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Perspectives of primary care physicians on acceptance and barriers to COVID-19 vaccination

family medicine and Community health 2021年第4期9卷 64-70页

作者： Philip Day Chance Strenth Neelima Kale F David Schneider Elizabeth Mayfield Arnold department of family medicine and Community health University of Massachusetts Medical SchoolWorcesterMassachusettsUSA department of family and Community medicine UT Southwestern Medical SchoolDallasTexasUSA department of family and Community medicine University of Kentucky College of MedicineLexingtonKentuckyUSA department of family and Community medicine The University of Texas Southwestern Medical Center Medical SchoolDallasTexasUSA

Objectives The purpose of this study was to examine the perspectives of primary care physicians in Texas around vaccine acceptance and potential patient barriers to *** surveys have shown fluctuating levels of acceptance for COVID-19 vaccination,and primary care physicians could play a crucial role in increasing vaccine *** This study employed a cross-sectional anonymous survey design to collect data using an online *** were asked about vaccination practices and policies at their practice site,perceptions of patient and community acceptance and confidence in responding to patient vaccine *** From November 2020 to January 2021,family medicine physicians and paediatricians completed an online questionnaire on COVID-19 vaccination that was distributed by professional *** The survey was completed by 573 practising physicians,the majority of whom identified as family medicine physicians(71.0%)or paediatricians(25.7%),who are currently active in professional associations in *** About three-fourths(74.0%)of participants reported that they would get the vaccine as soon as it became *** estimated that slightly more than half(59.2%)of their patients would accept the vaccine,and 67.0%expected that the COVID-19 vaccine would be accepted in their local *** majority of participants(87.8%)reported always,almost always or usually endorsing vaccines,including high levels of intention to recommend COVID-19 vaccination(81.5%).Participants felt most confident responding to patient concerns related to education about vaccine types,safety and necessity and reported least confidence in responding to personal or religious objections to COVID-19 *** The majority of the physicians surveyed stated that they would receive the COVID-19 vaccination when it was available to them and were confident in their ability to respond to patient *** additional ed

关键词： vaccination education acceptance

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Social function scores and influencing factors in patients with residual depressive symptoms

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World Journal of Psychiatry 2025年第1期15卷 117-127页

作者： Zong-Ling Liao Xiao-Li Pu Zhi-Yi Zheng Jie Luo department 1 of Psychiatry Gele Mountain Hospital of Chongqing Mental Health CenterChongqing 400030China department of Psychology Chongqing Jiangjin District Psychiatric HospitalChongqing 402260China department of Psychiatry Chongqing Third Social Welfare InstituteChongqing 400036China Women and Children’s Mental health Center Affiliated Hospital of Chongqing Population and Family Planning Research InstituteChongqing 400020China

BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still *** depressive symptoms are highly harmful,leading to low mood in patients,affecting work and interpersonal communication,increasing the risk of recurrence,and adding to the burden on *** the influencing factors of their social function is of great *** To explore the social function score and its influencing factors in patients with residual depressive *** This observational study surveyed patients with residual depressive symptoms(case group)and healthy patients undergoing physical examinations(control group).Participants were admitted between January 2022 and December *** functioning was assessed using the Sheehan Disability Scale(SDS),and scores were compared between *** influencing SDS scores in patients with residual depressive symptoms were analyzed by applying multiple linear regression while using the receiver operating characteristic curve,and these RESULTS The SDS scores of the 158 patients with depressive symptoms were 11.48±*** with the control group,the SDS scores and all items in the case group were *** scores were higher in patients with relapse,discon-tinuous medication,drug therapy alone,severe somatic symptoms,obvious residual symptoms,and anxiety scores≥*** history,medication compliance,therapy method,and residual symptoms correlated positively with SDS scores(r=0.354,0.414,0.602,and 0.456,respectively).Independent influencing factors included disease history,medication compliance,therapy method,somatic symptoms,residual symptoms,and anxiety scores(P<0.05).The areas under the curve for predicting social functional impairment using these factors were 0.713,0.559,0.684,0.729,0.668,and 0.628,respectively,with sensitivities of 79.2%,61.8%,76.8%,81.7%,63.6%,and 65.5%and specificities of 83.3%,87.5%,82.6%,83.3%,86.7%,and 92.1%,respectively.C

关键词： Depressive Residual symptoms Social function Influence factors

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Comparison of QT Correction Methods in the Pediatric population of a Community Hospital: A Retrospective Study

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Congenital Heart Disease 2024年第1期19卷 107-121页

