Search results for "GIS"

showing 10 items of 7190 documents

Prevalence of Vertebral Fractures and Their Prognostic Significance in the Survival in Patients with Chronic Kidney Disease Stages 3‒5 Not on Dialysis

2020

Background: The prevalence of vertebral fractures (VF) and their association with clinical risk factors and outcomes are poorly documented in chronic kidney disease (CKD) cohorts. The aim of the study was to evaluate the prevalence of VF in patients with non-dialysis dependent CKD (NDD-CKD), their value in predicting mortality and its correlation with parameters of bone mineral metabolism and vascular calcification. Materials and Methods: 612 NDD 3‒5 stage CKD patients participating in the OSERCE-2 study, a prospective, multicenter, cohort study, were prospectively evaluated and categorized into two groups according to presence or absence of VF at enrollment. VF were assessed with lateral r…

medicine.medical_specialtymedicine.medical_treatmentOsteoporosis030232 urology & nephrologylcsh:Medicine030209 endocrinology & metabolismLogistic regressionArticle03 medical and health sciences0302 clinical medicineInternal medicinemedicineRisk factorSurvival analysisDialysisVascular diseasebusiness.industrylcsh:RGeneral Medicinefracturesmedicine.diseasevascular calcificationbusinesschronic kidney diseaseCohort studyKidney diseaseJournal of Clinical Medicine
researchProduct

Predictive Score of Nodal Involvement in Endometrial Cancer Patients: A Large Multicentre Series

2021

Background: Sentinel lymph node (SLN) biopsy is considered the standard of care in early-stage endometrial cancer (EC). For SLN failure, a side-specific lymphadenectomy is recommended. Nevertheless, most hemipelvises show no nodal involvement. The authors previously published a predictive score of lymphovascular involvement in EC. In case of a negative score (value 3–4), the risk of nodal metastases was extremely low. This multicenter study aimed to analyze a predictive score of nodal involvement in EC patients. Methods: The study enrolled patients with EC who had received comprehensive surgical staging with nodal assessment. A preoperative predictive score of nodal involvement was calculat…

medicine.medical_specialtymedicine.medical_treatmentSentinel lymph nodeLogistic regressionBiopsyHumansMedicineEndometrial NeoplasmNeoplasm Stagingmedicine.diagnostic_testbusiness.industrySentinel Lymph Node BiopsyEndometrial cancerArea under the curveLymph NodeLymphatic MetastasiOdds ratiomedicine.diseaseConfidence intervalEndometrial NeoplasmsOncologyLymphatic MetastasisLymph Node ExcisionSurgeryLymphadenectomyFemaleLymph NodesRadiologySentinel Lymph NodebusinessHuman
researchProduct

Multimorbidity and anxiety symptoms among adults aged 50 years and over from six low- and middle-income countries

2021

Currently, there are limited data on the association between multimorbidity (i.e., ≥ 2 chronic conditions) and anxiety, especially among the older population in low- and middle-income countries (LMICs). Thus, the aim of the present study was to examine the association between multimorbidity and anxiety symptoms in a large sample of adults aged ≥ 50 years from six LMICs (China, India, Ghana, Mexico, Russia, South Africa). Cross-sectional, nationally representative, community-based data from the Study on Global Ageing and Adult Health (SAGE) were analysed. A total of 11 chronic physical conditions were assessed. Anxiety symptoms referred to extreme/severe problems with worry or anxiety in the…

medicine.medical_specialtymultimorbiditybusiness.industrymedia_common.quotation_subjectmulticountryLogistic regressionanxietyOddsOlder populationLow and middle income countriesEpidemiologymedicineAnxietySmıth L. F. López Sánchez G. Shin J. I. Soysal P. Veronese N. -Multimorbidity and Anxiety Symptoms among Adults Aged 50 Years and Over from Six Low- and Middle-Income Countries- Journal of Ageing and Longevity cilt.1 sa.1 ss.36-47 2021epidemiologylow- and middle-income countriesmedicine.symptomWorrybusinessAdult healtholder adultsDemographymedia_common
researchProduct

Hormonal Contraceptive Use Does Not Affect Strength, Endurance, or Body Composition Adaptations to Combined Strength and Endurance Training in Women

