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Clostridium difficile Infection Among Veterans Health Administration Patients

Yinong Young-Xu, Jennifer L Kuntz, Dale N. Gerding, Julia Neily, Peter Mills, Erik R. Dubberke, Margaret A. Olsen, Ciarán P. Kelly, Cédric Mahé
2015 Infection control and hospital epidemiology  
-Xu, ScD, MA, MS; 1,2 Jennifer L Kuntz, PhD; 3 Dale N. Gerding, MD; 4 Julia Neily, RN, MS, MPH; 1 Peter Mills, PhD, MS; 1,2 Erik R. Dubberke, MD, MSPH; 5 Margaret A. Olsen, PhD, MPH; 5,6 Ciarán P.  ... 
doi:10.1017/ice.2015.138 pmid:26047207 fatcat:4rmr2o3k7rbahod4jkanihsbwi

Skin Wound Healing Potential and Mechanisms of the Hydroalcoholic Extract of Leaves and Oleoresin of Copaifera langsdorffii Desf. Kuntze in Rats

Lucas Fernando Sérgio Gushiken, Carlos Alberto Hussni, Jairo Kenupp Bastos, Ariane Leite Rozza, Fernando Pereira Beserra, Ana Júlia Vieira, Carlos Roberto Padovani, Marivane Lemos, Maurilio Polizello Junior, Jonas Joaquim Mangabeira da Silva, Rafael Henrique Nóbrega, Emanuel Ricardo Monteiro Martinez (+1 others)
2017 Evidence-Based Complementary and Alternative Medicine  
Kuntze (Leguminosae), popularly known as copaiba, is a native tree from tropical regions of Latin America and Western Africa, which grows in the North, Northeast,and Central-West of Brazil, especially  ... 
doi:10.1155/2017/6589270 pmid:28928790 pmcid:PMC5592006 fatcat:fbh3bf6a7fg7vjpna6irm4u6au

Intergenerational Educational Pathways and Self-Rated Health in Adolescence and Young Adulthood: Results of the German KiGGS Cohort

Julia Waldhauer, Benjamin Kuntz, Elvira Mauz, Thomas Lampert
2019 International Journal of Environmental Research and Public Health  
Health differences in social mobility are often analysed by income differences or different occupational positions. However, in early adulthood many young people still have very diffuse income situations and are not always fully integrated into the labour market despite many having finished school. This article focusses on the link between intergenerational educational pathways and self-rated health (SRH) among young adults considering their SRH in adolescence. The data source used is the
more » ... KiGGS cohort study. The analysis sample comprises 2175 young people at baseline (t0: 2003–2006 age 14–17) and first follow-up (t1: 2009–2012 age 19–24). Combining parent's and young people's highest school degree, the data can trace patterns of intergenerational educational pathways (constant high level of education, upward mobility, downward mobility, constant low level of education). Young people's SRH was recorded at t0 and t1. During adolescence and young adulthood, participants were less likely to report poor SRH if they had a constant high intergenerational education or if they were upwardly mobile. The differences were particularly striking among young adults: average marginal effects (AME) for poor SRH showed much higher risk among downwardly mobile compared to peers with an intergenerational constant high education (AME: 0.175 [0.099; 0.251]), while the upwardly mobile had a significantly lower risk for less than good SRH than peers with an intergenerational constant low level of education (AME: −0.058 [−0.113; −0.004]). In the context of great societal demands and personal developmental needs, educational differences in health tend to increase in young adulthood. Public Health should pay more attention to educational and health inequalities in young adulthood.
doi:10.3390/ijerph16050684 pmid:30813568 pmcid:PMC6427741 fatcat:rtp5ls3jujhdvojabmjsplf3pe

Trajetória e atuação profissional das enfermeiras da região oeste de Santa Catarina: um resgate histórico

