Residual neuromuscular blockade in the postanesthesia care unit. A secondary analysis of the ReCuSS. Observational cross-sectional study of a multicenter cohort

Introduction: In Vietnam, using a muscle accelerator to measure the TOF index to monitor residue neuromuscular blockade has not been performed routinely, extubation is mainly based on subjective clinical assessments. Methods: A cross-sectional study on 96 patients undergoing laparoscopic appendectomy at Nguyen Tri Phuong Hospital, from November 2020 to May 2021. Objectives: The study was conducted with 2 objectives including (1) Determine the progression of TOF index at 7 time points: immediately after arriving in the recovery room, after extubation, 15 minutes, 30 minutes, 60 minutes, 90 minutes, 120 minutes after extubation; (2) Determination of residual muscle relaxant rate of patients undergoing laparoscopic appendectomy at Nguyen Tri Phuong Hospital. Results: The average TOF ≥ 0,9 index after laparoscopic appendectomy at the time of resuscitation was 88.11%, extubation was 90.53% and at 120 minutes after extubation. is 99.88%. Residual muscle relaxation after surgery when TOF index < 0.9. At the time of resuscitation, the highest residual rate of muscle relaxant accounted for 58.33%, followed by the time of extubation 39.58%, 15 minutes after extubation was 21.88%. Until 120 after extubation, there is no case that has residue neuromuscular blockade. Conclusion: Through the study results, it is necessary to monitor patients undergoing laparoscopic appendectomy with quantitative devices to more accurately assess the clinical index of muscle relaxation.

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Mental capacity assessment: a descriptive, cross-sectional study of what doctors think, know and do

Journal of Medical Ethics ◽

10.1136/medethics-2019-105819 ◽

2020 ◽

pp. medethics-2019-105819

Author(s):

Dexter Penn ◽

Anne Lanceley ◽

Aviva Petrie ◽

Jacqueline Nicholls

Keyword(s):

Best Practice ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Mental Capacity ◽

Capacity Assessment ◽

Career Stage ◽

Sectional Study ◽

Cross Sectional ◽

Self Confidence ◽

Mental Capacity Act

BackgroundThe Mental Capacity Act (MCA) (2005) was enacted in 2007 in England and Wales, but the assessment of mental capacity still remains an area of professional concern. Doctors’ compliance with legal and professional standards is inconsistent, but the reasons for poor compliance are not well understood. This preliminary study investigates doctors’ experiences of and attitudes toward mental capacity assessment (MCAx).MethodsThis is a descriptive, cross-sectional study where a two-domain, study-specific structured questionnaire was developed, piloted and digitally disseminated to doctors at differing career stages employed in a large, multi-site National Health Service Trust in London over 4 months in 2018. Descriptive statistics and frequency tables adjusted for missing data were generated and secondary analysis was conducted.ResultsParticipants (n=92) were predominantly UK trained (82%), female (58%) and between the ages of 30 and 44 years (45%). Less than half (45%) of the participants reported receiving formal MCAx training. Only one-third (32%) of the participants self-rated themselves as very competent (29%) or extremely competent (4%). Self-reported MCA confidence was significantly affected by career stage with Consultants with over 10 years of experience reporting lowest confidence (p=0.001).ConclusionsThis study describes significant variation in practice by doctors and low self-confidence in the practice of MCAx. These results raise concerns that MCAx continues to be inconsistently performed by doctors despite appropriate awareness of the law and professional guidance on best practice.

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Evaluating Relationships between Visceral Fat Measures and Adipokines Concentrations among Women with a History of Preeclampsia

American Journal of Perinatology ◽

10.1055/s-0039-1692454 ◽

2019 ◽

Vol 37 (11) ◽

pp. 1140-1145

Author(s):

Suchitra Chandrasekaran ◽

Darcy Barry ◽

Susan Melhorn ◽

Thomas Easterling ◽

Hilary Gammill ◽

...

Keyword(s):

Visceral Fat ◽

Subcutaneous Fat ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Anthropometric Data ◽

Cross Sectional ◽

Blood Samples ◽

Plasma Adiponectin ◽

History Of

Abstract Objective We sought to evaluate associations between postpartum plasma adipokine concentrations among women with a history of preeclampsia (PE) without severe features (MPE), PE with severe features (SPE), and no PE (NPE). We also investigated relationships between adipokines and computed tomography (CT)-quantified measures of visceral fat (VF) area (VFA) and subcutaneous fat area (SCFA). Study Design We performed a secondary analysis of data collected as part of a previously performed cross-sectional study at our institution. Women with and without a history of PE were recruited in 10 years after delivery. VFA and SCFA measures were performed by CT scan. Anthropometric data and peripheral blood samples from subjects were collected concurrently. Results Plasma adiponectin concentrations (µg/mL) were significantly lower among MPE (18.5 ± 7.1) compared with NPE (27.3 ± 13.8) and SPE (25.7 ± 9.6). Leptin (p = 0.32) and resistin (p = 0.93) concentrations were similar among the groups. Adiponectin concentrations more closely aligned with VFA (β = −0.001, p = 0.03), while resistin concentrations trended toward correlating with SCFA (β = 0.02, p = 0.05). Leptin was not preferential to VFA or SCFA. Conclusion VF distribution may contribute to the variation in PE phenotype. Adiponectin specifically may be a promising marker representing VFA.

