. A random sample of men and women aged ≥ 18 yr residing in the five countries and who were representative of the general populations in these countries was selected. Using 2002 ICS definitions, the prevalence estimates of storage, voiding, and po…

AdultMalemedicine.medical_specialtyCanadaAdolescentCross-sectional studyUrologyPopulationUrinary incontinenceSeverity of Illness IndexAge DistributionLower urinary tract symptomsGermanymedicinePrevalenceNocturiaHumansSex DistributioneducationAgedRetrospective StudiesGynecologySwedeneducation.field_of_studybusiness.industryUrinary Bladder OveractiveMiddle Agedmedicine.diseaseThe Overactive Bladder QuestionnaireUnited KingdomUrodynamicsCross-Sectional StudiesUrinary IncontinenceOveractive bladderItalyPopulation SurveillanceCohortFemalemedicine.symptombusinessDemographyEuropean urology
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Results of the Thyroid Cancer Alliance international patient/survivor survey: Psychosocial/informational support needs, treatment side effects and in…

2013

To comprehensively assess the experience of a large, diverse cohort and identify potential care improvements, the Thyroid Cancer Alliance, an international patient/survivor group coalition, surveyed thyroid cancer patients/survivors worldwide.English, German, French or Spanish versions of a self-developed 43-item questionnaire were completed, predominantly online, by 2398 respondents from the US (37.9%), Germany (21.3%), the UK (11.5%), Canada (11.4%), France (9%), and 35 other countries. Females and differentiated thyroid carcinoma patients each comprised ~87% of respondents. Diagnosis occurred at age 30-59 years in 71.8%, within1 (1-5) year(s) before survey completion in 16.4% (55%).At di…

AdultMalemedicine.medical_specialtyCanadaReferralCross-sectional studyEndocrinology Diabetes and MetabolismThyroid carcinomaCohort StudiesIodine RadioisotopesSocial supportGermanySurveys and QuestionnairesmedicineHumansSurvivorsThyroid NeoplasmsThyroid cancerReferral and Consultationbusiness.industrySocial SupportGeneral MedicineMiddle Agedmedicine.diseaseUnited KingdomUnited StatesCross-Sectional StudiesFamily medicineCohortThyroidectomyFemaleFrancebusinessPsychosocialStress PsychologicalCohort studyHormones (Athens, Greece)
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