Carine Vendruscolo, André Lucas Maffissoni, Fabiane Pértille, Júlia Ruth Da Silva, Kátia Jamile Silva, Denise Antunes de Azambuja Zochhe, Edlamar Kátia Adamy, Michelle Kuntz Durand, Otília Cristina Rodrigues
2019 Enfermagem Brasil  
Revisitar a história é movimento importante para resgatar fatos e acontecimentos que marcaram a construção de uma profissão. O presente estudo, de natureza histórico-social, teve como objetivo conhecer as trajetórias históricas das enfermeiras do Oeste Catarinense por meio de suas narrativas. Os dados foram produzidos mediante entrevistas com quatro enfermeiras entre os anos 2016 e 2017. As informações foram analisadas utilizando-se da análise temática para estudos qualitativos. Os resultados
more » ... velaram três categorias: a) primeiro contato com a profissão: desafios regionais, valorização profissional e início da trajetória; b) mudanças, motivações e construção da identidade profissional; e c) dirigindo-se para as boas práticas de enfermagem: uma constante busca pelo conhecimento. As dificuldades e motivações vivenciadas pelas enfermeiras impulsionaram a transformação da realidade do cuidado de enfermagem, sobretudo, relacionado às oportunidades de trabalho, valorização e qualificação profissional. Conhecer as condições e elementos que compuseram essa história foi fundamental para compreender a realidade da profissão nos dias atuais e projetar um futuro comprometido com a qualificação dos enfermeiros.Palavras-chave: enfermagem, escolas de enfermagem, história da enfermagem, narrativas pessoais.
doi:10.33233/eb.v18i1.2451 fatcat:vue2azza6vhqpazzvrdyztdixy

Positive serology for viral hepatitis and donor self-exclusion in Southern Brazil

Julia De Luca Maccarini, Carlos Alberto Kuntz Nazario, Jovino dos Santos Ferreira, William Queiroz Guimaraes Wiegandt Ceglio, Romulo Cavalcante Serpa, Vera Lucia Paes Cavalcanti Ferreira, Leonardo de Lucca Schiavon, Janaina Luz Narciso-Schiavon
2013 Revista da Sociedade Brasileira de Medicina Tropical  
Despite the great advances in serological testing for transfusion-transmitted infections, the selection of blood donors by blood bank operators remains the only way to avoid transmission within the testing window period. Part of this selection is the self-exclusion form, on which the donors can exclude their blood from donation without any explanation. This study assessed the clinical and epidemiological characteristics related to positivity for viral hepatitis and to the use of the
more » ... self-exclusion (CSE) form. Methods: This transversal study analyzed the data collected from blood donors' files in a hospital in Southern Brazil. Univariate and multivariate analyses identified the clinical and epidemiological variables related to positive serologies of viral hepatitis and to whether the donor was self-excluded. Results: Of the 3,180 donors included in this study, 0.1% tested positive for HBsAg, 2.1% for anti-HBc, and 0.9% for anti-HCV. When the 93 donors with positive serologies for viral hepatitis were compared with those who were negative, a greater proportion of the positive serology group was found to have had a history of blood transfusions (OR=4.908; 95%CI=1.628 -14.799; p<0.01), had repeatedly donated (OR=2.147; 95%CI=1.236 -3.729; p<0.01), and used the CSE form for self-exclusion (OR=7.139; 95%CI=2.045 -24.923; p<0.01). No variables were independently associated with self-exclusion. Conclusions: A history of blood transfusion, repeated donations, and self-exclusion are factors that should be considered during viral hepatitis screenings in blood banks.
doi:10.1590/0037-8682-0094-2013 pmid:23982095 fatcat:4oy5qe2zbbhlzj2mejvlra3itu

Determination of TNF-a Gene Polymorphisms on Skeletal Pattern in Class II Malocclusion

Simone Carvalho Levy, Lívia Azeredo Alves Antunes, Julia Guimaraes Barcellos de Abreu, Jullia Assis da Silva Nascimento, Ana Carolina Kuntz, Walter Luis Soares Fialho, Amanda Silva Rodrigues, Ellen Cardoso Teixeira, José de Albuquerque Calasans-Maia, Marcelo Calvo de Araújo, Erika C. Küchler, Leonardo Santos Antunes
2019 Brazilian Dental Journal  
Bone development and growth is a non-going, life-long process, varying greatly among individuals and much of this variation could be modulated by genetic factors. The purpose of this study was to evaluate the association between the polymorphisms in the TNF-a gene and skeletal class II malocclusion. Single nucleotide polymorphisms in TNF-a (rs1799724; rs1800629) gene were studied in 79 skeletal class II malocclusion and 102 skeletal class I malocclusion subjects from Straight Wire Group of
more » ... es on Orthodontics and Functional Orthopedics for Maxillary from Rio de Janeiro, Brazil. The Genotyping of these selected polymorphisms was carried out by TaqMan real-time PCR using genomic DNA extracted from buccal cells. All allele and genotype frequencies were compared between the groups using the PLINK® software in a free, in a dominant and in a recessive model using a chi-square test (p≤0.05). There was no significant association of TNF-a (rs1799724; rs1800629) genotype and allele distribution with skeletal class II malocclusion. Regardless of the dominant or recessive genetic model, the preferential genotype associations for rs1799724 and rs1800629 was insignificant. In conclusion, no evidence of association is apparent between genetic polymorphisms involving TNF-a and skeletal class II malocclusion or the position of the maxilla and mandible in the postero-anterior direction.
doi:10.1590/0103-6440201902367 fatcat:7lvwhjynrfc63oze2sq4piebqm