2021

Myllyaho, MM, Ihalainen, JK, Hackney, AC, Valtonen, M, Nummela, A, Vaara, E, Häkkinen, K, Kyröläinen, H, and Taipale, RS. Hormonal contraceptive use does not affect strength, endurance, or body composition adaptations to combined strength and endurance training in women. J Strength Cond Res 35(2): 449-457, 2021-This study examined the effects of a 10-week period of high-intensity combined strength and endurance training on strength, endurance, body composition, and serum hormone concentrations in physically active women using hormonal contraceptives (HCs, n = 9) compared with those who had never used hormonal contraceptives (NHCs, n = 9). Training consisted of 2 strength training sessions a…

medicine.medical_specialtynaisetactive womenPhysical Therapy Sports Therapy and Rehabilitation030204 cardiovascular system & hematologyAffect (psychology)high intensity training03 medical and health sciences0302 clinical medicineContraceptive AgentsEndurance trainingHumansMedicineOrthopedics and Sports MedicineMuscle Strengthehkäisymenetelmäthormonaaliset vaikutuksetkehonkoostumussuorituskykybusiness.industryResistance Training030229 sport sciencesGeneral Medicinephysical performanceEndurance TrainingContraceptive useBody CompositionPhysical EndurancePhysical therapyFemalebusinessHormonefysiologiset vaikutuksetlihasvoima
researchProduct

Impact of a physician-targeted letter on opioid prescribing.

2020

We study the effect of a physician-targeted nudge letter on opioid prescribing. In May 2017, the Social Insurance Institution of Finland sent a personal information letter to all physicians who had issued a prescription containing at least 100 tablets of paracetamol-codeine combination to a new patient. The aim of the letter was to draw the physicians’ attention to their prescribing practices and to decrease the size of the first codeine prescription. Using individual level register data and a difference-in-differences strategy, we estimate that the letter decreased the average number of tablets purchased by new patients by 12.5 percent and the probability of a first purchase being at least…

medicine.medical_specialtyprescription drugslääkemääräyksetOpioid prescribingSocial insuranceinformation letter03 medical and health sciencesopioiditdifference-in-differencesPhysicians0502 economics and businessmedicinelääketurvallisuusHumans050207 economicsMedical prescriptionlääkäritPractice Patterns Physicians'Finlandohjeetbusiness.industry030503 health policy & servicesHealth Policy05 social sciencesCodeineKansaneläkelaitospalautePublic Health Environmental and Occupational HealthIndividual levelKELADifference in differencesreseptilääkkeetAnalgesics OpioidlääkkeetRegister dataFamily medicineopioid prescribing0305 other medical sciencebusinessPersonally identifiable informationmedicine.drugJournal of health economics
researchProduct

Multicenter experience with the antegrade fenestration and reentry technique for chronic total occlusion recanalization

2020

Objectives We aimed to evaluate the efficacy and safety of antegrade fenestration and reentry (AFR) for chronic total occlusion (CTO) recanalization in a multicenter registry. Background Adoption of antegrade dissection/reentry (ADR) for CTO recanalization has been limited, and novel ADR techniques are needed. Methods AFR involves the balloon-induced creation of multiple fenestrations between the false and true lumen. A targeted true lumen reentry is subsequently achieved with a low tip-load polymer-jacketed guidewire. Following the initial description and dissemination of AFR, patients undergoing AFR-based CTO recanalization at nine centers were included in the present registry. Study endp…

medicine.medical_specialtyreentrymedicine.medical_treatmentLumen (anatomy)Dissection (medical)030204 cardiovascular system & hematologyCoronary AngiographyTotal occlusion03 medical and health sciences0302 clinical medicinePercutaneous Coronary InterventionmedicineClinical endpointHumansRadiology Nuclear Medicine and imagingRegistries030212 general & internal medicinechronic total occlusionbusiness.industryPercutaneous coronary interventionGeneral MedicineReentrymedicine.diseaseSurgeryTreatment OutcomedissectionCoronary OcclusionChronic DiseaseCardiology and Cardiovascular MedicinebusinessFenestration
researchProduct

Could isotretinoin be a protective agent against COVID-19?: A dermatologist perspective.

2021

Being a "trending" unique treatment for moderate-to-severe acne, isotretinoin (13-cis retinoic acid) (ISO) is currently considered by experts the first line treatment even for mild acne, unless there is an absolute contraindication. ISO was identified, among other retinoids, to inhibit SARS-CoV-2 replication in Vero E6 cells. Shoemark et al.1.

medicine.medical_specialtyskinCoronavirus disease 2019 (COVID-19)Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Retinoic acidDermatologyProtective Agents030207 dermatology & venereal diseases03 medical and health scienceschemistry.chemical_compound0302 clinical medicineCOVID‐19Acne VulgarismedicineHumansskin and connective tissue diseasesLetters to the EditorIsotretinoinContraindicationAcnebusiness.industrySARS-CoV-2COVID-19isotretinoinmedicine.diseaseDermatologyFirst line treatmentchemistry030220 oncology & carcinogenesisVero cellbusinessmedicine.drugDermatologistsJournal of cosmetic dermatology
researchProduct

