Signs and Symptoms in Coloproctology: Data Collection and Scores

2015 ◽  
pp. 1-28
Author(s):  
Julie Ann Van Koughnett ◽  
Marylise Boutros ◽  
Steven D. Wexner
2020 ◽  
Vol 7 (9) ◽  
Author(s):  
Stephen R Morris ◽  
Yoichiro Natori ◽  
Douglas Salguero ◽  
Alejandro Mantero ◽  
Ruixuan Ma ◽  
...  

Abstract Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 ) is responsible for coronavirus disease 2019 (COVID-19), a disease that had not been previously described and for which clinicians need to rapidly adapt their daily practice. The novelty of SARS-CoV-2 produced significant gaps in harmonization of definitions, data collection, and outcome reporting to identify patients who would benefit from potential interventions. Methods We describe a multicenter collaboration to develop a comprehensive data collection tool for the evaluation and management of COVID-19 in hospitalized patients. The proposed tool was developed by a multidisciplinary working group of infectious disease physicians, intensivists, and infectious diseases/antimicrobial stewardship pharmacists. The working group regularly reviewed literature to select important patient characteristics, diagnostics, and outcomes for inclusion. The data collection tool consisted of spreadsheets developed to collect data from the electronic medical record and track the clinical course after treatments. Results Data collection focused on demographics and exposure epidemiology, prior medical history and medications, signs and symptoms, diagnostic test results, interventions, clinical outcomes, and complications. During the pilot validation phase, there was <10% missing data for most domains and components. Team members noted improved efficiency and decision making by using the tool during interdisciplinary rounds. Conclusions We present the development of a COVID-19 data collection tool and propose its use to effectively assemble harmonized data of hospitalized individuals with COVID-19. This tool can be used by clinicians, researchers, and quality improvement healthcare teams. It has the potential to facilitate interdisciplinary rounds, provide comparisons across different hospitalized populations, and adapt to emerging challenges posed by the pandemic.


2020 ◽  
pp. 91-98
Author(s):  
Anissa Cindy Nurul Afni ◽  
Fakhrudin Nasrul Sani

Distribusi keracunan dan kematian akibat  gigitan  ular  di  dunia  bevariasi. Dalam  kasus  berat,  akan  luka  gigitan  akan  berkembang menjadi bula dan jaringan nekrotik, serta muncul gejala sistemik berupa mual, muntah dan kelemahan otot atau kejang. Tingginya angka kejadian snake bite di Indonesia belum diimbangi dengan penanganan yang optimal di prehospital. Fenomena yang muncul, Masyarakat cenderung melakukan pertolongan pertama menggunakan cara-cara tradisional, sedangkan WHO sejak tahun 2016 tidak lagi merekomendasikan bentuk pertolongan tersebut.Metode  penelitian ini yaitu deskriptif kuantitatif. Penelitian ini menggunakan teknik total sampling dengan jumlah 35 responden, waktu pengambilan data Januari – September 2019 (9 bulan) dengan kriteria eksklusi: Pasien dengan gigitan ular yang meninggal saat datang ke IGD RSUD Gemolong. Teknik pengumpulan data dengan kuesioner meliputi pertolongan pertama prehospital dan tanda dan gejala klinis yang muncul pada pasien saat tiba di rumah sakit utnuk menentukan derajat keparahan envenomasi. Analisa data univariat digunakan untuk menggambarkan deskriptif masing-masing variabel.Gambaran Pertolongan pertama prehospital yang dilakukan yaitu: 40,3% mengikat luka gigitan ular dengan tali, 31% responden menghisap ara luka, 14,3% responden merobek luka dengan pisau, 8,5% responden mencuci luka dengan sabun, 2,9% responden membakar luka dan memberikan jahe bakar pada area luka. Gambaran tingkat keparahan envenomasi responden yaitu: 57,2% responden menglami envenomasi derajat 2, sejumlah 22,8% responden mengalami envenomasi derajat 3, dan 20% responden mengalami envenomasi derajat 1. Tidak ada responden yang mengalami envenomasi derajat 4.Tindakan tradisional yang dilakukan dapat meningkatkan keparahan luka dan juga mempercepat penyebaran bisa. Prinsipn utama yang direkomendasikan untuk penanganan pertama gigitan ular adalah mecegah kecemasan yang berlebihan, melakukan imobilisasi area dengan balut tekan (pressure immobilitation tehnik) dan segera rujuk ke rumah sakit.   The distribution of poisoning and mortality caused by snake bites in the world is increasing. In severe cases, the bite wound will develop into bullae and necrotic tissue, as well as systemic symptoms such as nausea, vomiting and muscle weakness or spasms. The high incidence of snake bite in Indonesia has not been matched by optimal handling at prehospital. The phenomenon that arises, the community tends to do first aid using traditional methods, WHO since 2016 no longer recommends this form of help. Design of this study is quantitative descriptive with cross sectional approach. This study used a total sampling technique with a total of 35 respondents, data collection time was January - September 2019 (9 months) with exclusion criteria: Patients with snake bites who died when they came to the Emergency Room. Data collection techniques using questionnaires included prehospital first aid and clinical signs and symptoms that appeared in patients when they arrived at the hospital to determine the severity of envenomation. Univariate data analysis is used to describe the descriptive of each variable. Result of this study showed the Prehospital First Aid overview: 40.3% respondent used a tourniquet technique, 31% of respondents sucking wound, 14.3% of respondents give an incission of the bite wound, 8.5% of respondents washed wounds with soap, 2.9% of respondents burn wounds and give burnt ginger to the injured area. The description of the severity of envenomation is: 57.2% of respondents in grade 2, 22.8% of respondents in grade 3, and 20% of respondents in grade 1. No one respondents experienced grade 4 envenomation.The traditional actions taken by the lay persone can increase the severity of the wound and also accelerate the spread of bacteria. The main principles recommended for the first treatment of snake bites are preventing excessive anxiety, immobilizing the area with pressure immobilization technique and immediately referring to the hospital.


