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Application of a new parameter in the 6-minute walk test for manifold analysis of exercise capacity in patients with COPD 2014 Department of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan.; Department of Respiratory Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan.; Department of Sports Medicine, Graduate School of
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of chronic obstructive pulmonary disease
Periodical, Abbrev.
Int.J.Chron.Obstruct Pulmon Dis.
Pub Date Free Form
3-Nov
Volume
9
Issue
Start Page
1235
Other Pages
1240
Notes
LR: 20151119; JID: 101273481; 0 (Biomarkers); S88TT14065 (Oxygen); OID: NLM: PMC4224096; OTO: NOTNLM; 2014 [ecollection]; 2014/11/03 [epublish]; epublish
Place of Publication
New Zealand
ISSN/ISBN
1178-2005; 1176-9106
Accession Number
PMID: 25395845
Language
eng
SubFile
Journal Article; IM
DOI
10.2147/COPD.S71383 [doi]
Output Language
Unknown(0)
PMID
25395845
Abstract
BACKGROUND: New parameters in the 6-minute walk test (6 MWT) are required for comprehensive analysis of exercise capacity in patients with chronic obstructive pulmonary disease (COPD). The aim of the present study was to apply a novel index, the desaturation distance ratio (DDR), to clinical research on COPD as an estimate of exercise capacity and to examine whether DDR is a potential parameter for manifold analysis of exercise capacity in patients with COPD. METHODS: A total of 41 patients with COPD (median age [interquartile range] =75 [68-79] years; and body mass index [BMI] =22.3 [19.4-23.8] kg/m(2)) participated in the study. The 6 MWT was performed along with anthropometric measurements and a pulmonary function test. The "desaturation area" was measured as the total area above the curve created using peripheral oxygen saturation (SpO2) values observed at each minute during the 6 MWT. Then the DDR was calculated as the ratio of the desaturation area to the 6-minute walk distance (6 MWD). RESULTS: The 6 MWD was 370 (328-445) m, and the decline in SpO2 values (DeltaSpO2) was -5.0% (-8.0% to -1.5%). The DDR correlated modestly with baseline pulmonary function in patients with COPD (forced expiratory volume in 1 second [% of predicted value]: r=-0.658, P
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Ijiri,N., Kanazawa,H., Yoshikawa,T., Hirata,K.
Original/Translated Title
URL
Date of Electronic
20141103
PMCID
PMC4224096
Editors
Predictors of illicit drug/s use among university students in Northern Ireland, Wales and England 2014 University of Gloucestershire, Faculty of Applied Sciences. walidansari@glos.ac.uk.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Global journal of health science
Periodical, Abbrev.
Glob.J.Health.Sci.
Pub Date Free Form
16-Dec
Volume
7
Issue
4
Start Page
18
Other Pages
29
Notes
LR: 20160428; JID: 101519495; 0 (Street Drugs); OID: NLM: PMC4802112; 2014/10/30 [received]; 2014/11/17 [accepted]; epublish
Place of Publication
Canada
ISSN/ISBN
1916-9736; 1916-9736
Accession Number
PMID: 25946914
Language
eng
SubFile
Journal Article; IM
DOI
10.5539/gjhs.v7n4p18 [doi]
Output Language
Unknown(0)
PMID
25946914
Abstract
INTRODUCTION: The use of illicit drug/s among university students is a public health concern. Nevertheless, many UK studies investigated a narrow spectrum of variables to explore their association/s with illicit drug/s use. METHODS: We assessed the associations between a wide range of socio-demographic, health and wellbeing variables (independent variables) and having used illicit drug/s regularly, occasionally or never in life (dependent variables). Data (3706 students) were collected from seven universities in England, Wales, and Northern Ireland, using a self-administered questionnaire. RESULTS: About 5% of the sample had regularly used illicit drug/s, 25% occasionally, and 70% never. Regular drug use (RDU) was significantly more likely among males aged 21-29 years, daily smokers, those with heavy episodic drinking or possible alcohol dependency (CAGE test), and those who perceived their academic performance better than their peers. RDU was less likely among students with high health awareness and those living with parents. The predictors of occasional drug use (ODU) were similar to those of RDU. However, in addition, students with higher perceived stress were less likely, and students who felt financial burden/s were more likely to report ODU, while no association with academic performance was found. Never use of illicit drug/s was inversely associated with most of the variables listed above, and was positively associated with religiosity. Illicit drug/s use goes along with other substance use (alcohol and smoking). The finding that illicit drug/s use was higher among students reporting good academic performance was surprising and raises the question of whether illicit drug/s may be used as performance enhancing drugs. CONCLUSION: The factors identified with illicit drug/s use in this study could be utilized to develop appropriate public health policies and preventive measures for the health of students. Multilevel, value based, comprehensive, and strategic long-term intervention plans are required. This could include social interventions aimed at generating recreations alternatives and opportunities for youth, and a critical review for current authorities' interventions and services. Suggestions for coping with problems of campus illicit drug use/abuse also need to be offered.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
El Ansari,W., Vallentin-Holbech,L., Stock,C.
