Showing papers by "University of Medicine and Dentistry of New Jersey published in 2020"
TL;DR: All patients with anaphylaxis should receive education on anphylaxis and risk of recurrence, trigger avoidance, self-injectable epinephrine education, referral to an allergist, and be educated about thresholds for further care.
Abstract: Anaphylaxis is an acute, potential life-threatening systemic allergic reaction that may have a wide range of clinical manifestations. Severe anaphylaxis and/or the need for repeated doses of epinephrine to treat anaphylaxis are risk factors for biphasic anaphylaxis. Antihistamines and/or glucocorticoids are not reliable interventions to prevent biphasic anaphylaxis, although evidence supports a role for antihistamine and/or glucocorticoid premedication in specific chemotherapy protocols and rush aeroallergen immunotherapy. Evidence is lacking to support the role of antihistamines and/or glucocorticoid routine premedication in patients receiving low- or iso-osmolar contrast material to prevent recurrent radiocontrast media anaphylaxis. Epinephrine is the first-line pharmacotherapy for uniphasic and/or biphasic anaphylaxis. After diagnosis and treatment of anaphylaxis, all patients should be kept under observation until symptoms have fully resolved. All patients with anaphylaxis should receive education on anaphylaxis and risk of recurrence, trigger avoidance, self-injectable epinephrine education, referral to an allergist, and be educated about thresholds for further care.
353 citations
Wake Forest University1, Boston University2, United States Department of Veterans Affairs3, Vanderbilt University4, Georgia Regents University5, Stanford University6, Aristotle University of Thessaloniki7, University of Medicine and Dentistry of New Jersey8, University of Texas Southwestern Medical Center9, University of Alabama at Birmingham10
TL;DR: In a sample of male patients at high risk for cardiovascular events but without diabetes, targeting a SBP of less than 120 mm Hg, as compared with less than 140 mmHg, resulted in statistically significant effects on erectile function that differed in accordance with race-ethnicity, although the clinical importance of the differences may be of small magnitude.
15 citations
TL;DR: This article investigated the effects of welfare reform in the 1990s, which represented a major policy shift that substantially and permanently retracted cash assistance to poor mothers in the U.S., on parenting and found that welfare reform had adverse effects on engagement in parent-child activities, children feeling close to their mothers, and mothers knowing their children's whereabouts.
Abstract: This study investigated the effects of welfare reform in the 1990s, which represented a major policy shift that substantially and permanently retracted cash assistance to poor mothers in the U.S., on parenting. Using data on women from the 1979 cohort of the National Longitudinal Survey of Youth linked with information on their 10- to 14-year-old children from the Child Self-Administered and Self-Report surveys, we exploited variation in the implementation of welfare reform across states, over time, and across treatment and comparison groups to estimate the effects of welfare reform on parent-child activities and closeness of the mother-child relationship. We found that welfare reform had adverse effects on engagement in parent-child activities, children feeling close to their mothers, and mothers knowing their children’s whereabouts, with the effects generally concentrated among boys. These findings have implications for children’s development and contribute to a virtually non-existent literature on the effects of welfare reform on parenting and the small but growing economic literature on parenting. We found no evidence that the effects of welfare reform on parenting operated through the mother working more than full time, having multiple jobs, working in a service job, or having a non-standard work schedule.
7 citations
TL;DR: The authors recommend that patients be referred for psychological evaluation and possibly to individual, couples or group general or cognitive behavioral sex therapy at the time of their PCa diagnosis, for a more specialized focus on management of sexual toxicities and sexual recovery.
4 citations
Cleveland Clinic Lerner College of Medicine1, Touro College of Osteopathic Medicine2, Boston University3, Virginia Commonwealth University4, University of Oklahoma Health Sciences Center5, Beth Israel Deaconess Medical Center6, Loyola University Chicago7, University of Texas Health Science Center at San Antonio8, University of Medicine and Dentistry of New Jersey9, Thomas Jefferson University10, University of Saskatchewan11, Royal University Hospital12
TL;DR: Teachers are provided with strategies for inclusion of Lesbian, Gay, Bisexual, Transgender (LGBT)-related content into the medical school curriculum.
