Base de dados : MEDLINE
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[PMID]:28688744
[Au] Autor:Jiar N; Slama JL; Ganne-Carrié N
[Ad] Endereço:Hôpital Robert-Ballanger, service d'hépato-gastroentérologie, boulevard Robert-Ballanger, 93600 Aulnay-sous-Bois, France.
[Ti] Título:[Screening of hepatocellular carcinoma in patients with uncomplicated cirrhosis in real life: Practices survey of general practionners from three towns of Seine-Saint-Denis (north-east suburb of Paris)].
[Ti] Título:Dépistage du carcinome hépatocellulaire chez les patients atteints de cirrhose non compliquée en médecine libérale : enquête de pratiques auprès des médecins généralistes de 3 communes de Seine-Saint-Denis..
[So] Source:Bull Cancer;104(7-8):618-624, 2017 Jul - Aug.
[Is] ISSN:1769-6917
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Cirrhosis is a frequent and severe pathology life threatening, due to the occurrence of complications including hepatocellular carcinoma. In order to assess the degree of conformity, of practices, with the French guidelines for the surveillance of patients with compensated cirrhosis and the primary prevention of complications, published in 2007, all general practitioners practicing in three towns from north-east suburb of Paris (Seine-Saint-Denis) representing a population pool of 186 286 inhabitants were asked during the first quarter of 2012 for the face-to-face administration of a standardized questionnaire. Based on the 20 questions, individual practices were analyzed and a compliance score limited to hepatocellular carcinoma screening was established. Of the 106 practitioners surveyed, 40 have agreed to participate (85% of men, mostly based in Aulnay-sous-Bois or Sevran with an average exercice of 22years). The declared practices were heterogeneous and did insuffisantly comply with the recommendations (mean score 1.9/3). The intent of surveillance was not influenced by the origin or severity of cirrhosis. Screening for HCC was based on appropriate tests (abdominal ultrasound, alpha-fœtoprotein serum) but with optimal half-yearly intervals in less than half of the cases. Improved communication to general private practitioners of HAS recommendations for patients with compensated cirrhosis could optimize the prescribing of screening tests for hepatocellular carcinoma.
[Mh] Termos MeSH primário: Carcinoma Hepatocelular/diagnóstico
Clínicos Gerais
Fidelidade a Diretrizes
Cirrose Hepática/complicações
Neoplasias Hepáticas/diagnóstico
Vigilância da População
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Carcinoma Hepatocelular/sangue
Carcinoma Hepatocelular/diagnóstico por imagem
Feminino
Clínicos Gerais/estatística & dados numéricos
Seres Humanos
Neoplasias Hepáticas/sangue
Neoplasias Hepáticas/diagnóstico por imagem
Masculino
Serviços de Saúde Suburbana
Inquéritos e Questionários
Ultrassonografia
alfa-Fetoproteínas/análise
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (alpha-Fetoproteins)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170710
[St] Status:MEDLINE


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[PMID]:28634247
[Au] Autor:Palakshappa D; Vasan A; Khan S; Seifu L; Feudtner C; Fiks AG
[Ad] Endereço:Department of Pediatrics, palakshappad@email.chop.edu.
[Ti] Título:Clinicians' Perceptions of Screening for Food Insecurity in Suburban Pediatric Practice.
[So] Source:Pediatrics;140(1), 2017 Jul.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: National organizations recommend pediatricians screen for food insecurity (FI). Although there has been growing research in urban practices, little research has addressed FI screening in suburban practices. We evaluated the feasibility, acceptability, and impact of screening in suburban practices. METHODS: We conducted a mixed methods study that implemented FI screening in 6 suburban pediatric primary care practices. We included all children presenting for either a 2-, 15-, or 36-month well-child visit ( = 5645). Families who screened positive were eligible to be referred to our community partner that worked to connect families to the Supplemental Nutrition Assistance Program. We conducted focus groups with clinicians to determine their perceptions of screening and suggestions for improvement. RESULTS: Of the 5645 children eligible, 4371 (77.4%) were screened, of which 122 (2.8%) screened positive for FI (range: 0.9%-5.9% across practices). Of the 122 food-insecure families, only 1 received new Supplemental Nutrition Assistance Program benefits. In focus groups, 3 themes emerged: (1) Time and workflow were not barriers to screening, but concerns about embarrassing families and being unable to provide adequate resources were; (2) Clinicians reported that parents felt the screening showed caring, which reinforced clinicians' continued screening; (3) Clinicians suggested implementing screening before the visit. CONCLUSIONS: We found it is feasible and acceptable for clinicians to screen for FI in suburban practices, but the referral method used in this study was ineffective in assisting families in obtaining benefits. Better approaches to connect families to local resources may be needed to maximize the effectiveness of screening in suburban settings.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Abastecimento de Alimentos/estatística & dados numéricos
Pediatria
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Pré-Escolar
Estudos de Viabilidade
Feminino
Seres Humanos
Lactente
Masculino
Estudos Prospectivos
Serviços de Saúde Suburbana
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


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[PMID]:27935988
[Au] Autor:Ibrahim N; Ming Moy F; Awalludin IA; Mohd Ali Z; Ismail IS
[Ad] Endereço:Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia.