Original/Translated Title
URL
Date of Electronic
20141216
PMCID
PMC4802112
Editors
Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study 2014 Cancer Research UK Health Behaviour Research Centre, University College London, London, UK; Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction (Abingdon, England)
Periodical, Abbrev.
Addiction
Pub Date Free Form
Sep
Volume
109
Issue
9
Start Page
1531
Other Pages
1540
Notes
LR: 20151215; CI: (c) 2014; GR: 14135/Cancer Research UK/United Kingdom; GR: MR/K023195/1/Medical Research Council/United Kingdom; JID: 9304118; OID: NLM: PMC4171752; OTO: NOTNLM; 2014/02/27 [received]; 2014/04/08 [revised]; 2014/05/12 [accepted]; ppublis
Place of Publication
England
ISSN/ISBN
1360-0443; 0965-2140
Accession Number
PMID: 24846453
Language
eng
SubFile
Journal Article; IM
DOI
10.1111/add.12623 [doi]
Output Language
Unknown(0)
PMID
24846453
Abstract
BACKGROUND AND AIMS: Electronic cigarettes (e-cigarettes) are rapidly increasing in popularity. Two randomized controlled trials have suggested that e-cigarettes can aid smoking cessation, but there are many factors that could influence their real-world effectiveness. This study aimed to assess, using an established methodology, the effectiveness of e-cigarettes when used to aid smoking cessation compared with nicotine replacement therapy (NRT) bought over-the-counter and with unaided quitting in the general population. DESIGN AND SETTING: A large cross-sectional survey of a representative sample of the English population. PARTICIPANTS: The study included 5863 adults who had smoked within the previous 12 months and made at least one quit attempt during that period with either an e-cigarette only (n = 464), NRT bought over-the-counter only (n = 1922) or no aid in their most recent quit attempt (n = 3477). MEASUREMENTS: The primary outcome was self-reported abstinence up to the time of the survey, adjusted for key potential confounders including nicotine dependence. FINDINGS: E-cigarette users were more likely to report abstinence than either those who used NRT bought over-the-counter [odds ratio (OR) = 2.23, 95% confidence interval (CI) = 1.70-2.93, 20.0 versus 10.1%] or no aid (OR = 1.38, 95% CI = 1.08-1.76, 20.0 versus 15.4%). The adjusted odds of non-smoking in users of e-cigarettes were 1.63 (95% CI = 1.17-2.27) times higher compared with users of NRT bought over-the-counter and 1.61 (95% CI = 1.19-2.18) times higher compared with those using no aid. CONCLUSIONS: Among smokers who have attempted to stop without professional support, those who use e-cigarettes are more likely to report continued abstinence than those who used a licensed NRT product bought over-the-counter or no aid to cessation. This difference persists after adjusting for a range of smoker characteristics such as nicotine dependence.
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Book Title
Database
Publisher
The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction
Data Source
Authors
Brown,J., Beard,E., Kotz,D., Michie,S., West,R.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4171752
Editors
(E)-2-{[4-(Di-methyl-amino)-benzyl-idene]amino}-5-nitro-phenol 2014 Chemistry Department, Morgan State University, 1700 East Cold Spring Lane, Baltimore, MD 21251, USA.; Department of Chemistry, Howard University, 525 College Street NW, Washington, DC 20059, USA.; Department of Chemistry, Keene State College, Keene, NH 03
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Acta crystallographica.Section E, Structure reports online
Periodical, Abbrev.