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Association of Hours of Paid Work with Dietary Intake and Quality in Japanese Married Women: A Cross-Sectional Study

Nutrients ◽

10.3390/nu13093005 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3005

Author(s):

Fumi Oono ◽

Nozomi Matsuura ◽

Aki Saito ◽

Aya Fujiwara ◽

Osamu Takahashi ◽

...

Keyword(s):

Dietary Intake ◽

Linear Regression Analysis ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Married Women ◽

Dietary Quality ◽

Paid Work ◽

Sectional Study ◽

Cross Sectional ◽

Diet History Questionnaire

This study investigated the association of hours of paid work with dietary intake and diet quality among Japanese married women. This cross-sectional study was a secondary analysis of a nationwide population survey in 2013. The analytic sample included 644 married women aged 20–59 years. The participants were categorized into five groups according to hours of paid work per week: 0 (housewives), 1–14, 15–34, 35–42, and ≥43 h. Dietary intake was assessed by a self-administered diet history questionnaire. The Nutrient-Rich Food Index 9.3 (NRF9.3) was used to measure the dietary quality. The association of hours of paid work with dietary intake and NRF9.3 score was assessed using a multivariable general linear regression analysis with adjustments for confounders. Hours of paid work were associated with a higher intake of rice and lower intake of vegetables, potatoes, soy products, and seaweeds and nutrients including protein, dietary fiber, and most vitamins and minerals. Hours of paid work were negatively associated with the NRF9.3 score. This study showed that Japanese married women engaging in paid work, especially those who work long hours, have less healthy diets. Efforts to improve the dietary intake of married women with paid work might be needed.

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Mean arterial pressure and arterial stiffness in Japanese population: a secondary analysis based on a cross-sectional study

Blood Pressure Monitoring ◽

10.1097/mbp.0000000000000471 ◽

2020 ◽

Vol 25 (6) ◽

pp. 310-317

Author(s):

Song Sheng

Keyword(s):

Mean Arterial Pressure ◽

Arterial Stiffness ◽

Arterial Pressure ◽

Japanese Population ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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The value of the atherogenic index of plasma in non-obese people with non-alcoholic fatty liver disease: a secondary analysis based on a cross-sectional study

Lipids in Health and Disease ◽

10.1186/s12944-020-01319-2 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Bu-yuan Dong ◽

Yu-qing Mao ◽

Zheng-yang Li ◽

Fu-jun Yu

Keyword(s):

Fatty Liver Disease ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Atherogenic Index ◽

Sectional Study ◽

Obese People ◽

Cross Sectional ◽

Alcoholic Fatty Liver ◽

Atherogenic Index Of Plasma ◽

Alcoholic Fatty Liver Disease

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Protective lifestyle behaviours and depression in middle-aged Irish men and women: a secondary analysis

Public Health Nutrition ◽

10.1017/s1368980016001105 ◽

2016 ◽

Vol 19 (16) ◽

pp. 2999-3006 ◽

Cited By ~ 2

Author(s):

Gillian M Maher ◽

Catherine P Perry ◽

Ivan J Perry ◽

Janas M Harrington

Keyword(s):

Vegetable Intake ◽

Secondary Analysis ◽

Depression Scale ◽

Cross Sectional Study ◽

Epidemiologic Studies ◽

Sectional Study ◽

Middle Aged ◽

Cross Sectional ◽

Men And Women ◽

Lifestyle Behaviours

AbstractObjectiveTo examine the association between protective lifestyle behaviours (PLB) and depression in middle-aged Irish adults.DesignSecondary analysis of a cross-sectional study. PLB (non-smoker, moderate alcohol, physical activity, adequate fruit and vegetable intake) were assessed using a general health and lifestyle questionnaire and a validated FFQ. Depression was assessed using the Center for Epidemiologic Studies Depression Scale. A score of 15–21 indicates mild/moderate depression and a score of 22 or more indicates a possibility of major depression. Binary logistic regression was used to examine the association between PLB and depression.SettingLivinghealth Clinic, Mitchelstown, North Cork, Republic of Ireland.SubjectsMen and women aged 50–69 years were selected at random from a list of patients registered at the clinic (n 2047, 67 % response rate).ResultsOver 8 % of participants engaged in zero or one PLB, 24 % and 39 % had two and three PLB respectively, while 28 % had four PLB. Those who practised three/four PLB were significantly more likely to be female, have a higher level of education and were categorised as having no depressive symptoms. Engaging in zero or one PLB was significantly associated with an increased odds of depression compared with four PLB. Results remained significant after adjusting for several confounders, including age, gender, education and BMI (OR=2·2; 95 % CI 1·2, 4·0; P for trend=0·001).ConclusionsWhile causal inference cannot be established in a cross-sectional study, the findings suggest that healthy behaviours may play a vital role in the promotion of positive mental health or, at a minimum, are associated with lower levels of depression.

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