作者： Koren Hyogene Kwag Ibrahim Kak Ying Li Walid Khass Alec McKechnie Oksana Nulman Brande Brown Manoj Chhabra department of Pediatrics New York Presbyterian Brooklyn Methodist HospitalBrooklyn11215USA department of population health Sciences Division of BiostatisticsWeill Cornell MedicineNew York10065USA

Objective:Accurate measurement of QT interval,the ventricular action potential from depolarization to repolarization,is important for the early detection of Long QT *** most effective QT correction(QTc)formula has yet to be determined in the pediatric population,although it has intrinsically greater extremes in heart rate(HR)and is more susceptible to errors in *** authors of this study compare six dif-ferent QTc methods(Bazett,Fridericia,Framingham,Hodges,Rautaharju,and a computer algorithm utilizing the Bazett formula)for consistency against variations in HR and RR ***:Descriptive Retrospective *** included participants from a pediatric cardiology practice of a community hospital who had an ECG performed in *** participants were healthy patients with no past medical history and no regular ***:ECGs from 95 participants from one month to 21 years of age(mean 9.7 years)were included with a mean HR of 91 beats per minute(bpm).The two-sample paired t-test or Wilcoxon signed-rank test assessed for any difference between QTc methods.A statistically signiﬁcant difference was observed between every combination of two QTc *** Spearman’s rank correlation analysis explored the QTc/HR and QTc/RR relationships for each *** method was most independent of HR and RR with the lowest absolute value of correlation coefﬁ*** and Computer had moderate correlations,while Framingham and Rautaharju exhibited strong *** were positive for Bazett and Computer,reﬂecting results from prior studies demonstrating an over-correction of Bazett at higher *** the linear QTc/HR regression analysis,Bazett had the slope closest to zero,although Computer,Hodges,and Fridericia had comparable ***,Fridericia had the linear QTc/RR regression coefﬁcient closest to *** Bland-Altman method assessed for bias and the limits of agreement between correction *** an

关键词： Corrected QT interval QT prolongation long QT syndrome electrocardiogram retrospective study bazett fridericia framingham hodges rautaharju computer algorithm

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A systematic review of the effects and mechanisms of preoperative 5α-reductase inhibitors on intraoperative haemorrhage during surgery for benign prostatic hyperplasia

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Asian Journal of Andrology 2011年第6期13卷 812-818页

作者： Huan-Tao Zong Xiao-Xia Peng Chen-Chen Yang Yong Zhang department of Urology Beijing Chao Yang Hospital University Beijing 100069 China School of Public health and family medicine Capital Medical University Beijing 100069 China

5α-reductase inhibitors （5α-RIs）, including finasteride and dutasteride, are commonly used medical therapies for benign prostatic hyperplasia （BPH）. Many studies reported that preoperative 5α-RI had impact on intraoperative haemorrhage during surgery for BPH, but it was still in controversial. So, we conducted a systematic review of the effects and mechanisms of 5α-RIs on intraoperative bleeding for BPH. MEDLINE, EMBASE, the Cochrane Controlled Trail Register of Controlled Trials and the reference lists of retrieved studies were searched in the analysis. Sixteen publications involving 15 different randomized controlled trials （RCTs） and a total of 1156 patients were used in the analysis, including 10 RCTs for finasteride and five RCTs for dutasteride. We found that preoperative finasteride treatment decreases microvessel density （MVD） in resected prostate specimens. Total blood loss, blood loss per gram of resected prostate tissue and decreases in haemoglobin were all greatly reduced in the finasteride group as compared to controls. Dutasteride appeared to have no effect on bleeding. This meta-analysis shows that preoperative finasteride treatment could decrease intraoperative haemorrhage during surgery for BPH. Preoperative dutasteride had no effect on intraoperative haemorrhage, but further high-qualitv prospective studies are still needed to confirm this observation.

关键词： 5α-reductase inhibitor benign prostate hyperplasia haemorrhage meta-analysis microvessel density

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Assessing the accuracy of patient report of the 5As (ask,assess,advise,assist,and arrange) for smoking cessation counseling

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family medicine and Community health 2017年第3期5卷 164-169页

作者： Susan A.Flocke Elizabeth Antognoli department of family medicine and Community health Case Western Reserve Univer-sityClevelandOHUSA

Objective:The 5As framework(ask,advise,assess,assist,arrange)is a recommended strat-egy for smoking cessation counseling in primary *** study compares patient report with direct observation to assess the degree of recall bias for each of the ***:Primary care visits by 107 adult smokers and 16 physicians were *** 48 hours after the visit,patients completed a survey assessing whether or not smoking was discussed and items specific to each of the *** audio recordings were evaluated to assess the presence of each *** sensitivity,specificity,positive predictive value,and negative predictive value of patient report versus direct observation were ***:The frequency of the 5As based on evaluation of the audio recording ranged from 13% (arrange)to 98% (ask).The sensitivity and specificity of patient report were 92% and not applicable for ask,90% and 50% for assess,94% and 33% for advise,90% and 50% for assist,and 85% and 67% for arrange *** predictive values ranged from 28% to 98%;negative predictive values ranged from 0% to 97% .Conclusion:Compared with the gold standard of direct observation,patient report of each of the 5As is reasonably sensitive but not *** overreport the occurrence of each of the 5As.