Acta Crystallogr.Sect.E.Struct.Rep.Online
Pub Date Free Form
26-Apr
Volume
70
Issue
Pt 5
Start Page
o598
Other Pages
9
Notes
LR: 20140528; JID: 101089178; OID: NLM: PMC4011306; 2014/05/01 [ecollection]; 2014/03/04 [received]; 2014/04/16 [accepted]; 2014/04/26 [epublish]; epublish
Place of Publication
United States
ISSN/ISBN
1600-5368; 1600-5368
Accession Number
PMID: 24860394
Language
eng
SubFile
Journal Article
DOI
10.1107/S160053681400871X [doi]
Output Language
Unknown(0)
PMID
24860394
Abstract
The title Schiff base compound, C15H15N3O3, crystallizes with two mol-ecules (A and B) in the asymmetric unit. Each mol-ecule adopts an E conformation around the C= N imine bond. The two mol-ecules have minor differences in their conformations. In mol-ecule A, the dihedral angle between the nitro group and its benzene ring is 2.1 (2) degrees and that between the two benzene rings is 0.88 (7) degrees , while the corresponding angles for mol-ecule B are 5.7 (1) and 2.45 (6) degrees , respectively. In each mol-ecule, there is an intra-molecular O-Hcdots, three dots, centeredN hydrogen bond. In the crystal, inversion-related mol-ecules are linked via O-Hcdots, three dots, centeredO hydrogen bonds forming A-A and B-B dimers. These dimers are linked via C-Hcdots, three dots, centeredO hydrogen bonds involving the nitro O atoms, forming A-A-A and B-B-B slabs that lie parallel to one another and to (010).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Hijji,Y., Butcher,R.J., Jasinski,J.P.
Original/Translated Title
URL
Date of Electronic
20140426
PMCID
PMC4011306
Editors
Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review 2014 Section of Gastroenterology and Hepatology, Houston Veterans Affairs Medical Center (152), , Houston, Texas, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Gut
Periodical, Abbrev.
Gut
Pub Date Free Form
Jun
Volume
63
Issue
6
Start Page
871
Other Pages
880
Notes
LR: 20150423; GR: DK58338/DK/NIDDK NIH HHS/United States; GR: K24 DK078154/DK/NIDDK NIH HHS/United States; GR: K24-04-107/PHS HHS/United States; GR: P30 DK056338/DK/NIDDK NIH HHS/United States; GR: T32 DK083266/DK/NIDDK NIH HHS/United States; JID: 2985108
Place of Publication
England
ISSN/ISBN
1468-3288; 0017-5749
Accession Number
PMID: 23853213
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Review; AIM; IM
DOI
10.1136/gutjnl-2012-304269 [doi]
Output Language
Unknown(0)
PMID
23853213
Abstract
OBJECTIVE: To update the findings of the 2005 systematic review of population-based studies assessing the epidemiology of gastro-oesophageal reflux disease (GERD). DESIGN: PubMed and Embase were screened for new references using the original search strings. Studies were required to be population-based, to include >/= 200 individuals, to have response rates >/= 50% and recall periods
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
El-Serag,H.B., Sweet,S., Winchester,C.C., Dent,J.
Original/Translated Title
URL
Date of Electronic
20130713
PMCID
PMC4046948
Editors
Detection and molecular characterization of Escherichia coli CTX-M-15 and Klebsiella pneumoniae SHV-12 beta-lactamases from bovine mastitis isolates in the United Kingdom 2014 School of Veterinary Science, University of Liverpool, Leahurst, Cheshire, United Kingdom.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Antimicrobial Agents and Chemotherapy
Periodical, Abbrev.
Antimicrob.Agents Chemother.
