- The Association Between Acculturation and Prenatal Psychosocial Stress Among Latinas. [Journal Article]
- JIJ Immigr Minor Health 2019 Jun 15
- Latinas experience high levels of stress in pregnancy, however few studies have investigated how acculturation affects pregnancy mental health among Latinas. The goal of this study was to determine i…
Latinas experience high levels of stress in pregnancy, however few studies have investigated how acculturation affects pregnancy mental health among Latinas. The goal of this study was to determine if acculturation was associated with pregnancy stress among pregnant, predominantly Puerto Rican women. Participants (n = 1426) were enrolled in Proyecto Buena Salud, a prospective cohort study of Latinas. Acculturation on a bi-dimensional scale that allows for identification with both Latina and continental US cultures (i.e., bi-cultural vs. high or low acculturation) was measured in early pregnancy via the Psychological Acculturation Scale (PAS), language preference, and generation in the US. Stress was measured in early and mid/late pregnancy using Cohen's 14-item Perceived Stress Scale. After adjustment for risk factors, women with bicultural acculturation had significantly lower stress in overall pregnancy (β = - 2.15, 95% CI - 3.5, - 0.81) and in mid/late pregnancy (β = - 2.35, 95% CI - 3.92, - 0.77) as compared to women with low acculturation. There were no significant associations between proxies of acculturation (i.e., language preference and generation) and stress. Bicultural psychological acculturation was associated with lower stress in pregnancy, while proxies of acculturation were not. Bi-dimensional measures of psychological acculturation should be considered in future studies of maternal mental health.
- Skeletal Muscle Wasting and Its Relationship With Osteoarthritis: a Mini-Review of Mechanisms and Current Interventions. [Review]
- CRCurr Rheumatol Rep 2019 Jun 15; 21(8):40
- Osteoarthritis (OA) is a subset of joint disorders resulting in degeneration of synovial joints. This leads to pain, disability and loss of independence. Knee and hip OA are extremely prevalent, and …
Osteoarthritis (OA) is a subset of joint disorders resulting in degeneration of synovial joints. This leads to pain, disability and loss of independence. Knee and hip OA are extremely prevalent, and their occurrence increases with ageing. Similarly, loss of muscle mass and function, sarcopenia, occurs during ageing.
- Climate Change and the Kidney. [Journal Article]
- ANAnn Nutr Metab 2019; 74 Suppl 3:38-44
- The worldwide increase in temperature has resulted in a marked increase in heat waves (heat extremes) that carries a markedly increased risk for morbidity and mortality. The kidney has a unique role …
The worldwide increase in temperature has resulted in a marked increase in heat waves (heat extremes) that carries a markedly increased risk for morbidity and mortality. The kidney has a unique role not only in protecting the host from heat and dehydration but also is an important site of heat-associated disease. Here we review the potential impact of global warming and heat extremes on kidney diseases. High temperatures can result in increased core temperatures, dehydration, and blood hyperosmolality. Heatstroke (both clinical and subclinical whole-body hyperthermia) may have a major role in causing both acute kidney disease, leading to increased risk of acute kidney injury from rhabdomyolysis, or heat-induced inflammatory injury to the kidney. Recurrent heat and dehydration can result in chronic kidney disease (CKD) in animals and theoretically plays a role in epidemics of CKD developing in hot regions of the world where workers are exposed to extreme heat. Heat stress and dehydration also has a role in kidney stone formation, and poor hydration habits may increase the risk for recurrent urinary tract infections. The resultant social and economic consequences include disability and loss of productivity and employment. Given the rise in world temperatures, there is a major need to better understand how heat stress can induce kidney disease, how best to provide adequate hydration, and ways to reduce the negative effects of chronic heat exposure.
