48 results match your criteria: "3 University of Pittsburgh[Affiliation]"

Background Studies show suboptimal provision of smoking cessation assistance (counseling or pharmacotherapy) for current smokers attempting to quit. We aimed to identify smoking cessation assistance patterns in US cardiology practices. Methods and Results Among 328 749 current smokers seen between January 1, 2013, and March 31, 2016, in 348 NCDR (National Cardiovascular Data Registry) PINNACLE (Practice Innovation and Clinical Excellence)-affiliated cardiology practices, we measured the rates of cessation assistance.

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The labor force participation rate for adults aged 55 years and older has increased nearly 10% over the past two and a half decades. As workers age, they frequently experience increased chronic health conditions and impaired sleep, which may negatively influence their self-rated health (SRH) and work performance. This study aimed to examine the associations between nonrestorative sleep (NRS) and work performance (i.

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Purpose: Effective treatment options are limited for patients with acute myeloid leukemia (AML) who cannot tolerate intensive chemotherapy. An international phase Ib/II study evaluated the safety and preliminary efficacy of venetoclax, a selective B-cell leukemia/lymphoma-2 inhibitor, together with low-dose cytarabine (LDAC) in older adults with AML.

Patients And Methods: Adults 60 years or older with previously untreated AML ineligible for intensive chemotherapy were enrolled.

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Purpose: As a first step toward developing a web-based Family-Health Information Management System intervention, we explored Hispanic dementia family caregiver's knowledge, use, and awareness of self-management principles and skills to address health and health care needs for themselves and the person with dementia (PWD).

Method: Twenty caregivers and 11 caregiver counselors attended an English or Spanish language focus group ranging from 4 to 6 participants. We conducted a directed content analysis informed by Lorig and Holman's conceptualization of self-management.

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Article Synopsis
  • The ASCO provisional clinical opinion (PCO) provides guidelines for healthcare providers on identifying and managing patients and families at risk for pancreatic adenocarcinoma.
  • An expert panel systematically reviewed literature from 1998 to 2018 and emphasized the importance of assessing family cancer history to determine hereditary risk.
  • Patients with familial pancreatic cancer (FPC) criteria and those with genetic susceptibility should be considered for genetic testing and pancreatic cancer screening, with discussions of benefits and limitations.
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This study reports on a statewide survey of medical and behavioral health professionals to advance the knowledge base on the benefits and obstacles to delivering integrated pediatric health care. Surveys distributed in 3 statewide provider networks were completed by 110 behavioral health specialists (BHSs) and 111 primary care physicians (PCPs). Survey content documented their perceptions about key services, benefits, barriers, and needed opportunities related to integrated care.

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Article Synopsis
  • The Pharmacy Quality Alliance (PQA) developed three opioid prescribing quality measures focused on high dosages, multiple providers/pharmacies, and the concurrent use of opioids and benzodiazepines.
  • A study using Pennsylvania Medicaid data from 2013 to 2015 analyzed noncancer patients aged 18-64 to assess the prevalence of these measures and the demographic and health characteristics associated with them.
  • Findings showed a slight increase in high dosage prevalence and decreases in the use of multiple providers/pharmacies and concurrent opioid/benzodiazepine use, with many patients meeting the criteria for multiple measures being eligible for Medicaid due to disability.
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Twenty percent of prostate cancer (PCa) patients develop a noncurable drug-resistant form of the disease termed castration-resistant prostate cancer (CRPC). Overexpression of Androgen Receptor (AR) coactivators such as transcriptional intermediary factor 2 (TIF2) is associated with poor CRPC patient outcomes. We describe the implementation of the AR-TIF2 protein-protein interaction biosensor (PPIB) assay in a high-content screening (HCS) campaign of 143,535 compounds.

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Gift-giving is a common form of social exchange but little research has examined how different gift types affect the psychological distance between giver and recipient. We examined how two types of gifts influence recipients' perceived psychological distance to the giver. Specifically, we compared desirable gifts focused on the quality of the gift with feasible gifts focused on the gift's practicality or ease of use.

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Objective: To assess the impact of telepharmacy services in the acute care setting.

Data Sources: EMBase, MEDLINE, and SCOPUS database searches were performed through April 2018.

Study Selection And Data Extraction: PRISMA guidelines were applied for this systematic review.