Pub Date Free Form
Volume
58
Issue
2
Start Page
789
Other Pages
794
Notes
LR: 20150422; JID: 0315061; 0 (Bacterial Proteins); 0 (beta-Lactams); EC 3.5.2.- (beta-lactamase CTX-M-15); EC 3.5.2.- (beta-lactamase SHV-12); EC 3.5.2.6 (beta-Lactamases); OID: NLM: PMC3910873; 2013/11/18 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1098-6596; 0066-4804
Accession Number
PMID: 24247146
Language
eng
SubFile
Journal Article; IM
DOI
10.1128/AAC.00752-13 [doi]
Output Language
Unknown(0)
PMID
24247146
Abstract
Recent reports raised concerns about the role that farm stock may play in the dissemination of extended-spectrum beta-lactamase (ESBL)-producing bacteria. This study characterized the ESBLs in two Escherichia coli and three Klebsiella pneumoniae subsp. pneumoniae isolates from cases of clinical bovine mastitis in the United Kingdom. Bacterial culture and sensitivity testing of bovine mastitic milk samples identified Gram-negative cefpodoxime-resistant isolates, which were assessed for their ESBL phenotypes. Conjugation experiments and PCR-based replicon typing (PBRT) were used for characterization of transferable plasmids. E. coli isolates belonged to sequence type 88 (ST88; determined by multilocus sequence typing) and carried blaCTX-M-15 and blaTEM-1, while K. pneumoniae subsp. pneumoniae isolates carried blaSHV-12 and blaTEM-1. Conjugation experiments demonstrated that blaCTX-M-15 and blaTEM-1 were carried on a conjugative plasmid in E. coli, and PBRT identified this to be an IncI1 plasmid. The resistance genes were nontransferable in K. pneumoniae subsp. pneumoniae isolates. Moreover, in the E. coli isolates, an association of ISEcp1 and IS26 with blaCTX-M-15 was found where the IS26 element was inserted upstream of both ISEcp1 and the blaCTX-M promoter, a genetic arrangement highly similar to that described in some United Kingdom human isolates. We report the first cases in Europe of bovine mastitis due to E. coli CTX-M-15 and also of bovine mastitis due to K. pneumoniae subsp. pneumoniae SHV-12 beta-lactamases in the United Kingdom. We also describe the genetic environment of blaCTX-M-15 and highlight the role that IncI1 plasmids may play in the spread and dissemination of ESBL genes, which have been described in both human and cattle isolates.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Timofte,D., Maciuca,I.E., Evans,N.J., Williams,H., Wattret,A., Fick,J.C., Williams,N.J.
Original/Translated Title
URL
Date of Electronic
20131118
PMCID
PMC3910873
Editors
Prevalence and determinants of susceptibility to cigarette smoking among school students in Pakistan: secondary analysis of Global Youth Tobacco Survey 2014 School of Public Health, Dow University of Health Sciences, OJHA Campus, SUPARCO road, Gulzar e Hijri, Karachi, Pakistan. kashif.shafique@glasgow.ac.uk.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Substance abuse treatment, prevention, and policy
Periodical, Abbrev.
Subst.Abuse Treat.Prev.Policy.
Pub Date Free Form
21-Feb
Volume
9
Issue
Start Page
10
Other Pages
597X-9-10
Notes
LR: 20150515; JID: 101258060; OID: NLM: PMC3936926; 2013/11/04 [received]; 2014/02/18 [accepted]; 2014/02/21 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1747-597X; 1747-597X
Accession Number
PMID: 24555481
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/1747-597X-9-10 [doi]
Output Language
Unknown(0)
PMID
24555481
Abstract
BACKGROUND: Susceptibility to smoke has been recognized as a strong predictor of smoking experimentation and taking up regular smoking habit. The identification of smoking susceptible individuals and its determinants is important in the efforts to reduce future smoking prevalence. The aims of this study are to estimate prevalence of susceptibility to smoke among adolescents, and identify factors associated with it. METHODS: Cross sectional data was obtained from Global Youth Tobacco Survey conducted in three cities of Pakistan in year 2004. Study population consisted of students in grades, 8th, 9th, and 10th; aged 13 to 15 years. Secondary analysis using univariate and multivariate logistic regression analyses were performed to estimate the associations between smoking susceptibility and co-variates. Descriptive statistics were reported in proportions, and adjusted odds ratios with 95% confidence interval were used to report logistic regression analyses. RESULTS: Approximately 12% of nonsmoking students were found susceptible to smoking. Students, who were females (OR = 1.53, 95% CI [1.24-1.89]); whose parents (OR = 1.64, 95% CI [1.35-1.99]); or close friend smoked (OR = 2.77, 95% CI [2.27- 3.40]) were more susceptible to cigarette smoking. Students who had good knowledge about harmful effects of smoking (OR = 0.54, 95% CI [0.43-0.69]); and had access to anti-smoking media (OR = 0.73, 95% CI [0.59-0.89]) were less likely to be susceptible to smoking. CONCLUSION: Students who were females, had smoking parents, friends or exposure to newspaper/magazines cigarette marketing, were more susceptible to cigarette smoking among Pakistani adolescents. While knowledge of harmful effects of smoking and access to anti-smoking media served as protective factors against susceptibility to smoking.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Aslam,S.K., Zaheer,S., Rao,S., Shafique,K.