How does the use of polytetrafluoroethylene neochordae for posterior mitral valve prolapse (loop technique) compare with leaflet resection? A prospective randomized trial

Volkmar Falk, Joerg Seeburger, Markus Czesla, Michael A. Borger, Julia Willige, Thomas Kuntze, Nicolas Doll, Franka Borger, Patrick Perrier, Friedrich W. Mohr
2008 Journal of Thoracic and Cardiovascular Surgery  
Objective: Mitral valve surgery for posterior mitral leaflet prolapse consists mostly of leaflet resection, but implantation of premeasured polytetrafluoroethylene neochordae (ie, loops) is another option. The aim of this prospectively randomized trial was to determine how preservation of leaflet structure in combination with premeasured neochordae compares with the widely adopted technique of leaflet resection. Methods: A total of 129 patients with severe mitral regurgitation, with a mean
more » ... l regurgitation grade of 3.6 AE 0.6, underwent minimal invasive mitral valve surgery through a right lateral mini-thoracotomy. The mean age was 59.5 AE 12 years, 90 patients were male, the mean preoperative ejection fraction was 65% AE 8%, and the mean New York Heart Association functional class was 2.1 AE 0.7. Posterior mitral leaflet prolapse was diagnosed in all patients. Randomization was performed preoperatively, and crossover was allowed if the surgeon deemed it medically necessary. Crossover from resection to loops occurred in 9 patients, and crossover from loops to resection occurred in 3 patients. Results: Mitral valve repair was accomplished in all patients (n ¼ 129, 100%), and all patients received an annuloplasty ring. The mean number of loops implanted on the posterior mitral leaflet was 3.2 AE 0.9, with a mean length of 13.3 AE 2.2 mm. The mean duration of cardiopulmonary bypass was 135 AE 37 minutes and the mean aortic crossclamp time was 82 AE 26 minutes in all patients, with no significant difference between groups. Intraoperative transesophageal echocardiography showed a significantly longer line of mitral valve leaflet coaptation after implantation of loops (7.6 AE 3.6 mm) than after resection (5.9 AE 2.6 mm; P ¼ .03). Thirty-day mortality was 1.6% for the entire group (2/129), with both deaths occurring in the loop group. Cause of death was massive pulmonary embolism in 1 patient and acute right heart failure in 1 patient. Early and mid-term echocardiographic follow-up revealed excellent valve function in the majority of patients, with no significant difference in mitral orifice area (3.6 AE 1.0 cm 2 vs 3.7 AE 1.1 cm 2 , P ¼ .4). Conclusion: Both repair techniques for posterior mitral leaflet prolapse are associated with excellent results and appear comparable in the early postoperative course. The loop technique, however, results in a significantly longer line of leaflet coaptation and may therefore be more durable. Longer follow-up is required. Earn CME credits at
doi:10.1016/j.jtcvs.2008.07.028 pmid:19026803 fatcat:amzeb2o7c5hsfpc4jkkq557iky

Last Year of Life Study-Cologne (LYOL-C) (Part II): study protocol of a prospective interventional mixed-methods study in acute hospitals to analyse the implementation of a trigger question and patient question prompt sheets to optimise patient-centred care

Julia Strupp, Alina Kasdorf, Gloria Dust, Kira Isabel Hower, Melissa Seibert, Belinda Werner, Ludwig Kuntz, Frank Schulz-Nieswandt, Ingo Meyer, Holger Pfaff, Martin Hellmich, Raymond Voltz
2021 BMJ Open  
IntroductionThe Last Year of Life Study-Cologne Part I (LYOL-C I) has identified general hospital units as the most important checkpoints for transitions in the last year of life of patients. Yet, satisfaction with hospitals, as reported by bereaved relatives, is the lowest of all health service providers. Thus, the LYOL-C Part II (LYOL-C II) focuses on optimising patient-centred care in acute hospitals for patients identified to be in their last year of life. LYOL-C II aims to test an
more » ... ion for hospitals by using a two-sided (healthcare professionals (HCPs) and patients) trigger question-based intervention to 'shake' the system in a minimally invasive manner.Methods and analysisProspective interventional mixed-methods study following a two-phase approach: phase I, individual interviews with HCPs and patient representatives to design the intervention to maximise ease of implementation and phase II, exploratory study with two arms and a prepost design with patients in their last year of life. The intervention will consist of the Surprise Question and the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE) for HCPs to identify patients and provide patient-centred care, plus question prompt sheets for patients, encouraging them to initiate discussions with their HCPs. Data on transitions, changes in therapy, quality of care, palliative care integration and death of patients will be analysed. Furthermore, a staff survey (pre/post) and guided interviews with staff, patients and relatives (post) will be conducted. Finally, a formative socioeconomic impact assessment to provide evidence regarding the sustainability of the intervention will be performed.Ethics and disseminationThe study was approved by the Ethics Committee of the Faculty of Medicine of the University of Cologne (#20-1431). Results will be published in peer-reviewed journals and presented at national and international conferences.Trial registration numberDRKS00022378.
doi:10.1136/bmjopen-2021-048681 fatcat:ifz5gaa655dxhlnak2o33272y4

