10 research outputs found
PCV12 One-Year Clinical And Economic Outcomes of Primary Coronary Angioplasty Using A National Database
CV3 MULTI-COUNTRY COMPARISON OF HYPERTENSION COSTS FROM HOSPITALIZATIONS AND AMBULATORY CARE
Radiations and male fertility
During recent years, an increasing percentage of male infertility has to be attributed to an array of environmental,
health and lifestyle factors. Male infertility is likely to be affected by the intense exposure to heat and extreme
exposure to pesticides, radiations, radioactivity and other hazardous substances. We are surrounded by several types
of ionizing and non-ionizing radiations and both have recognized causative effects on spermatogenesis. Since it is
impossible to cover all types of radiation sources and their biological effects under a single title, this review is
focusing on radiation deriving from cell phones, laptops, Wi-Fi and microwave ovens, as these are the most
common sources of non-ionizing radiations, which may contribute to the cause of infertility by exploring the effect
of exposure to radiofrequency radiations on the male fertility pattern. From currently available studies it is clear that
radiofrequency electromagnetic fields (RF-EMF) have deleterious effects on sperm parameters (like sperm count,
morphology, motility), affects the role of kinases in cellular metabolism and the endocrine system, and produces
genotoxicity, genomic instability and oxidative stress. This is followed with protective measures for these radiations
and future recommendations. The study concludes that the RF-EMF may induce oxidative stress with an increased
level of reactive oxygen species, which may lead to infertility. This has been concluded based on available
evidences from in vitro and in vivo studies suggesting that RF-EMF exposure negatively affects sperm quality
PCV13 Prevalence And Cost of Hospitalizations Due to Angina in the United States Using A National Database
PCV12 One-Year Clinical And Economic Outcomes of Primary Coronary Angioplasty Using A National Database
CV3 MULTI-COUNTRY COMPARISON OF HYPERTENSION COSTS FROM HOSPITALIZATIONS AND AMBULATORY CARE
PSS9: CLINICAL AND ECONOMIC OUTCOMES OF CORONARY ANGIOPLASTY ALONE OR IN COMBINATION WITH STENTS IN ACADEMIC HEALTH CENTERS: A RETROSPECTIVE DATABASE ANALYSIS
CV4: COMPARISON BETWEEN INVESTIGATOR AND PATIENT'S GLOBAL HEALTH ASSESSMENTS USING CALCULATED HUI-III AND SF-36 UTILITY VALUES
Health-related quality of life and treatment satisfaction in patients with gout: results from a cross-sectional study in a managed care setting
Puja P Khanna,1 Aki Shiozawa,2 Valery Walker,3 Tim Bancroft,3 Breanna Essoi,3 Kasem S Akhras,4 Dinesh Khanna11Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA; 2Global Outcome Research, Takeda Pharmaceuticals International, Inc., Deerfield, IL, USA; 3Health Economics and Outcomes Research, Optum, Eden Prairie, MN, USA; 4Novartis Pharmacy Services AG, Dubai, United Arab EmiratesBackground: Patient satisfaction with treatment directly impacts adherence to medication.Objective: The objective was to assess and compare treatment satisfaction with the Treatment Satisfaction Questionnaire for Medication (TSQM), gout-specific health-related quality of life (HRQoL) with the Gout Impact Scale (GIS), and generic HRQoL with the SF-12v2® Health Survey (SF-12) in patients with gout in a real-world practice setting.Methods: This cross-sectional mail survey included gout patients enrolled in a large commercial health plan in the US. Patients were ≥18 years with self-reported gout diagnosis, who filled ≥1 prescription for febuxostat during April 26, 2012 to July 26, 2012 and were not taking any other urate-lowering therapies. The survey included the TSQM version II (TSQM vII, score 0–100, higher scores indicate better satisfaction), GIS (score 0–100, higher scores indicate worse condition), and SF-12 (physical component summary and mental component summary). Patients were stratified by self-report of currently experiencing a gout attack or not to assess the discriminant ability of the questionnaires.Results: A total of 257 patients were included in the analysis (mean age, 54.9 years; 87% male). Patients with current gout attack (n=29, 11%) had worse scores than those without gout attack on most instrument scales. Mean differences between current attack and no current attack for the TSQM domains were: -20.6, effectiveness; -10.6, side effects; -12.1, global satisfaction (all P<0.05); and -6.1, convenience (NS). For the GIS, mean differences were: 30.5, gout overall concern; 14.6, gout medication side effects; 22.7, unmet gout treatment needs; 11.5, gout concern during attack (all P<0.05); and 7.9, well-being during attack (NS). Mean difference in SF-12 was -6.6 for physical component summary (P<0.05) and -2.9 for mental component summary (NS). Correlations between several TSQM and GIS scales were moderate.Conclusion: The TSQM and GIS were complementary in evaluating the impact of gout flare on treatment satisfaction and HRQoL. Correlations between the two instruments supported the relationship between treatment satisfaction and HRQoL.Keywords: febuxostat, gout, gouty arthritis, Treatment Satisfaction Questionnaire for Medicine, Gout Impact Scale, SF-1
Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial
Glucagon-like peptide 1 receptor agonists differ in chemical structure, duration of action, and in their effects on clinical outcomes. The cardiovascular effects of once-weekly albiglutide in type 2 diabetes are unknown. We aimed to determine the safety and efficacy of albiglutide in preventing cardiovascular death, myocardial infarction, or stroke