关键词： 5As(ask,assess,advise,assist,arrange) smoking cessation primary care

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health behavior outcomes in stroke survivors prescribed wearables for atrial fibrillation detection stratified by age

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Journal of Geriatric Cardiology 2024年第3期21卷 323-330页

作者： Joanne Mathew Jordy Mehawej Ziyue Wang Taylor Orwig Eric Ding Andreas Filippaios Syed Naeem Edith Mensah Otabil Alex Hamel Kamran Noorishirazi IrinaRadu Jane Saczynski David D.McManus Khanh-Van Tran Division of Cardiovascular medicine Department of MedicineUniversity of Massachusetts Chan Medical SchoolLake Avenue NorthWorcesterUSA department of Internal medicine Central Michigan UniversityMount PleasantUSA department of Pharmacy and health Systems Sciences School of PharmacyNortheastern UniversityBostonUSA department of population and Quantitative health Sciences University of Massachusetts Chan Medical SchoolLake Avenue NorthWorcesterUSA

BACKGROUND Smartwatches have become readily accessible tools for detecting atrial fibrillation(AF).There remains limited data on how they affect psychosocial outcomes and engagement in older *** examine the health behavior outcomes of stroke survivors prescribed smartwatches for AF detection stratified by *** We analyzed data from the Pulsewatch study,a randomized controlled trial that enrolled patients(≥50 years)with a history of stroke or transient ischemic attack and CHA2DS2-VASc≥*** participants were equipped with a cardiac patch monitor and a smartwatch-app dyad,while control participants wore the cardiac patch monitor for up to 44 *** evaluated health behavior parameters using standardized tools,including the Consumer health Activation Index,the Generalized Anxiety Disorder questionnaire,the 12-Item Short Form health Survey,and wear time of participants categorized into three age groups:Group 1(ages 50-60),Group 2(ages 61-69),and Group 3(ages 70-87).We performed statistical analysis using a mixedeffects repeated measures linear regression model to examine differences amongst age *** Comparative analysis between Groups 1,2 and 3 revealed no significant differences in anxiety,patient activation,perception of physical health and wear *** use of smartwatch technology was associated with a decrease in perception of mental health for Group 2 compared to Group 1(β=-3.29,P=0.046).CONCLUSION Stroke survivors demonstrated a willingness to use smartwatches for AF ***,among these study participants,the majority did not experience negative health behavior outcomes or decreased engagement as age increased.

关键词： prescribed stratified wear

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Prospects of a comprehensive evaluation system for traditional Chinese medicine services

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Journal of Integrative medicine 2017年第6期15卷 426-432页

作者： Wen-jie Xu Ling-tai Wang Zhi-ping Zhao Li-ming Zhu Liang-hua Zu Qi Zhang Dan-bo Dou Center for International Classification Research on Traditional medicine Clinical Conditions and Service Evaluation Shanghai University of Traditional Chinese Medicine department of Traditional Chinese medicine Shuguang Hospital Shanghai University of Traditional Chinese Medicine Division of Traditional Chinese medicine Service Supervision Shanghai Municipal Commission of Health and Family Planning Traditional and Complementary medicine World Health Organization

Traditional Chinese medicine （TCM） is a unique health resource in China and one of the main representative traditional medicines globally. TCM has formed a new way of looking at medical practices, health care, scientific research, education, industry and culture. It focuses on promoting and safeguarding the health of people, with an increasing contribution to economic and social development. Establishing a comprehensive evaluation system in accordance with the characteristics of TCM services could promote the scientific merit and the standardization of services management. This would improve health service quality and the social and economic benefits of TCM. It would broaden the field of TCM services research. It would also provide the basis for the formulation of relevant government policies. This study estimates the prospect of establishing a comprehensive evaluation system of TCM services.

