Puerto Ricans One Year After Hurricane Maria: Secondary Analysis of Factors Affecting Stress Due to Hurricane Effects

Background Coronary endarterectomy aims to improve completeness of revascularization in patients with occluded coronary vessels. The benefits of coronary endarterectomy remain uncertain. The aim of this study was to evaluate short-term surgical outcomes and factors affecting graft patency post-coronary endarterectomy. Methods Between 2009 and 2019, 81 consecutive patients who had coronary endarterectomy done were evaluated for their perioperative and early results. A total of 36 patients with follow-up coronary studies were included in patency analysis. Mortality rates, major adverse cardiac and cerebrovascular events, and graft patency were outcomes of interest. Survival and risk factor analysis were performed with Kaplan–Meier and logistic regression analysis. Results The average age of the cohort was 61.9 ± 9.29 years. Complete revascularization rate was 95.4% post-coronary endarterectomy. The 30-day and 1-year mortality was 2.5 and 6.2%, respectively. One-year major adverse cardiac and cerebrovascular events rate was 11.1%. Periprocedural myocardial infarction rate was 7.4%. Three patients required repeat revascularization within a mean follow-up duration of 49.6 ± 36.5 months. Overall graft patency was 89.2% at 20.2 months and graft patency post-coronary endarterectomy was 85.4%. Arterial grafts showed 100% patency. Vein grafts to endarterectomized obtuse marginal branch had patency rates of 33.3%. Multiple endarterectomies were associated with worse one-year major adverse cardiac and cerebrovascular events (OR: 28.6 ± 1.16; P = 0.003). Conclusions Coronary endarterectomy facilitates completeness of revascularization and does not increase early mortality. Graft patency post-coronary endarterectomy on obtuse marginal artery was suboptimal. Judicious use of coronary endarterectomy should be practiced to balance the need of completeness of revascularization against the risk of myocardial infarction.

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Analysis of Single-Vehicle Crash Injury Severities in Urban River-Crossing Road Tunnels

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.743.526 ◽

2015 ◽

Vol 743 ◽

pp. 526-532 ◽

Cited By ~ 2

Author(s):

C.M. Jiang ◽

J.J. Lu ◽

L.J. Lu

Keyword(s):

Heavy Vehicles ◽

Probit Regression ◽

Factors Affecting ◽

Explanatory Variables ◽

Urban Road ◽

Road Tunnels ◽

Negative Effect ◽

Single Vehicle ◽

Injury Severities ◽

One Year

Based on the originally unprocessed data from the Official Platform of“110”Alarming Receiving Center (OP110ARC) of Shanghai Public Security Bureau (SPSB), 529 single-vehicle crashes reported during one year and a half which happened at the thirteen urban road tunnels going across the Huangpu River are used in this study. To investigate the factors affecting the crash influence severity levels, ordered probit regression is established. Several categories of factors are considered as explanatory variables in the models. The study finds that the entrance of the tunnels is the site where severe injury crashes trend to occur. Rainy and snowy days impose vehicles and motorists driving via the tunnel sections in danger. Tunnels with a low speed limit (40 km/h in this study) may be not as safe as we thought before. Two-wheel vehicles without sufficient physical protection for its drivers and heavy vehicles also show a negative effect on the operation safety of single-vehicle at these studied tunnels. Alcohol involved drivers are more likely to suffer from a severe crashes and gets badly hurt.

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Epilithic community development on artificial reefs deployed along a cross-shelf environmental gradient off Paraná state, southern Brazil

Brazilian Journal of Oceanography ◽

10.1590/s1679-87592011000500007 ◽

2011 ◽

Vol 59 (spe1) ◽

pp. 43-53 ◽

Cited By ~ 8

Author(s):

Frederico Brandini ◽

Ariel Scheffer da Silva

Keyword(s):

Large Scale ◽

Diversity Index ◽

Artificial Reef ◽

Larval Abundance ◽

Percent Cover ◽

Southern Brazil ◽

Factors Affecting ◽

Hydrographic Conditions ◽

One Year ◽

General Community

Concrete modules were deployed on the bottom of the 11, 18 and 30 meters isobaths along a cross-shelf hydrographic gradient off Paraná State, Southern Brazil, with the purpose of studying the colonization of sessile epilithic macroinvertebrates on artificial surfaces. After one year of submersion a total of 63 species of epilithic organisms were identified, dominated by Ostrea puelchana, Chthamalus bisinuatus, Balanus cf spongicola, Astrangia cf rathbuni, Didemnum spp, poryphers and bryozoans. Diversity index and percent cover at reef stations placed at 11, 18 and 30 meters isobaths were respectively 2.28 and 66.7%, 2.79 and 96.6% and 1.66 and 77.4%. Differences of general community structure among the three assemblages were not clearly related to the general environmental conditions at the bottom layers near the reef stations. Turbidity and larval abundance are discussed as important factors affecting colonization processes. Results indicate that depths between 15-20 meters are more suitable for the implementation of large scale artificial reef systems in the inner shelf off Paraná and, possibly, throughout the inner shelves off southern Brazil with similar hydrographic conditions.