Original/Translated Title
URL
Date of Electronic
20140221
PMCID
PMC3936926
Editors
The next generation of users: prevalence and longitudinal patterns of tobacco use among US young adults 2014 Amanda Richardson, Jessica Rath, and Donna Vallone are with the Department of Research and Evaluation, Legacy, Washington, DC, and the Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Valerie Will
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Public Health
Periodical, Abbrev.
Am.J.Public Health
Pub Date Free Form
Aug
Volume
104
Issue
8
Start Page
1429
Other Pages
1436
Notes
LR: 20150805; GR: HHSN271201100027C/PHS HHS/United States; JID: 1254074; OID: NLM: PMC4103202; 2014/06/12 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1541-0048; 0090-0036
Accession Number
PMID: 24922152
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; AIM; IM
DOI
10.2105/AJPH.2013.301802 [doi]
Output Language
Unknown(0)
PMID
24922152
Abstract
OBJECTIVES: We monitored the prevalence and patterns of use of the array of tobacco products available to young adults, who are at risk for initiation and progression to established tobacco use. METHODS: We used data from waves 1 to 3 of GfK's KnowledgePanel (2011-2012), a nationally representative cohort of young adults aged 18 to 34 years (n = 2144). We examined prevalence and patterns of tobacco product use over time, associated demographics, and state-level tobacco policy. We used multivariable logistic regression to determine predictors of initiation of cigarettes as well as noncombustible and other combustible products. RESULTS: The prevalence of ever tobacco use rose from 57.28% at wave 1 to 67.43% at wave 3. Use of multiple products was the most common pattern (66.39% of tobacco users by wave 3). Predictors of initiation differed by product type and included age, race/ethnicity, policy, and use of other tobacco products. CONCLUSIONS: Tobacco use is high among young adults and many are using multiple products. Efforts to implement policy and educate young adults about the risks associated with new and emerging products are critical to prevent increased initiation of tobacco use.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Richardson,A., Williams,V., Rath,J., Villanti,A.C., Vallone,D.
Original/Translated Title
URL
Date of Electronic
20140612
PMCID
PMC4103202
Editors
MicroRNA Expression can be a Promising Strategy for the Detection of Barrett's Esophagus: A Pilot Study 2014 1] Division of Gastroenterology and Hepatology, Veterans Affairs Medical Center, Kansas City, Missouri, USA [2] University of Kansas Medical Center, Kansas City, Kansas, USA [3] Kansas Cancer Institute, Kansas City, Kansas, USA.; Department of Molecular a
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Clinical and translational gastroenterology
Periodical, Abbrev.
Clin.Transl.Gastroenterol.
Pub Date Free Form
11-Dec
Volume
5
Issue
Start Page
e65
Other Pages
Notes
LR: 20141231; JID: 101532142; OID: NLM: PMC4274369; 2014/08/15 [received]; 2014/11/10 [accepted]; epublish
Place of Publication
United States
ISSN/ISBN
2155-384X
Accession Number
PMID: 25502391
Language
eng
SubFile
Journal Article
DOI
10.1038/ctg.2014.17 [doi]
Output Language
Unknown(0)
PMID
25502391
Abstract
OBJECTIVES: Patient outcomes for esophageal adenocarcinoma (EAC) have not improved despite huge advances in endoscopic therapy because cancers are being diagnosed late. Barrett's esophagus (BE) is the primary precursor lesion for EAC, and thus the non-endoscopic molecular diagnosis of BE can be an important approach to improve EAC outcomes if robust biomarkers for timely diagnosis are identified. MicroRNAs (miRNAs) are tissue-specific novel biomarkers that regulate gene expression and may satisfy this requirement. METHODS: Patients with gastroesophageal reflux disease (GERD) and BE were selected from an ongoing tissue and serum repository. BE was defined by the presence of intestinal metaplasia. Previously published miRNA sequencing profiles of GERD and BE patients allowed us to select three miRNAs, miR-192-5p, -215-5p, and -194-5p, for further testing in a discovery cohort and an independent validation cohort. Receiver operating curves were generated to calculate the diagnostic accuracy of these miRNAs for BE diagnosis. To test specificity, the miRNA signature was compared with those of the gastric cardia epithelium and the non-intestinal-type columnar epithelium (another definition of BE). In addition, to gain insights into BE origin (intestinal vs non-intestinal), global BE miRNA profiles were compared with the published miRNA profiles of other columnar epithelia in the