2021 ◽  
Author(s):  
Somayeh Abedian ◽  
Pirhossein Kolivand ◽  
Hamid Reza Lornejad

COVID-19’s rapid spreads has caused a global pandemic. On 19th February 2020, Iran reported its first confirmed cases of infections in Qom City and the number of diagnosed cases and the death toll rose exponentially in March [1-3]. Managing the disease, which is considered a pandemic according to the World Health Organization (WHO) [4], requires definite approaches differing according to various factors in each country, which may also lead to (in)effective dealing with the disease. In addition, using international data and information, and WHO advice, especially in the crisis and therapeutic procedures, is one of the best crisis management strategies [5]. For every plan by governances, the first step is collecting information on epidemic distribution for the purpose of isolating provinces and cities at a national scale. Thus, Ministry of Health and Medical Education of Iran (MOHME) attempted to collect the minimum required data on the infection-affected patients based on medical records and epidemiological factors, such as demographic data (gender, age and national code), exposure history (close contact with the infected, suspect patients or even having traveled) and signs and symptoms (fever, cough, shortness or difficulties in breathing, fatigue, anorexia, hemoptysis, sputum production, dyspnea, Myalgia, Pharyngalgia, nausea, vomiting, Diarrhea, Headache, Abdominal pain, Dizziness, etc.). Therefore, to ensure accuracy and validity, and to speed up data collection in an area, Information Technology (IT) tools were required [6]. In this regard, developing an information system with a simple format and user-friendly interface in the shortest possible time was the aim. This study presents the local information system developed in March 2020, which has been registering hospitalized Covide-19-affected patients in Iranian hospitals up till now. In other words, this paper introduces features and procedures of one of the national systems as a health registry that includes clinical information on admitted Covid-19 patients in Iranian hospitals from admission to discharge or death. This system is supported by MOHME, and along with outpatient Point of Care Information Systems (POCS), feeds the national and international pandemic reports and decisions.


JMIR Cancer ◽  
10.2196/14539 ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e14539
Author(s):  
Katie Connor ◽  
Briony Hudson ◽  
Emily Power

