Clinical symptoms are part of the risk stratification approaches used in emergency department (ED) to evaluate patients with suspected acute coronary syndromes (ACS). The objective this study was determine sensitivity, specificity, and predictive value 13 for a discharge diagnosis ACS women men.The sample included 736 admitted 4 EDs suggestive ACS. Symptoms were assessed 13-item validated Symptom Checklist. Mixed-effects logistic regression models estimate each symptom ACS, adjusting age,...

Study Design An experimental laboratory study with a repeated-measures crossover design. Background Treatment effects of joint mobilization may occur in part by decreasing excitability central nociceptive pathways. Impaired conditioned pain modulation (CPM) has been found experimentally persons knee and hip osteoarthritis, indicating impaired inhibition We hypothesized increased effectiveness CPM following application mobilization, determined via measures deep tissue hyperalgesia. Objective...

Substantial research documents sexual-orientation-related mental health disparities, but relatively few studies have explored underlying causes of these disparities. The goals this article were to (1) understand how differences in sexual identity and victimization experiences influence risk hazardous drinking depression, (2) describe variations across minority subgroups.We pooled data from the 2001 National Study Health Life Experiences Women Chicago study compare rates victimization,...

Postpartum depression (PPD) affects up to 19% of women, negatively impacting maternal and infant health. Reductions in plasma oxytocin levels have been associated with PPD heritability studies established a genetic contribution. Epigenetic regulation the receptor gene (OXTR) has demonstrated we hypothesized that individual epigenetic variability at OXTR may impact development such be central predicting risk. This case-control study is nested within Avon Longitudinal Study Parents Children...

Black/African American (BAA) men have the lowest life expectancy among other major demographic groups in United States, with BAA male mortality rates 40% higher than their White counterparts. Despite known benefits of preventive health care utilization, are 43% more likely to use emergency department for usual care. Many intersecting factors like medical mistrust and religion been identified as common barriers face utilization few studies exploring that impact current utilization. In...

The links between empowerment and a number of health-related outcomes in sub-Saharan Africa have been documented, but related to pregnancy is under-investigated. Antenatal care (ANC) the entry point into healthcare system for most women, so it important understand how ANC affects aspects women's sense control over their pregnancy. We compare pregnancy-related women randomly assigned standard versus CenteringPregnancy-based group (intervention) two countries, Malawi Tanzania. Pregnant (n =...

Significant interindividual variability in sleepiness is observed clinical populations with obstructive sleep apnea (OSA). This phenomenon only partially explained by the apnea-hypopnea index (AHI). Understanding factors that lead to critical effective management of patients OSA. We examined demographic and other associated OSA.Prospective study 283 newly diagnosed OSA polysomnography (AHI ≥ 5 per hour). Subjective (Epworth Sleep Scale [ESS] 11) objective (psychomotor vigilance task [PVT]...

To evaluate self-reported sensory pain scores of women with generalized vulvodynia (GV) and provoked vestibulodynia (PVD), characterize phenotypes, assess feasibility using the Internet for recruitment data collection among vulvodynia.Descriptive online survey. Data collected an survey accessed via a link on National Vulvodynia Association web site. Convenience sample, 60 aged 18 to 45 years (mean = 32.7 ± 5.5); 50 white, 2 black/African American, 4 Hispanic/Latino, Native American/Alaskan...

Abstract Objective Psychosocial factors are known to predict chronic pain, and the use of complementary integrative health (CIH) therapies address pain is emerging among military population. However, conflicting results on outcomes warrant additional research. This study aimed 1) evaluate benefit adding a CIH management program standard rehabilitative care (SRC), as compared with SRC alone, precursor an intensive functional restoration (FR) program; 2) identify that improvement in after...

High rates of inhaler misuse in patients with chronic obstructive pulmonary disease and asthma contribute to hospital readmissions increased healthcare cost. The purpose this study was examine inpatient staff nurses' self-perception their knowledge proper technique compared demonstrated frequency providing teaching during hospitalization at discharge.A prospective, descriptive study.A 495-bed urban academic medical center the Midwest United States.A convenience sample 100 nurses working on...

Apnea-hypopnea index (AHI) is the primary measure used to confirm a diagnosis of obstructive sleep apnea (OSA). However, there may be significant night-to-night variability (NNV) in AHI, limiting value AHI clinical decision-making related OSA management. We examined short-term NNV and its predictors during home portable monitoring (PM).Single center prospective observational study patients (n = 84) with newly diagnosed by polysomnography (PSG) ≥ 5/h. All participants underwent 2 8...

WHAT IS KNOWN ON THE SUBJECT?: Established research from the United States and other Western countries has found that lesbian, gay, bisexual transgender (LGBT) populations are at an elevated risk for suicide. Suicidality among LGBT individuals is understudied in Thailand Asian countries, warranting additional to better understand factors create effective treatment suicide prevention interventions. PAPER ADDS TO EXISTING KNOWLEDGE?: The study examined rates predictors of suicidality Thai...

(1) Background: Despite iron intake recommendations, over a quarter of pregnant individuals have deficiency. Lactobacillus plantarum 299v enhances absorption in non-pregnant populations and may positive effects pregnancy among those with sufficient stores; however, no studies evaluated the effect Lp299v on maternal neonatal status at risk for deficiency anemia pregnancy. Thus, this study aims to assess feasibility preliminary efficacy daily oral supplementation diverse individuals. (2)...

Abstract Background: Individuals with a first-degree relative who has had colorectal cancer are at increased risk for and thus can benefit from early detection. Tailored counseling may increase adherence to screening guidelines in these persons. The present study evaluated culturally sensitive Colon Cancer Risk Counseling (CCRC) intervention relatives of patients. Methods: A randomized trial personalized CCRC sessions print materials follow-up phone calls compared comparable General Health...

To examine the benefits of a culturally targeted compared with nontargeted smoking cessation intervention on outcomes among lesbian, gay, bisexual, and transgender (LGBT) smokers.A prospective randomized design was used to evaluate added an LGBT Courage Quit (CTQ-CT) treatment (N = 172) standard (CTQ; N 173). The program consisted six sessions combined 8 weeks nicotine replacement therapy. primary outcome 7-day point prevalence quit rates. Secondary examined included changes in dependence,...

Background: A decision to delay seeking treatment for symptoms of acute coronary syndrome increases the risk serious complications, disability, and death. Aims: The purpose this study was determine if there an association between gradual vs abrupt symptom onset prehospital patients with examine relationship activities at onset. Methods: This a secondary analysis large prospective multi-center study. Altogether, 474 presenting emergency department were included in Symptom characteristics,...

Future healthcare professionals are an important group for interventions to eliminate HIV stigma in the health workforce. Researchers examined and its relationship with discipline, knowledge, religiosity among nursing, medical, midwifery students (N = 505) three regions of Indonesia. In a multivariable linear model, higher was associated male sex, lower levels income religiosity. An interaction discipline province also significant. Medical Jakarta had predicted scores compared nursing...