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Nursing Students’ Experiences With Death and Terminal Patients During Clinical Education

OMEGA - Journal of Death and Dying ◽

10.1177/0030222820950510 ◽

2020 ◽

pp. 003022282095051

Author(s):

Şenay Gül ◽

Seyhan Demir Karabulut ◽

Handan Eren ◽

Mahinur Durmuş İskender ◽

Zehra Göçmen Baykara ◽

...

Keyword(s):

Nursing Students ◽

Clinical Education ◽

Health Professionals ◽

Qualitative Data ◽

Secondary Analysis ◽

Focus Group Interviews ◽

Factors Affecting ◽

Dying Patients ◽

Group Interviews ◽

First Time

The aim of this study is to explore nursing students’ experiences with death and terminal patients during clinical education. A secondary analysis of qualitative data that were collected through 11 focus group interviews with nursing students was performed. Data obtained from the interviews were analyzed using thematic analysis. There were a total of 9 themes across 3 contexts. Data were grouped under the following themes: feelings experienced when encountering death for the first time, reactions to the first encounter with death, factors affecting the reactions to death, involvement in terminal patient care, being informed about the physical process that terminal patients are going through, students’ approach toward terminal patients and their relatives, health professionals’ approach toward terminal/dying patients/their relatives, changes in the ideas about death, and changes in the ideas about terminal/dying patients. The study shows a lack of guidance on the part of teachers who also avoid patients and families who are considered terminally ill.

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Awareness and acceptance of contraceptives among the mothers of infants attending an immunization session at a field practices area of a tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20185275 ◽

2018 ◽

Vol 6 (1) ◽

pp. 374

Author(s):

S. B. Gupta ◽

Meenakshi Singh ◽

Atul Kr. Singh ◽

Huma Khan ◽

Alpana Saxena

Keyword(s):

Health Workers ◽

Tertiary Care ◽

Care Hospital ◽

Medical Sciences ◽

Postpartum Contraception ◽

Cross Sectional ◽

Factors Affecting ◽

Contraceptive Measure ◽

One Year ◽

Type Of Delivery

Background: India was the first country in the world to have launched a National Programme for Family Planning.Methods: A cross-sectional descriptive study was carried out in the in Vaccination unit of rural field practice area of Shri Ram Murti Smarak institute of Medical Sciences (SRMSIMS) Bareilly (U.P). Objective of the study was to assess knowledge and practice of postpartum contraception and factors affecting the usage of contraceptives in Rural area. All females who delivered within last one year were included in the study. A pre-structured questionnaire was used. A total of 98 females were included. The appropriate statistical analysis was done to present the results.Results: 28.57% females had adopted one or the other postpartum contraceptive measure. Condom was the most common method used. Usage of postpartum contraception was significantly associated with women’s and husband’s education, type of delivery and availing of antenatal and postnatal visits.Conclusions: Overall usage of postpartum contraception was low there is need to focus at every step to contact of these women with health facility or health workers.

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ANALISIS MANFAAT EKONOMI DAN FAKTOR-FAKTOR YANG MEMPENGARUHI KELANCARAN PENGEMBALIAN KREDIT (STUDI KASUS PADA KOPERASI PERTANIAN SEANDANAN KABUPATEN PESAWARAN)

Jurnal Ilmu-Ilmu Agribisnis ◽

10.23960/jiia.v9i3.5335 ◽

2021 ◽

Vol 9 (3) ◽

pp. 462

Author(s):

Roni Mustofa ◽

Dyah Aring Hepiana Lestari ◽

Muhammad Irfan Affandi

Keyword(s):

Economic Benefits ◽

Agricultural Cooperatives ◽

Rice Farming ◽

Case Study Method ◽

Factors Affecting ◽

Agricultural Cooperative ◽

Rice Farmers ◽

Quantitative Analyses ◽

One Year

This study aims to analyze the economic benefits, income of rice farming, allocation of credit usage and analyze the factors affecting the chances of the smoothness rate of return at Seandanan Agricultural Cooperatives. The research is conducted at Seandanan Agricultural Cooperative in Pesawaran Regency, Lampung Province, which is determined intentionally. The research data were taken in July 2019. This study uses a case study method. Respondents in this study are 70 rice farmers member of Seandanan Agricultural Cooperative. The data analysis method use descriptive qualitative and quantitative analyses. The results showed that the economic benefits received by members of cooperative in one year is IDR1,711,312.47 and in high category. The average income of rice farming received by members of the Seandanan Agricultural Cooperative in one year has been classified as high, in the amount over cash costs and over total costs, respectively, of IDR17,308,552.78 and IDR16,416,268.56. Allocation of credit of cooperative membersconsistd of 58.85% for productive activities and the rest, 41.15% for consumptive activities. Factors that affect the chances of the smoothness rate of credit return by rice farmers members of Seandanan Agricultural Cooperative are the education level of farmers and the allocation of productive credit usage.Key words: agricultural cooperatives, consumptive, credit, and productive