[Ti] Título:Effects of a Community-Based Healthy Lifestyle Intervention Program (Co-HELP) among Adults with Prediabetes in a Developing Country: A Quasi-Experimental Study.
[So] Source:PLoS One;11(12):e0167123, 2016.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The prevalence of type 2 diabetes among Malaysian adults has increased by more than two folds over the past two decades. Strategies to collaborate with the existing community partners may become a promising channel for wide-scale dissemination of diabetes prevention in the country. The objectives of this study were to determine the effects of community-based lifestyle interventions delivered to adults with prediabetes and their health-related quality of life as compared to the usual care group. METHODS: This was a quasi-experimental study conducted in two sub-urban communities in Seremban, Malaysia. A total of 268 participants with prediabetes aged between 18 to 65 years old were assigned to either the community-based lifestyle intervention (Co-HELP) (n = 122) or the usual care (n = 146) groups. The Co-HELP program was delivered in partnership with the existing community volunteers to incorporate diet, physical activity, and behaviour modification strategies. Participants in the Co-HELP group received twelve group-based sessions and two individual counselling to reinforce behavioural change. Participants in the usual care group received standard health education from primary health providers in the clinic setting. Primary outcomes were fasting blood glucose, 2-hour plasma glucose, and HbA1C. Secondary outcomes included weight, BMI, waist circumference, total cholesterol, triglyceride, LDL cholesterol, HDL cholesterol, systolic and diastolic blood pressure, physical activity, diet, and health-related quality of life (HRQOL). RESULTS: An intention-to-treat analysis of between-groups at 12-month (mean difference, 95% CI) revealed that the Co-HELP participants' mean fasting plasma glucose reduced by -0.40 mmol/l (-0.51 to -0.28, p<0.001), 2-hour post glucose by -0.58 mmol/l (-0.91 to -0.24, p<0.001), HbA1C by -0.24% (-0.34 to -0.15, p<0.001), diastolic blood pressure by -2.63 mmHg (-3.79 to -1.48, p<0.01), and waist circumference by -2.44 cm (-4.75 to -0.12, p<0.05) whereas HDL cholesterol increased by 0.12 mmol/l (0.05 to 0.13, p<0.01), compared to the usual care group. Significant improvements were also found in HRQOL for both physical component (PCS) by 6.51 points (5.21 to 7.80, p<0.001) and mental component (MCS) by 7.79 points (6.44 to 9.14, p<0.001). Greater proportion of participants from the Co-HELP group met the clinical recommended target of 5% or more weight loss from the initial weight (24.6% vs 3.4%, p<0.001) and physical activity of >600 METS/min/wk (60.7% vs 32.2%, p<0.001) compared to the usual care group. CONCLUSIONS: This study provides evidence that a culturally adapted diabetes prevention program can be implemented in the community setting, with reduction of several diabetes risk factors and improvement of HRQOL. Collaboration with existing community partners demonstrated a promising channel for the wide-scale dissemination of diabetes prevention at the community level. Further studies are required to determine whether similar outcomes could be achieved in communities with different socioeconomic backgrounds and geographical areas. TRIAL REGISTRATION: IRCT201104106163N1.