Gerald Posselt/Tatjana Schönwälder-Kuntze/Sergej Seitz (Hg.): Judith Butlers Philosophie des Politischen

Johannes Ungelenk
2018 Zeitschrift für philosophische Literatur  
Besprechung von Posselt, Gerald/Schönwälder-Kuntze, Tatjana/Seitz, Sergej (Hg.): Judith Butlers Philosophie des Politischen. Kritische Lektüren. Bielefeld: transcript 2018.  ...  Schönwälder-Kuntze nähert sich Butler also von der philosophischen Tradition her.  ...  Genau wie Schönwälder-Kuntzes Beitrag von Posselts Hingabe an Butlers konzeptuelle Eigenheiten profitiert, ist Posselts Beitrag auf den vorangehenden angewiesen: Die Brücken, die Schönwälder-Kuntze in  ... 
doi:10.21827/zfphl.6.3.35428 fatcat:ld3puu67afcaxnr6jai56md3aa

Zeitliche Entwicklung von Bildungsunterschieden im Rauchverhalten von Jugendlichen in Deutschland

Benjamin Kuntz, Julia Waldhauer, Irene Moor, Katharina Rathmann, Matthias Richter, Boris Orth, Daniela Piontek, Ludwig Kraus, Johannes Zeiher, Thomas Lampert, Robert Koch-Institut, Robert Koch-Institut
2018
Kuntz, J. Waldhauer, I. Moor, K. Rathmann, M. Richter, B. Orth, D. Piontek, L. Kraus, J. Zeiher und T. Lampert geben an, dass kein Interessenkonflikt besteht.  ... 
doi:10.25646/5733 fatcat:snpcwngqwzclvlv55j7msk77zu

Soziale Unterschiede im Gesundheitsverhalten von Kindern und Jugendlichen in Deutschland – Querschnittergebnisse aus KiGGS Welle 2

Benjamin Kuntz, Julia Waldhauer, Johannes Zeiher, Jonas D. Finger, Thomas Lampert, Robert Koch-Institut, Robert Koch-Institut
2018
Im Kindes- und Jugendalter werden die Weichen für das Gesundheitsverhalten im späteren Leben gestellt. Gesundheitsbezogene Einstellungen und Verhaltensmuster, die sich in jungen Jahren ausbilden, haben oftmals bis ins Erwachsenenalter hinein Bestand. Studien zeigen, dass gesundheitsriskante Verhaltensweisen bereits im Kindesund Jugendalter in bestimmten Bevölkerungsgruppen vermehrt auftreten. Die Ergebnisse aus KiGGS Welle 2 bestätigen, dass sich 3- bis 17-jährige Kinder und Jugendliche mit
more » ... rigem sozioökonomischen Status (SES) häufiger als Gleichaltrige aus sozial bessergestellten Familien ungesund ernähren, seltener Sport treiben und häufiger übergewichtig oder adipös sind. Während sich im Hinblick auf den Alkoholkonsum bei den 11- bis 17-Jährigen nur geringfügige soziale Unterschiede abzeichnen, zeigt sich beim Tabakkonsum, dass Mädchen und Jungen mit niedrigem SES häufiger rauchen als Gleichaltrige mit hohem SES. Prävention und Gesundheitsförderung zielen darauf ab, Kinder und Jugendliche an eine gesundheitsbewusste Lebensweise heranzuführen und die strukturellen Voraussetzungen für gesundheitsförderliches Verhalten zu verbessern. Eine Kombination aus verhaltens- und verhältnispräventiven Ansätzen scheint dabei besonders erfolgversprechend zu sein. Angesichts der bereits früh im Lebenslauf ausgeprägten sozialen Unterschiede im Gesundheitsverhalten sollten Maßnahmen noch stärker als bisher sozial benachteiligte Kinder und Jugendliche und deren Lebensbedingungen in den Blick nehmen.
doi:10.25646/5617 fatcat:7hth63arzbaujdkffll3uf3ogi