Acute Effect of Alcohol Intake on Cardiovascular Autonomic Regulation During the First Hours of Sleep in a Large Real-World Sample of Finnish Employe…

2018

Background Sleep is fundamental for good health, and poor sleep has been associated with negative health outcomes. Alcohol consumption is a universal health behavior associated with poor sleep. In controlled laboratory studies, alcohol intake has been shown to alter physiology and disturb sleep homeostasis and architecture. The association between acute alcohol intake and physiological changes has not yet been studied in noncontrolled real-world settings. Objective The aim of this study was to assess the effects of alcohol intake on the autonomic nervous system (ANS) during sleep in a large noncontrolled sample of Finnish employees. Methods From a larger cohort, this study included 4098 su…

medicine.medical_specialtysykeAlcoholuni (lepotila)03 medical and health scienceschemistry.chemical_compound0302 clinical medicinewearable electronic deviceInternal medicineHeart rateautonominen hermostomedicineheart rateHeart rate variability030212 general & internal medicinesleepta315Original Paperbusiness.industrysydänautonomic nervous systemheart rate variabilityRepeated measures designta3141217 Medical engineeringuni (biologiset ilmiöt)Sleep in non-human animalsalcohol drinkingPsychiatry and Mental healthchemistryCohortAnalysis of variancealkoholinkäyttöbusinessBody mass index030217 neurology & neurosurgeryJMIR Mental Health
researchProduct

Tobacco use prevalence, knowledge and attitudes, and tobacco cessation training among medical students: results of a pilot study of Global Health Pro…

2011

Aim The aims of this study were to examine tobacco use prevalence, knowledge and attitudes, and tobacco cessation training among students attending Italian medical schools using the Global Health Professions Student Survey approach and to identify possible factors associated with smoking status. Subjects and Methods A multicentre cross-sectional pilot study was carried out in five Italian Schools of Medicine from March to April 2009. Questionnaires were administered in anonymous, voluntary and self-administered form to third year students attending medical schools. The outcome measure was “being a current smoker”. A logistic regression was used to evaluate possible factors associated with s…

medicine.medical_specialtytobacco use; medical students; smoking; health professionalsTobacco usebusiness.industrymedicine.medical_treatmentPublic healthSmokingeducationTobacco controlPublic Health Environmental and Occupational HealthSocio-culturaleSmoking Tobacco use Medical students Health professionalsSettore MED/42 - Igiene Generale E ApplicataLogistic regressionMedical studentsTobacco useFamily medicineEpidemiologyHealth careGlobal healthmedicineHealth professionalsSmoking cessationbusinessHealth professionals; Medical students; Smoking; Tobacco useJournal of Public Health
researchProduct

Cohort profile: Thrombolysis in Ischemic Stroke Patients (TRISP): a multicentre research collaboration

2018

PurposeThe ThRombolysis in Ischemic Stroke Patients (TRISP) collaboration aims to address clinically relevant questions about safety and outcomes of intravenous thrombolysis (IVT) and endovascular thrombectomy. The findings can provide observational information on treatment of patients derived from everyday clinical practice.ParticipantsTRISP is an open, investigator-driven collaborative research initiative of European stroke centres with expertise in treatment with revascularisation therapies and maintenance of hospital-based registries. All participating centres made a commitment to prospectively collect data on consecutive patients with stroke treated with IVT using standardised definiti…

medicine.medical_treatment2700 General Medicineregistry030204 cardiovascular system & hematologyRECOMMENDATIONS3124 Neurology and psychiatryBrain Ischemia0302 clinical medicineMedicineProspective StudiesRegistries10064 Neuroscience Center ZurichProspective cohort studyIntersectoral CollaborationThrombectomyRISKEndovascular ProceduresThrombolysisGeneral Medicine3. Good healthStrokeCohortrevascularizationAdministration IntravenousINTRAVENOUS THROMBOLYSISthrombolysismedicine.medical_specialtyMEDLINE610 Medicine & healthRevascularizationfunctional outcome; registry; revascularization; stroke; thrombectomy; thrombolysisCLASSIFICATIONfunctional outcomePOOLED ANALYSIS03 medical and health sciencesALTEPLASEFibrinolytic AgentsHumansMETAANALYSISbusiness.industryStatin treatment10040 Clinic for NeurologyIV THROMBOLYSISSYMPTOMATIC INTRACEREBRAL HEMORRHAGE3121 General medicine internal medicine and other clinical medicineIschemic strokeEmergency medicine570 Life sciences; biologyObservational studybusiness030217 neurology & neurosurgeryBMJ open
researchProduct