[Mh] Termos MeSH primário: Pesquisa Participativa Baseada na Comunidade/estatística & dados numéricos
Diabetes Mellitus Tipo 2/prevenção & controle
Promoção da Saúde/métodos
Estilo de Vida Saudável
Estado Pré-Diabético/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Análise de Variância
Glicemia/análise
Peso Corporal
LDL-Colesterol/sangue
Diabetes Mellitus Tipo 2/sangue
Feminino
Seres Humanos
Estilo de Vida
Malásia/epidemiologia
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)/métodos
Avaliação de Resultados (Cuidados de Saúde)/estatística & dados numéricos
Estado Pré-Diabético/sangue
Qualidade de Vida
Serviços de Saúde Suburbana/estatística & dados numéricos
População Suburbana/estatística & dados numéricos
Perda de Peso
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Blood Glucose); 0 (Cholesterol, LDL)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170726
[Lr] Data última revisão:
170726
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161210
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0167123


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[PMID]:27706069
[Au] Autor:Yang N; Chen S; Hu W; Wu Z; Chao Y
[Ad] Endereço:Faculty of Information Engineering, China University of Geosciences, 388 Lumo Road, Wuhan 430074, China. naigeer@163.com.
[Ti] Título:Spatial Distribution Balance Analysis of Hospitals in Wuhan.
[So] Source:Int J Environ Res Public Health;13(10), 2016 Sep 30.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The spatial distribution pattern of hospitals in Wuhan indicates a core in the central urban areas and a sparse distribution in the suburbs, particularly at the center of suburbs. This study aims to improve the gravity and Huff models to analyze healthcare accessibility and resources. Results indicate that healthcare accessibility in central urban areas is better than in the suburbs, where it increasingly worsens for the suburbs. A shortage of healthcare resources is observed in large-scale and high-class hospitals in central urban areas, whereas the resources of some hospitals in the suburbs are redundant. This study proposes the multi-criteria evaluation (MCE) analysis model for the location assessment in constructing new hospitals, which can effectively ameliorate healthcare accessibility in suburban areas. This study presents implications for the planning of urban healthcare facilities.
[Mh] Termos MeSH primário: Planejamento Hospitalar
Hospitais Urbanos/estatística & dados numéricos
Hospitais
[Mh] Termos MeSH secundário: China
Cidades
Recursos em Saúde
Acesso aos Serviços de Saúde/estatística & dados numéricos
Hospitais/classificação
Hospitais/estatística & dados numéricos
Análise Espacial
Serviços de Saúde Suburbana/estatística & dados numéricos
Serviços Urbanos de Saúde/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161006
[St] Status:MEDLINE


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[PMID]:27613789
[Au] Autor:Rapp RC; Pascoe J
[Ad] Endereço:From the Department of Pediatrics, Wright State University Boonshoft School of Medicine, Dayton, OH. richard.rapp@wright.edu.
[Ti] Título:Clarifying Parents' and Pediatricians' Views of Partnership.
[So] Source:J Am Board Fam Med;29(5):563-71, 2016 Sep-Oct.
[Is] ISSN:1558-7118
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Given the importance of partnership in improving health care outcomes among children, there is a substantial need to understand better what partnership means to parents and physicians. The goal of this study was to develop a partnership survey that was based on parents' and pediatricians' opinions about the key concepts of partnership. METHODS: Parents of patients visiting an affluent suburban private practice and a federally qualified health center, and 2 groups of pediatricians, were asked to review 61 partnership concepts and identify those they considered as being important to partnership. RESULTS: Parents and pediatricians from both practices agreed that 42 (68.9%) of the concepts were important to partnership. Sixteen of these concepts were dropped because they were redundant. Parents from both the suburban practice and health center identified 5 (8.2%) concepts that they believed contributed to partnership. Seven (11.5%) concepts were viewed as important to parents and pediatricians from the suburban practice but not to parents from the health center. Significant socioeconomic differences between the 2 parent groups suggested factors that explained the differences between parent groups. CONCLUSION: The 38 concepts endorsed by parents and pediatricians provided a nuanced view of partnership and formed the Parent Pediatrician Partnership Survey.
[Mh] Termos MeSH primário: Pediatras/psicologia
Médicos de Família/psicologia
Médicos/psicologia
Relações Profissional-Família
[Mh] Termos MeSH secundário: Criança
Centros Comunitários de Saúde
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Prática Privada
Fatores Socioeconômicos
Serviços de Saúde Suburbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160911
[St] Status:MEDLINE
[do] DOI:10.3122/jabfm.2016.05.160052


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[PMID]:27473125
[Au] Autor:Pu Y; Dolar V; Gucwa AL
[Ad] Endereço:Department of Biomedical Sciences, Long Island University at Post, Brookville, NY, USA.
[Ti] Título:A comparative analysis of vaccine administration in urban and non-urban skilled nursing facilities.