Abstract: This article from the "To the Point" series prepared by the Association of Professors in Gynecology and Obstetrics (APGO) Undergraduate Medical Education Committee (UMEC) provides educators with strategies for inclusion of Lesbian, Gay, Bisexual, Transgender (LGBT)-related content into the medical school curriculum. With a focus on the Obstetrics and Gynecology (OB/GYN) clerkship, we also address ways to enhance visibility of these curricula within existing clinical and teaching experiences.
2 citations
01 Jan 2020
TL;DR: There is a complex and interrelated relationship between injury, performance, and mental health (Putukian, How being injured affects mental health; NCAA Interassociation Consensus Document: understanding and supporting student-athlete mental wellness).
Abstract: There is a complex and interrelated relationship between injury, performance, and mental health (Putukian, Br J Sports Med 50:145–148, 2016; NCAA Interassociation Consensus Document: understanding and supporting student-athlete mental wellness. Mental health best practices. 2018. Available from http://www.ncaa.org/sites/default/files/SSI_MentalHealthBestPractices_Web_20170921.pdf. Accessed 18 Feb 2018; Putukian, How being injured affects mental health. In: Brown GT, Hainline B, Kroshus E et al, (eds) Mind, body and sport: understanding and supporting student-athlete mental wellness. NCAA Press, Indianapolis, p 72–75, 2014; Herring et al, Med Sci Sports Exerc 49:1043–1054, 2017; Neal et al, J Athl Train 48:716–720, 2013). Participating in sport at a competitive level entails specific stressors that may increase the likelihood of injury or illness, including mental health disorders (Ivarsson et al, J Sport Rehabil 22:19–26, 2013; Ivarsson and Johnson, J Sports Sci Med 9:347–352, 2010; Ivarsson et al, Sports Med 47:353–365, 2017; Ardern et al, Br J Sports Med 47:1120–1126, 2013; Wiese-Bjornstal, Scand J Med Sci Sports 20:103–111, 2010; Wiese-bjornstal et al, J Appl Sport Psychol 10:46–69, 1998; Nippert and Smith, Phys Med Rehabil Clin N Am 19:399–418, 2008). There are certain physical and mental health disorders that may be more common in athletes compared with their nonathlete peers, including performance anxiety, disordered eating, menstrual dysfunction, and binge drinking (Glazer, Curr Sports Med Rep;7:332–337, 2008; DeSouza et al, Clin J Sport Med 24:96–119, 2014; Nattiv et al, Clin J Sports Med 7:262–272, 1997). There are several psychological symptoms that are reported in athletes including burnout and substance abuse as well as depression and anxiety, with ranges from 5% to 45% respectively (Beable et al, J Sci Med Sport 20:1047–1052, 2017; Drew et al, Br J Sports Med 51:1209–1214, 2017; Gouttebarge et al, J Hum Kinet 49:277–286, 2015; Gouttebarge et al, J Sports Sci Med 14:811, 2015; Gouttebarge et al, Occup Med 65:190–196, 2015; Gouttebarge et al, J Sports Sci 35:2148–2156, 2017; Gouttebarge et al, Phys Sportsmed 45:426–432, 2017; Gouttebarge et al, Eur J Sport Sci 18:1004–1012, 2018; Gulliver et al, J Sci Med Sport 18:255–261, 2015; Kilic et al, Knee Surg Sports Traumatol Arthrosc 26:946–954, 2018; Kilic et al, Eur J Sport Sci 17:1328–1334, 2017; Nixdorf et al, J Clin Sport Psychol 7:313–326, 2013; Schuring et al, Phys Sportsmed 45:463–469, 2017). In addition, there are increasing demands on athletes at all levels of play, most importantly youth athletes that may be of particular risk for overuse and overtraining (DiFiori et al, Br J Sports Med 48:287–288, 2014). (DiFiore AAP Overuse).
2 citations
16 Nov 2020
2 citations