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There is a significant evidence base for the Diabetes Prevention Program, a lifestyle intervention to prevent onset of type 2 diabetes among high-risk individuals; however, translation of this intervention for men has been challenging. This report presents outcomes of the pilot study of an adapted 16-week diabetes prevention program entitled " Power Up for Health." The study goal was to better engage men of color with prediabetes from disadvantaged neighborhoods of New York City.

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Preeclampsia is a complex genetic disorder with an incompletely understood pathogenesis. Its phenotype may be better elucidated by integrating symptoms. This study aimed to identify symptoms by gestational age and associations with novel preeclampsia candidate genes.

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Does CPAP Affect Patient-Reported Voice Outcomes?

Otolaryngol Head Neck Surg

April 2018

4 UPMC Division of Sleep Medicine and Upper Airway Surgery, Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Upper aerodigestive tract symptoms are common in patients with obstructive sleep apnea (OSA). It remains unclear whether continuous positive airway pressure (CPAP) improves or worsens these otolaryngology symptoms. As therapy-related side effects limit CPAP adherence, this study aimed to determine if CPAP negatively affects voice, sinonasal, and reflux symptoms of the upper airway.

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Thoracic organ transplantation constitutes a significant proportion of all transplant procedures. Thoracic solid organ transplantation continues to be a burgeoning field of research. This article presents a review of remarkable literature published in 2017 regarding perioperative issues pertinent to the thoracic transplant anesthesiologists.

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Article Synopsis
  • Researchers tested the effects of the small-molecule sGC activator BAY 54-6544 compared to other treatments on right ventricular (RV) pressure and hypertrophy in mice with SCD, finding that BAY 54-6544 was significantly more effective.
  • The study shows that BAY 54-6544 improves the response of pulmonary arteries to nitric oxide and suggests its potential as a novel treatment for complications related to SCD, particularly pulmonary arterial hypertension and heart remodeling.
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Purpose: To examine changes in eating competence (EC) in 12-month weight loss intervention.

Design: Randomized, parallel-arm with weight loss phase (baseline to month 4) and weight-maintenance phase (months 4-12).

Setting: Face-to-face in University classrooms, supervised and self-directed fitness sessions at University fitness center, and home.

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A Pilot Study of the Prevalence of Anal Human Papillomavirus and Dysplasia in a Cohort of Patients With IBD.

Dis Colon Rectum

December 2017

1 Division of Infectious Diseases, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 2 Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 3 University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 4 Alpha StatConsult, Damascus, Maryland 5 Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.

Background: Defective cell-mediated immunity increases the risk of human papillomavirus-associated anal dysplasia and cancer. There is limited information on anal canal disease in patients with IBD.

Objective: The purpose of this study was to assess anal/vaginal human papillomavirus and anal dysplasia prevalence in patients with IBD.

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Background: Scapholunate advanced collapse (SLAC) of the wrist is the most common degenerative condition of the wrist. Four-corner fusion (4CF) is performed as salvage surgery, though there is limited information on its long-term results. We hypothesized that 4CF is a durable surgery with good clinical long-term function.

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Background/objectives: We investigated the prevalence and correlates of discrepancies between self-reported sleep quality (Pittsburgh Sleep Quality Index) and objective sleep efficiency (actigraphy) in older adults with mild cognitive impairment (MCI) and subsyndromal depression.

Methods: This was a secondary analysis of a clincial trial with 59 adults aged 60 years and older with MCI and subsyndromal depression. We included baseline data on participants' subjective sleep quality, objective sleep efficiency, depressive symptoms, insomnia diagnosis, and cognitive functioning.

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Rationale: Short-term follow-up in the Fluid and Catheter Treatment Trial (FACTT) suggested differential mortality by race with conservative fluid management, but no significant interaction.

Objective: In a post hoc analysis of FACTT including 1-year follow-up, we sought to estimate long-term mortality by race and test for an interaction between fluids and race.

Methods: We performed a post hoc analysis of FACTT and the Economic Analysis of Pulmonary Artery Catheters (EAPAC) study (which included 655 of the 1,000 FACTT patients with near-complete 1-year follow up).

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Musculoskeletal modeling is capable of estimating physiological parameters that cannot be directly measured, however, the validity of the results must be assessed. Several models utilize a scapular rhythm to prescribe kinematics, yet it is unknown how well they replicate natural scapular motion. This study evaluated kinematic errors associated with a model that employs a scapular rhythm using 2 shoulder movements: abduction and forward reach.

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