[So] Source:BMC Geriatr;16:148, 2016 Jul 29.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The U.S. population is aging at an unprecedented rate, resulting in an increased demand for skilled nursing facilities (SNFs) and long-term care. Residents of these facilities are at a high risk for pneumococcal disease or severe influenza-related illnesses and death. For these reasons, the Centers for Medicare and Medicaid Services use influenza and pneumococcal vaccination rates as a quality measure in the assessment of SNFs, as complications related to these infections increase morbidity and mortality rates. METHODS: Disparities have been reported amongst vaccination with increased rates in urban areas as compared to their non-urban counterparts. Statistical analyses were performed to compare influenza and pneumococcal vaccination in urban and non-urban SNFs to determine variables that may influence vaccination status. RESULTS: Of the 15,639 nursing homes included in the study, 10,107 were in urban areas, while 5532 were considered non-urban. We found the percent of eligible and willing residents with up-to-date influenza and pneumococcal vaccinations increased with overall five-star ratings of SNFs. Somewhat paradoxically, although urban SNFs had higher mean overall five-star ratings, they showed lower rates of influenza and pneumococcal vaccination compared to non-urban SNFs. Ordinary least squares regression analysis comparing overall ratings, type of ownership, and geographic location by region yielded statistically significant results in which the overall rating, ownership-type and certificate-type favored urban SNFs (p < 0.001). CONCLUSIONS: This is the first systematic and comparative analysis to use the Nursing Home Compare database to assess vaccine administration of urban and non-urban SNFs. The findings of this study may be used to encourage the development of programs to improve vaccination rates and the quality of care in these facilities.
[Mh] Termos MeSH primário: Disparidades em Assistência à Saúde/estatística & dados numéricos
Vacinas contra Influenza/uso terapêutico
Influenza Humana/prevenção & controle
Casas de Saúde
Vacinas Pneumocócicas/uso terapêutico
Pneumonia Pneumocócica/prevenção & controle
Instituições de Cuidados Especializados de Enfermagem
Serviços de Saúde Suburbana
Serviços Urbanos de Saúde
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Influenza Humana/epidemiologia
Assistência de Longa Duração/métodos
Assistência de Longa Duração/organização & administração
Masculino
Medicare/estatística & dados numéricos
Casas de Saúde/organização & administração
Casas de Saúde/estatística & dados numéricos
Pneumonia Pneumocócica/epidemiologia
Melhoria de Qualidade
Instituições de Cuidados Especializados de Enfermagem/organização & administração
Instituições de Cuidados Especializados de Enfermagem/estatística & dados numéricos
Serviços de Saúde Suburbana/normas
Serviços de Saúde Suburbana/estatística & dados numéricos
Estados Unidos/epidemiologia
Serviços Urbanos de Saúde/normas
Serviços Urbanos de Saúde/estatística & dados numéricos
Vacinação/métodos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Influenza Vaccines); 0 (Pneumococcal Vaccines)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170609
[Lr] Data última revisão:
170609
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160731
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-016-0320-4


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[PMID]:27359279
[Au] Autor:Okoroha KR; Keller RA; Marshall NE; Lynch JR; Guest JM; Lock T; Rill B
[Ti] Título:Patient Perceptions of Reimbursement for Arthroscopic Meniscectomy and Anterior Cruciate Ligament Reconstruction.
[So] Source:Orthopedics;39(5):e904-10, 2016 Sep 01.
[Is] ISSN:1938-2367
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Historically, patient perceptions of surgeon reimbursement have been exaggerated compared with actual reimbursement. There is limited information about patient perceptions of physician reimbursement for arthroscopic meniscectomy and anterior cruciate ligament (ACL) reconstruction. This study evaluated patient perceptions of physician reimbursement for these procedures and compared perceptions of health care reform between urban and suburban clinics. Surveys were given to 231 consecutive patients, and patients were asked how much they believed a surgeon should be reimbursed for arthroscopic meniscectomy and ACL reconstruction as well as their perception of actual Medicare reimbursement to physicians. Patients were then informed of the actual reimbursement rates and asked additional questions about health care reform. Survey responses were compared in an urban setting vs a suburban setting. On average, patients reported that surgeons should receive $8096 for meniscectomy and $11,794 for ACL reconstruction. Patients estimated that Medicare paid physicians $5442 for meniscectomy and $6667 for ACL reconstruction. In addition, 65% of patients believed that reimbursement for meniscectomy was too low, and 57% of patients believed that reimbursement for ACL reconstruction was too low. Fewer than 2% of patients believed that surgeon salaries should be cut, and 75% believed that orthopedic surgeons should be paid more for subspecialty training. No differences were found in patients' perceptions of reimbursement or health care reform between urban and suburban settings. Patients perceived that the values of meniscectomy and ACL reconstruction were substantially higher than current Medicare reimbursement values and that surgeon salaries should not be cut. [Orthopedics. 2016; 39(5):e904-e910.].