Unterschiede in der subjektiven und psychischen Gesundheit und im Gesundheitsverhalten bei 11- bis 17-jährigen Jugendlichen an weiterführenden Schulen in Deutschland [article]

Julia Waldhauer, Benjamin Kuntz, Thomas Lampert, Robert Koch-Institut, Robert Koch-Institut
2019
Hintergrund Bereits im Kindes- und Jugendalter sind gesundheitliche Ungleichheiten zuungunsten sozial benachteiligter Bevölkerungsgruppen festzustellen. Der Beitrag untersucht, inwiefern sich Unterschiede in der subjektiven und psychischen Gesundheit sowie im Gesundheitsverhalten bei Jugendlichen in Abhängigkeit der von ihnen besuchten weiterführenden Schule zeigen und ob diese unabhängig vom sozioökonomischen Status (SES) bestehen. Methodik Datengrundlage ist die Studie zur Gesundheit von
more » ... rn und Jugendlichen in Deutschland (KiGGS Welle 1, 2009–2012). Analysiert werden Daten von 11- bis 17-jährigen Mädchen und Jungen (n = 4665) an Haupt‑, Real- und Gesamtschulen sowie Gymnasien. Als abhängige Variablen werden der selbsteingeschätzte allgemeine Gesundheitszustand, Angaben zum Strengths and Difficulties Questionnaire (SDQ) zur Erfassung psychischer Auffälligkeiten sowie selbstberichteter Freizeitsport, Tabak- und Alkoholkonsum herangezogen. Ausgewiesen werden Prävalenzen und auf logistischen Regressionen basierende Odds Ratios (OR). Ergebnisse Für die Mehrzahl der untersuchten Indikatoren zeigt sich, dass Heranwachsende, die kein Gymnasium besuchen, häufiger psychische Auffälligkeiten und vermehrt ungesunde Verhaltensweisen aufweisen. Die Unterschiede verringern sich zwar mitunter bei statistischer Kontrolle des SES, bleiben jedoch in der Regel signifikant. Stark ausgeprägte Unterschiede zeigen sich u. a. zuungunsten von Jugendlichen, die kein Gymnasium besuchen, für beide Geschlechter mit Blick auf "Unaufmerksamkeit/Hyperaktivität" (OR: 2,29 [1,70–3,08]), bei Mädchen im Tabakkonsum (OR: 2,91 [1,85–4,57]) und bei Jungen bzgl. sportlicher Inaktivität (OR: 2,71 [1,85–3,95]). Diskussion Ungleiche Gesundheitschancen sollten in Bezug zur Lebenswelt der Menschen betrachtet werden, wobei sich bei Jugendlichen die Schule als prägender Lern- und Erfahrungsraum darstellt. Die Analysen verweisen hinsichtlich der Schulform und des Geschlechts auf divergierende Bedarfe der schulbasierten Gesundheitsförderung und Prävention [...]
doi:10.25646/5949 fatcat:c62wupux25c43gj5l6thkhbt4i

Imported Expertise in World-class Knowledge Infrastructures: The Problematic Development of Knowledge Cities in the Gulf Region

Adriana Kosior, Julia Barth, Julia Gremm, Agnes Mainka, Wolfgang G. Stock
2015 Journal of Information Science Theory and Practice  
., Kuntze, J., Lee, J. R., Osterhage, A., Probost, M., Risch, T., Schmitt, T., Stock, W. G., Sturm, A., Weller, K., & Werner, K. (2005) .  ... 
doi:10.1633/jistap.2015.3.3.2 fatcat:ek42efeln5d3ni3ahgtfsmxuxm

Page 18 of Physical Therapy Vol. 2, Issue 4 [page]

1922 Physical Therapy  
Kuntz, in Paris, and hey traveled together: through Italy and Switzerland She also isited Gertrude Rockwood Smythe in London Julia Evans, formerly of Fox Hills, has sailed for Sweden the past month after  ... 

HANDS ACROSS TO THE EMPIRE STATE

1944 The historian  
Kuntz, instructor in history; and students Julia Boken, Mary Brown, Carol Dahlman, Amy Distler, Marian Fuhr, Lor- raine Smith, Jean Spellman, Florence Weber.  ... 
doi:10.1111/j.1540-6563.1944.tb01067.x fatcat:724xzng37zdjlg3vabjvv3uag4
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