- Acceptance: a factor to consider in persistent pain after neck trauma. [Journal Article]
- SJScand J Pain 2019 Jun 17
- Background and aims Studies on the interaction between acceptance and pain-related processes after neck trauma are to our knowledge sparse and such treatment strategies are rarely incorporated in man…
Background and aims Studies on the interaction between acceptance and pain-related processes after neck trauma are to our knowledge sparse and such treatment strategies are rarely incorporated in management and treatment of posttraumatic neck pain. Thus, the aim of the present study is to investigate how acceptance relates to persistent pain in patients after neck trauma, when controlling for the influence of other psychological factors, trauma characteristics and demographic variables. Methods Consecutive patients with persistent pain and disability after neck trauma (n = 565) were assessed by a multi-professional team at a specialized pain rehabilitation clinic. Separate regression analyses were conducted with three outcomes: pain distribution, pain interference, and pain severity. Predictors were age, sex, education, time since trauma, type of trauma, anxiety, depression, and acceptance. Results Acceptance was the only factor associated with all outcomes, and patients with lower acceptance displayed more widespread pain and greater interference and severity of pain. The results also showed that higher depression was associated with worse pain interference and severity, whilst anxiety only mattered significantly for pain severity and not for pain interference. Female sex was related to more widespread pain and greater pain interference. Conclusions Overall acceptance stood out as the most important factor for the different outcomes and lower acceptance was associated with more widespread pain distribution and greater pain interference and severity. Implications The findings of this study add to a growing body of literature confirming that the development of chronicity after neck trauma should be understood as a multidimensional process, best described by a biopsychosocial model. The results also suggest that psychological factors and especially acceptance might be important processes with implications for enhanced recovery after neck trauma.
- Multiple sclerosis national registry system in Iran: Validity and reliability of a minimum data set. [Journal Article]
- MSMult Scler Relat Disord 2019 Jun 09; 33:158-161
- CONCLUSIONS: The use of standardized validated minimum data set has the potential to enable the researchers and policy-makers to systematically compare and analyze patient information. The Persian version of the minimum data set found to be valid and reliable in Iran.
- Quantitative ultrasound for monitoring bone status in institutionalized adults with refractory epilepsy and intellectual disability: A 7-year follow-up study. [Journal Article]
- SSeizure 2019 Jun 07; 71:35-41
- CONCLUSIONS: In this study we demonstrated the limited use of QUS in the monitoring of bone status in our study population. Although correlations between changes in QUS parameters and axial DXA are positive and mostly significant, QUS only explains little of the variability in DXA values and is inadequate for measuring treatment response in this population.
- Glenoid component lucencies are associated with poorer patient-reported outcomes following anatomic shoulder arthroplasty. [Journal Article]
- JSJ Shoulder Elbow Surg 2019 Jun 12
- CONCLUSIONS: Peri-implant glenoid lucencies following TSA are associated with lower forward elevation and PROs. Lucencies above grade 2 are associated with clinically important losses in overhead motion. However, differences below the MCID are maintained for PROs below grade 5 glenoid lucencies.
- Phacoemulsification with big-bubble deep anterior lamellar keratoplasty: Variant of the triple procedure. [Journal Article]
- JCJ Cataract Refract Surg 2019 Jun 12
- The surgical treatment of patients with combined advanced ectasia and cataract present is challenging. The most common approach is a corneal graft followed by cataract surgery at a later date. A seco…
The surgical treatment of patients with combined advanced ectasia and cataract present is challenging. The most common approach is a corneal graft followed by cataract surgery at a later date. A second option is simultaneous corneal grafts with cataract extraction and intraocular lens implantation. This triple procedure has several benefits, which include a shorter period of visual disability and less cost to the patient than the 2-stage technique. There have been attempts to combine phacoemulsification and deep anterior lamellar keratoplasty (DALK) to maximize the advantages of both procedures in a single sitting. Some authors suggest a triple procedure in which the big-bubble DALK technique is performed before phacoemulsification; however, they recommend that phacoemulsification be performed with extreme caution to prevent Descemet membrane rupture. We describe a variant of the triple procedure in which phacoemulsification is followed by a corneal graft using the big-bubble DALK technique.
- Rigorous Correction of Sagittal Vertical Axis Is Correlated With Better ODI Outcomes After Extensive Corrective Fusion in Elderly or Extremely Elderly Patients With Spinal Deformity. [Journal Article]
- SDSpine Deform 2019; 7(4):610-618
- CONCLUSIONS: Rigorous realignment of sagittal vertical axis is correlated with ODI outcomes, especially in very elderly patients.
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- Lumbar Retrolisthesis Compensates Spinal Kyphosis. [Journal Article]
- SDSpine Deform 2019; 7(4):602-609
- CONCLUSIONS: Subjects with lumbar retrolisthesis showed greater spinal kyphosis and worse spinopelvic alignments. Subjects with lower-generated lumbar retrolisthesis showed worse spinopelvic alignment and HRQOL than subjects with upper-generated lumbar retrolisthesis and multiple ones and those without it.