[Mh] Termos MeSH primário: Reconstrução do Ligamento Cruzado Anterior/economia
Artroscopia/economia
Atitude
Honorários e Preços
Menisco/cirurgia
Ortopedia/economia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Reconstrução do Ligamento Cruzado Anterior/psicologia
Feminino
Seres Humanos
Masculino
Medicare/economia
Meia-Idade
Serviços de Saúde Suburbana
Inquéritos e Questionários
Estados Unidos
Serviços Urbanos de Saúde
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160701
[St] Status:MEDLINE
[do] DOI:10.3928/01477447-20160623-03


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[PMID]:27221678
[Au] Autor:Hussain R; Rajesh B; Giridhar A; Gopalakrishnan M; Sadasivan S; James J; Vijayan PP; John N
[Ad] Endereço:Department of Vitreoretina, Giridhar Eye Institute, Kochi, Kerala, India.
[Ti] Título:Knowledge and awareness about diabetes mellitus and diabetic retinopathy in suburban population of a South Indian state and its practice among the patients with diabetes mellitus: A population-based study.
[So] Source:Indian J Ophthalmol;64(4):272-6, 2016 Apr.
[Is] ISSN:1998-3689
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Ocular complications due to diabetes mellitus (DM) were on the rise despite good literacy levels in South India. AIMS: To assess the knowledge and attitude toward DM and diabetic retinopathy of the general population in a suburban town of South India. SETTINGS AND DESIGN: Door-to-door population survey in suburban town of South India in May 2013. MATERIALS AND METHODS: A 30-point questionnaire was prepared and the data were collected and analyzed to determine statistically the knowledge, attitude, and practice (KAP) scores of the general and diabetic population and also to determine significant demographic associations. RESULTS: In this study, 6211 people (3528 [56.8%] women and 2683 [43.2%] men) with a mean age of 55.6 ± 11.7 years (range 21-98 years) were included. Good knowledge and positive attitude were observed in 3457 (55.6%) and 3280 (52.8%) people. Among 1538 (25.4%) people known to have DM, only 619 (40.7%) had good knowledge, 828 (53.8%) had a positive attitude, and 886 (57.6%) had good practice patterns. Although half of them followed general diabetic care, only 9.6% had undergone screening for retinopathy. Literacy showed a significant association with good KAP (P < 0.001 each) in general population and those with DM. Overall, women had significantly better knowledge (P < 0.001). CONCLUSIONS: Better literacy, especially among women, is contributory to better public awareness; however, the trend for poor practice patterns needs to be radically changed with aggressive public motivation emphasizing on the necessity of retinopathy screening and periodic follow-ups.
[Mh] Termos MeSH primário: Conscientização
Diabetes Mellitus/epidemiologia
Retinopatia Diabética/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Vigilância da População/métodos
Serviços de Saúde Suburbana
População Suburbana
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Diabetes Mellitus/diagnóstico
Retinopatia Diabética/diagnóstico
Feminino
Seres Humanos
Índia/epidemiologia
Masculino
Meia-Idade
Morbidade/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160526
[St] Status:MEDLINE
[do] DOI:10.4103/0301-4738.182937


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[PMID]:27149769
[Au] Autor:Keller MK; Klausen BJ; Twetman S
[Ti] Título:Fluoride varnish or fluoride mouth rinse? A comparative study of two school-based programs.
[So] Source:Community Dent Health;33(1):23-6, 2016 Mar.