关键词： medicine, Chinese traditional complementary medicine alternative medicine evaluationsystem review

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Chronic care model in the diabetes pay-for-performance program in Taiwan:Benefits,challenges and future directions

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World Journal of Diabetes 2021年第5期12卷 578-589页

作者： Tsung-Tai Chen Brian Oldenburg Ya-Seng Hsueh department of Public health College of MedicineFu Jen Catholic UniversityNew Taipei 24205Taiwan Noncommunicable Disease Control Unit Melbourne School of Population and Global HealthUniversity of MelbourneMelbourne 3053Australia Centre for health Policy Melbourne School of Population and Global HealthUniversity of MelbourneMelbourne 3053Australia

In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in *** first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan,mapping them onto the 6 components of the *** each CCM component,the following three topics are described:the definition of the CCM component,the general activities implemented related to this component,and practical and empirical practices based on hospital or local government *** then conclude by describing the possible successful features of this P4P program and its challenges and future *** conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives(i.e.,shared care network),physician-led P4P and the implementation of activities based on the CCM ***,due to the low rate of P4P program coverage,approximately 50%of patients with diabetes cannot enjoy the benefits of CCMrelated activities or receive necessary *** addition,most of these CCM-related activities are not allotted an adequate amount of incentives,and these activities are mainly implemented in hospitals,which compared with primary care providers,are unable to execute these activities *** of these issues,as well as insufficient implementation of the e-CCM model,could hinder the advanced improvement of diabetes care in Taiwan.

关键词： Chronic care model Diabetes Pay-for-performance Shared care Diabetes care

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Sociodemographic characteristics and risk factor analysis of Demodex infestation(Acari:Demodicidae)

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第12期12卷 998-1007页

作者： Ya-e ZHAO Na GUO Meng XUN Ji-ru XU Mei WANG Duo-lao WANG department of Immunology and Pathogen Biology Xi ＇an Jiaotong University College of Medicine Xi ＇an 710061 China department of Dermatology the Second Affiliated Hospital Xi ＇an Jiaotong University College of Medicine Xi ＂an 710004 China department of Epidemiology and population health London School of Hygiene and Tropical Medicine London WCIE 7HT UK

To identify sociodemographic characteristics and risk factor of Demodex infestation,756 students aged 13-22 years in Xi'an,China were sampled for the school-based cross-sectional *** was examined using the cellophane tape method(CTP).The results showed that the total detection rate of Demodex was 67.6%.Logistic regression analysis revealed that five variables(gender,residence,sharing sanitary ware,frequency of face-wash per day,and use of facial cleanser) were found to be uncorrelated with Demodex infestation,whereas three variables(age,skin type,and skin disease) were found to be independent *** aged over 18 years had 22.1 times higher odds of Demodex infestation compared to those under 16 years and students aged 16-18 years also had 2.1 times higher odds compared to those aged 13-15 *** of having a Demodex infestation for oily or mixed skin were 2.1 times those for dry or neutral *** with a facial skin disease had 3.0 times higher odds of being infested with Demodex compared to those *** inception rate of students with facial dermatoses increased in parallel with increasing mite *** inception rates were 21.3%,40.7%,59.2%,and 67.7% in the negative,mild,moderate,and severe infestation groups,respectively(χ2=60.6,P<0.001).Specifically,the amount of infested mites and inception rate of acne vulgaris were positively correlated(R2=0.57,moderate infestation odds ratio(OR)=7.1,severe infestation OR=10.3).It was concluded that Demodex prevalence increases with age,and Demodex presents in nearly all adult *** hyperplasia with oily or mixed skin seems to favour Demodex *** infestation could be associated with acne *** CTP is a good sampling method for studies of Demodex prevalence.

关键词： Students Demodex infestation Sociodemographic characteristics Risk factor Logistic regression analysis Facial dermatosis

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Foundations and implications of Human Aging Omics:A framework for identifying cumulative health risks from embryo to senescence

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Science Bulletin 2024年第20期69卷 3184-3187页

作者： Xiaoying Zheng Binbin Su Yihao Zhao Chen Chen Bruno Vellas Jean-Pierre Michel Ruitai Shao School of population medicine and Public health Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China APEC health Science Academy(HeSAY) Peking UniversityBeijing 100871China department of Geriatric health Sciences School of Population Medicine and Public HealthChinese Academy of Medical Sciences&Peking Union Medical CollegeBeijing 100730China Gérontopôle&department of Geriatric Internal medicine Toulouse University HospitalToulouse 31000France Geneva University Medical School Geneva 1205Switzerland

We are witnessing a global demographic shift towards an aging society,driven by significant improvements in life *** the past two decades,the average life expectancy has increased by more than 6 years from 66.8 years ... 详细信息

关键词： life aging identifying

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