Background Cancer is the second leading cause of death globally, causing an estimated 9.6 million deaths in 2018. Low cancer symptom awareness has been associated with poor cancer survival for all cancers combined. The Cancer Awareness Measure (CAM) is a validated, face-to-face survey used since 2008 to measure the UK public’s awareness of the symptoms and risk factors of cancer as well as the barriers to seeking help. Objective The aim of this study is to explore whether online data collection can produce a representative sample of the UK population, compare awareness of cancer signs and risk factors and the barriers to seeking help between data collected online and face-to-face, and examine the relationships between awareness and demographic variables. Methods Differences in awareness of cancer signs, symptoms, and risk factors among samples were explored while adjusting for demographic differences (age, gender, ethnicity, educational level, marital status, and country of residence) to distinguish the effect of data collection method. Multivariate logistic regression models were used to calculate adjusted odds ratios for recall and recognition of signs and symptoms, risk factors, and barriers to seeking help. Results A total of 4075 participants completed the CAM, 20% (n=819) via face-to-face interviews and 80% online (n=3256; agency A: n=1190; agency B: n=2066). Comparisons of data collected using face-to-face interviews and online surveys revealed minor differences between samples. Both methods provided representative samples of the UK population with slight differences in awareness of signs, symptoms, and risk factors and frequency of help-seeking barriers reported. Conclusions These findings support a move to online data collection for the CAM. The flexibility afforded will enable the CAM to explore a wider range of issues related to the prevention, early diagnosis, and treatment of cancer.


2021 ◽  
Vol 10 (2) ◽  
pp. 138-143
Author(s):  
Seun Nurudeen Akorede ◽  
Ayodotun Edward Ajayi ◽  
Peter Oluwatimilehin Tawose

Globally, tuberculosis (TB) constitutes a significant public health emergency. Despite the downward trend in TB incidence and prevalence, every continent still reports new cases, especially Africa and south-east Asia (WHO, 2012). This study aimed to investigate the signs, symptoms, transmission mode, and knowledge of tuberculosis (TB) among tuberculosis patients attending Federal Medical Centre, Owo, Ondo State Nigeria. A descriptive survey design was adopted, while sample population comprised of all the aforementioned tuberculosis patients.  About 151 persons were selected using Multistage sampling procedure. A closed-ended questionnaire collection was used for data collection and the instrument was validated by experts with ascertained reliability. The data were then subjected to statistical analysis of Cronbach's alpha, and a correlation coefficient of 0.76 was obtained.  Conclusively, the patients have knowledge of TB signs and symptoms as well as transmission mode. Therefore, this knowledge is recommended to be sustained among the patients. Multistage sampling procedure was used to select one hundred and fifty-one (151) a researcher’s designed closed-ended questionnaire was used for data collection. The instrument was validated by experts with reliability ascertained. The data obtained were subjected to statistical analysis of Cronbach alpha and a correlation coefficient of 0.76 was obtained. The findings reveals that: Tuberculosis patients have knowledge of signs and symptoms of TB, Tuberculosis patients have knowledge of mode of transmission of TB Therefore, the study concluded that tuberculosis patients have knowledge of mode of transmission, signs and symptoms of TB. Therefore, it is recommended that the knowledge of mode of transmission and symptoms of TB should be sustained among the patients.


2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.


2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza de Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ghasem Miri-Aliabad ◽  
Ali Khajeh ◽  
Alireza Teimouri

Background: Teething is a physiological process, which usually does not cause problems. A variety of symptoms are ascribed to infant teething, despite little evidence to support such belief. The wrong beliefs and misconceptions about the symptoms of teething may present serious risks to infants. Objectives: This study aims for determination of the mothers' attitude about the symptoms and signs of infants teething. Methods: Data collection was done using a questionnaire, containing demographic information of the respondents as well as a number of 20 questions about the signs and symptoms of teething. In this study, 220 questionnaires were completed by mothers having 6 - 30 months’ children, with at least one deciduous tooth. Results: The mean age of the mothers was 28.26 ± 5.10 years old. Mean of the first deciduous tooth eruption in them was 7.16 ± 1.60 month. All mother associated, at least, one symptom with teething. In this study, mothers' beliefs were as follows: gum rubbing (91%), biting objects (86%), restlessness and irritability (84%), fever (75%), drooling (70%), and diarrhea (62%). Conclusions: Regarding that symptoms such as fever, diarrhea, and restlessness and irritability are attributed to teething, this can distract parents from serious illnesses, leading to diagnosis and treatment delay.


Author(s):  
S.W. Hui ◽  
D.F. Parsons

The development of the hydration stages for electron microscopes has opened up the application of electron diffraction in the study of biological membranes. Membrane specimen can now be observed without the artifacts introduced during drying, fixation and staining. The advantages of the electron diffraction technique, such as the abilities to observe small areas and thin specimens, to image and to screen impurities, to vary the camera length, and to reduce data collection time are fully utilized. Here we report our pioneering work in this area.


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