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The contemporary prevalence and trends of kidney stones are not clear.
To evaluate the gender-specific prevalence and trends in kidney stones among the US population.
Data on self-reported history of kidney stones from 34 749 participants aged ≥20 yr from the National Health and Nutrition Examination Survey (NHANES) were analyzed.
Six 2-yr study cycles (2007-2008 to 2017-2018) of nationally representative series of surveys evaluated the health status of the US population.
Weighted prevalence estimates of kidney stones and 95% confidence intervals (CIs) were calculated in each study cycle. Multivariable-adjusted logistic regression models were used to investigate the temporal trends.
In the 2017-2018 cycle, the prevalence of kidney stones was 10.9% (CI 9.3-12.7) in men as compared with 9.5% (CI 8-11.2) in women. The prevalence of kidney stones increased steadily from 6.5% in the 2007-2008 cycle to 9.4% in the 2017-2018 cycle (p
= 0.001) among women but not among men (p
= 0.1). These trends remaend has been increasing only in women, closing the gender gap in kidney stone prevalence.This paper presents an adaptive model predictive control (MPC) method based on disturbance observer (DOB) to improve the disturbance rejection performance of the image-based visual servoing (IBVS) system. The proposed control method is developed based on the depth-independent interaction matrix, which can simultaneously handle unknown camera intrinsic and extrinsic parameters, unknown depth parameters, system constraints, as well as external disturbances. The proposed control scheme includes two parts which are the feedback regulation part based on the adaptive MPC and the feedforward compensation part based on the modified DOB. Unlike the traditional DOB that is based on the fixed nominal plant model, the modified DOB here is based on the estimated plant model. The adaptive MPC controller consists of an iterative identification algorithm, which not only can provide the model parameters for both the controller and the modified DOB, but also can be used to control plant dynamics and to minimize the effects of DOB. GA-017 Simulations for both the eye-in-hand and eye-to-hand camera configurations are conducted to illustrate the effectiveness of the proposed method.
Establish recommendations for the management of UTIs in MS patients.
Urinary tract infections (UTIs) are common during multiple sclerosis (MS) and are one of the most common comorbidities potentially responsible for deaths from urinary sepsis.
The recommendations attempt to answer three main questions about UTIs and MS. The French Group for Recommendations in MS (France4MS) did a systematic review of articles from PubMed and universities databases (01/1980-12/2019). The RAND/UCLA appropriateness method, which has been developed to synthesize the scientific literature and expert opinions on health care topics, was used for reaching a formal agreement. 26 MS experts worked on the full-text review and a group of 70 multidisciplinary health care specialists validated the final evaluation of summarized evidences.
UTIs are not associated with an increased risk of relapse and permanent worsening of disability. Only febrile UTIs worsen transient disability through the Uhthoff phenomenon. Some immunosuppressive treatments increase the risk of UTIs in MS patients and require special attention especially in case of hypogammaglobulinemia. Experts recommend to treat UTIs in patients with MS, according to recommendations of the general population. Prevention of recurrent UTIs requires stabilization of the neurogenic bladder. In some cases, weekly oral cycling antibiotics can be proposed after specialist advice. Asymptomatic bacteriuria should not be screened for or treated systematically except in special cases (pregnancy and invasive urological procedures).
Physicians and patients should be aware of the updated recommendations for UTis and MS.
Physicians and patients should be aware of the updated recommendations for UTis and MS.
The Center for Medicare and Medicaid Services (CMS) has targeted hospital readmissions, which cost $17 billion per year, as one potential solution to reduce rising health care costs. Studies have documented the ability of Transitions of care (TOC) services to reduce readmissions in high risk patients. However, the vast majority of studies have not explored TOC services for all-cause admissions nor TOC clinics led by hospitalists. The goal of this study is to provide preliminary data regarding the potential effectiveness of a hospitalist-led TOC clinic servicing all patients on hospital readmission rates.
This cross-sectional feasibility study analyzed patients on a tertiary hospital teaching service. All discharged patients from January 2016 to September 2018 were given an appointment at the TOC clinic within 14 days of discharge. The control group consisted of patients assigned to the teaching service from January 2018 to November 2018 that were not offered a TOC appointment.
Overall, 1373 patients (n=ed with a statistically significant reduction in 30-day readmissions following discharge for all-cause hospital admissions.
Among Medicare and Medicaid beneficiaries and commercial health insurance patients, this hospitalist-led TOC intervention was associated with a statistically significant reduction in 30-day readmissions following discharge for all-cause hospital admissions.
Sarcopenia is known as a risk factor for falls and hip fracture, and understanding fall characteristics is important for the fall-prevention programs. The aim of this study is to investigate whether sarcopenia is associated with fall characteristics in older adults with fragility hip fracture.
A cross-sectional study was conducted in 147 patients over 65 years of age who had undergone a two-week postoperative rehabilitation for hip fracture. Fall characteristics included the fall type, direction and location. Fall types were categorized into two groups fragile falls, leg weakness during walking, changing positions or standing; non-fragile falls, slipping or tripping while walking. Correlations between sarcopenia and fall characteristics, and of fall type with sarcopenia and fall characteristics were analyzed. Logistic regression analyzes were used to identify independent risk factors for fragile falls.
Sarcopenia was significantly correlated with fragile falls (r=.222, p=.007) and was more prevalent in the fragile fall group than the non-fragile fall group (53.
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