gastrointestinal tract, that is, normal stomach and small and large intestine. RESULTS: The discovery cohort included 67 white male patients (40 with GERD and 27 with BE). The validation cohort included 28 patients (19 with GERD and 11 with BE). In the discovery cohort, the sensitivity, specificity and area under the curve (AUC) of the three mRNAs for BE diagnosis were 92-100%, 94-95%, and 0.96-0.97, respectively. During validation, the sensitivity and specificity of miRNAs for BE diagnosis were as follows: miR-192-5p, 92% and 94%, AUC 0.94 (0.80-0.99, P=0.0004); miR-215-5p, 100% and 94%, AUC 0.98 (0.84-1, P=0.0004); and miR-194-5p, 91% and 94%, AUC 0.96 (0.80-0.99, P=0.0001), respectively. The tested miRNAs identified all BE patients in both the discovery and the validation cohorts. When compared with non intestinal-type columnar and gastric cardia epithelia, the miRNA signature was specific to the intestinal-type columnar epithelium. Comparisons of BE miRNA sequencing data to published data sets for the normal stomach, small intestine and large intestine confirmed that two of the three miRNAs (miR-215-5p and -194-5p) were specific to the intestinal-type epithelium. CONCLUSIONS: MicroRNAs are highly accurate for detecting intestinal-type BE epithelia and should be tested further for the non-endoscopic molecular diagnosis of BE.
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Publisher
Data Source
Authors
Bansal,A., Hong,X., Lee,I.H., Krishnadath,K.K., Mathur,S.C., Gunewardena,S., Rastogi,A., Sharma,P., Christenson,L.K.
Original/Translated Title
URL
Date of Electronic
20141211
PMCID
PMC4274369
Editors
Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes 2014 Health center 54, Bangkok, Thailand. saruta79@gmail.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC oral health
Periodical, Abbrev.
BMC Oral Health.
Pub Date Free Form
16-Jun
Volume
14
Issue
Start Page
72
Other Pages
6831-14-72
Notes
LR: 20151119; JID: 101088684; 0 (Blood Glucose); 0 (Hemoglobin A, Glycosylated); OID: NLM: PMC4069273; 2014/02/27 [received]; 2014/06/09 [accepted]; 2014/06/16 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1472-6831; 1472-6831
Accession Number
PMID: 24934646
Language
eng
SubFile
Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; D; IM
DOI
10.1186/1472-6831-14-72 [doi]
Output Language
Unknown(0)
PMID
24934646
Abstract
BACKGROUND: Currently, there is an increased prevalence of diabetes mellitus among the elderly. To minimize adverse effects on glycemic control, prevention and management of general and oral complications in diabetic patients is essential. The purpose of the present study is to assess the effectiveness of a Lifestyle Change plus Dental Care (LCDC) program to improve glycemic and periodontal status in the elderly with type 2 diabetes. METHODS: A quasi-experimental study was conducted in Health Centers 54 (intervention) and 59 (control) from October 2013 to January 2014. 66 diabetic patients per health center were included. At baseline, the intervention group attended a 20 minute lifestyle and oral health education program, individual lifestyle counseling using motivational interviewing (MI), application of self regulation manual, and individual oral hygiene instruction. The intervention group received booster education every visit by viewing a 15 minute educational video. The control group received a routine program. Participants were assessed at baseline and 3 month follow up for glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), body mass index (BMI), periodontal status, knowledge, attitude and practice of oral health and diabetes mellitus. Data were analyzed by using descriptive statistic, Chi-square test, Fisher's exact test, t-test, and multiple linear regression. RESULTS: After the 3 month follow up, a multiple linear regression analysis showed that the intervention group was significantly negatively correlated in both glycemic and periodontal status. Participants in the intervention group had significantly lower glycosylated hemoglobin (HbA1c), fasting plasma glucose (FPG), plaque index score, gingival index score, pocket depth, clinical attachment level (CAL), and percentage of bleeding on probing (BOP) when compared to the control group. CONCLUSIONS: The combination of lifestyle change and dental care in one program improved both glycemic and periodontal status in the elderly with type 2 diabetes. TRIAL REGISTRATION: ClinicalTrials.in.th: TCTR20140602001.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Saengtipbovorn,S., Taneepanichskul,S.
Original/Translated Title
URL
Date of Electronic
20140616
PMCID
PMC4069273
Editors