[Is] ISSN:0265-539X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: In many Danish communities, school-based fluoride programs are offered to children with high caries risk in adjunct to tooth brushing. The purpose of this field trial was to compare the caries-preventive effectiveness of two different fluoride programs in 6-12 year olds. BASIC RESEARCH DESIGN: Clinical controlled trial. CLINICAL SETTING: The 2-year study was conducted in Public Dental Clinics in a multicultural low-socioeconomic suburban area of Odense, Denmark with an elevated prevalence of caries compared to the city average. PARTICIPANTS: 1,018 children (aged 6-12 years) from 9 different schools were enrolled after informed consent and their class unit was randomly allocated to one of two fluoride programs. INTERVENTIONS: One group received a semi-annual fluoride varnish applications (FV) and the other group continued with an existing program with fluoride mouth rinses once per week (FMR). All children received oral hygiene instructions and comprehensive dental care at the local Public Dental Clinics throughout the study period. MAIN OUTCOME MEASURES: Increment of caries lesions in permanent teeth at both cavitated and initial caries levels. RESULTS: The groups were balanced at baseline. After two years, 961 children (94.4%) were reexamined. The FV group showed a mean DMFS increment of 0.36 compared to 0.41 in the FMR group. The corresponding values for initial caries lesions were 0.83 and 0.91 respectively. CONCLUSION: There were no statistically significant differences in caries development over two years among children participating in a school-based fluoride varnish or mouth rinse program.
[Mh] Termos MeSH primário: Cariostáticos/uso terapêutico
Cárie Dentária/prevenção & controle
Fluoretos Tópicos/uso terapêutico
Fluoretos/uso terapêutico
Antissépticos Bucais/uso terapêutico
Serviços de Odontologia Escolar
[Mh] Termos MeSH secundário: Cariostáticos/administração & dosagem
Criança
Assistência Odontológica Integral
Índice CPO
Dinamarca
Feminino
Fluoretos/administração & dosagem
Seguimentos
Seres Humanos
Masculino
Antissépticos Bucais/administração & dosagem
Higiene Bucal/educação
Estudos Prospectivos
Método Simples-Cego
Classe Social
Fluoreto de Sódio/administração & dosagem
Fluoreto de Sódio/uso terapêutico
Serviços de Saúde Suburbana
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Cariostatic Agents); 0 (Fluorides, Topical); 0 (Mouthwashes); 8ZYQ1474W7 (Sodium Fluoride); Q80VPU408O (Fluorides)
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160506
[Lr] Data última revisão:
160506
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:160507
[St] Status:MEDLINE


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[PMID]:27057606
[Au] Autor:Wright KM; Ryan ER; Gatta JL; Anderson L; Clements DS
[Ad] Endereço:Department of Family and Community Medicine, Northwestern University.
[Ti] Título:Finding the Perfect Match: Factors That Influence Family Medicine Residency Selection.
[So] Source:Fam Med;48(4):279-85, 2016 Apr.
[Is] ISSN:1938-3800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND OBJECTIVES: Residency program selection is a significant experience for emerging physicians, yet there is limited information about how applicants narrow their list of potential programs. This study examines factors that influence residency program selection among medical students interested in family medicine at the time of application. METHODS: Medical students with an expressed interest in family medicine were invited to participate in a 37-item, online survey. Students were asked to rate factors that may impact residency selection on a 6-point Likert scale in addition to three open-ended qualitative questions. Mean values were calculated for each survey item and were used to determine a rank order for selection criteria. Logistic regression analysis was performed to identify factors that predict a strong interest in urban, suburban, and rural residency programs. Logistic regression was also used to identify factors that predict a strong interest in academic health center-based residencies, community-based residencies, and community-based residencies with an academic affiliation. RESULTS: A total of 705 medical students from 32 states across the country completed the survey. Location, work/life balance, and program structure (curriculum, schedule) were rated the most important factors for residency selection. Logistic regression analysis was used to refine our understanding of how each factor relates to specific types of residencies. CONCLUSIONS: These findings have implications for how to best advise students in selecting a residency, as well as marketing residencies to the right candidates. Refining the recruitment process will ensure a better fit between applicants and potential programs. Limited recruitment resources may be better utilized by focusing on targeted dissemination strategies.
[Mh] Termos MeSH primário: Escolha da Profissão
Medicina de Família e Comunidade
Internato e Residência/estatística & dados numéricos
Estudantes de Medicina/psicologia
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Adulto
Currículo
Feminino
Seres Humanos
Comportamento de Busca de Informação
Internato e Residência/organização & administração
Masculino
Área de Atuação Profissional
Serviços de Saúde Rural/estatística & dados numéricos
Serviços de Saúde Suburbana/estatística & dados numéricos
Inquéritos e Questionários
Estados Unidos
Serviços Urbanos de Saúde/estatística & dados numéricos
Equilíbrio Trabalho-Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170112
[Lr] Data última revisão:
170112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160409
[St] Status:MEDLINE



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