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Factors affecting success and abstinence within a smoking cessation clinic: A one-year follow-up study in Turkey

Tobacco Prevention & Cessation ◽

10.18332/tpc/130471 ◽

2020 ◽

Vol 6 (December) ◽

pp. 1-8

Author(s):

Ayse Esen ◽

Yuksel Soylem ◽

Secil Arica ◽

Gulten Belgin ◽

Nadire Gonultas

Keyword(s):

Smoking Cessation ◽

Factors Affecting ◽

Follow Up Study ◽

One Year ◽

Cessation Clinic ◽

Smoking Cessation Clinic

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Abstract WMP113: Serial Cognitive Testing Performance by Baseline Fazekas Category in Stroke Survivors: A Secondary Analysis of the SPS-3 Trial

Stroke ◽

10.1161/str.51.suppl_1.wmp113 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Adam H de Havenon ◽

Natalia Rost ◽

Shyam Prabhakaran

Keyword(s):

Risk Factor ◽

Ischemic Stroke ◽

Cognitive Abilities ◽

Secondary Analysis ◽

College Education ◽

Cognitive Testing ◽

White Matter Hyperintensity ◽

Absolute Difference ◽

Stroke Survivors ◽

One Year

Introduction: Prior research has shown that an increased burden of white matter hyperintensity (WMH) is an independent risk factor for the development of dementia. However, research has not focused specifically on stroke survivors, who are also predisposed to dementia. Methods: This is a secondary analysis of patients in the Secondary Prevention of Small Subcortical Strokes (SPS3) trial, who had a lacunar ischemic stroke within 6 months of enrollment and an MRI at study baseline. The primary outcome is change in the Cognitive Abilities Screening Instrument (CASI) from baseline to a 12 month follow-up. The primary predictor is the Fazekas score on the baseline MRI, with the scores of 0 and 1 collapsed to balance the cohort. We fit regression models to the 12 month CASI and adjusted for baseline CASI, patient age, gender, white race, Barthel Index score at 3 months from enrollment, college education, employment status, diabetes, COPD, and SPS3 randomization arm. Results: We included 2,413 patients with a mean (SD) age of 62.8 (10.6) years and 63.7% were male. There were 946 patients in Fazekas 0-1, 1,009 in Fazekas 2, and 458 in Fazekas 3. The mean (SD) CASI score at baseline and 12 months were 85.3 (12.4) and 86.0 (12.4). In the adjusted linear regression model, compared to a baseline Fazekas of 0-1, a baseline Fazekas of 2 was associated with a worse cognitive score (β coef = -0.55, 95% CI -1.01, -0.08, p=0.020), as was Fazekas of 3 (β coef = -0.76, 95% CI -1.36, -0.16, p=0.013). Conclusion: In patients with recent lacunar stroke, an increased baseline WMH burden is a risk factor for worse performance over a one year period on a validated test of global cognition. Although the absolute difference in score that we found was small (~0.5-0.8 points), this difference is over one year and, over years to decades, could become clinically significant. The implication of this finding is that lacunar ischemic stroke has additive cognitive consequences for patients with an established WMH burden, suggesting that primary stroke prevention in patients with WMH could be an important public health goal to reduce the burden of dementia.

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Abstract TP318: The Circumstances and Consequences of Post-stroke Falls

Stroke ◽

10.1161/str.44.suppl_1.atp318 ◽

2013 ◽

Vol 44 (suppl_1) ◽

Author(s):

Arlene A Schmid ◽

H. Klar Yaggi ◽

Nicolas Burrus ◽

Vincent McClain ◽

Charles Austin ◽

...

Keyword(s):

Medical Care ◽

Mental State ◽

Fall Prevention ◽

Secondary Analysis ◽

Stroke Recovery ◽

Large Trial ◽

Post Stroke ◽

Falling Asleep ◽

One Year ◽

The One

Introduction: Three-quarters of people with stroke sustain a fall. Fall risk and risk for injury persists into the chronics phases of stroke recovery. Currently, the circumstances surrounding post-stroke falls are not well understood; identifying these circumstances is a key step in the development of fall prevention programs. Likewise, the consequences of falls during the chronic phases of stroke are largely unexplored. Objectives: The objectives of the study were to identify the circumstances and consequences of post-stroke fall events. Methods: This is a secondary analysis of data derived from a large trial. To be included in the trial and these analyses, participants had to have survived a stroke and had a diagnosis of hypertension or blood pressure >140/90 mmHg. Demographics and stroke characteristics were recorded. Patients were asked about falls prospectively over the one-year study period. Once a fall event was identified, chart review and interviews were used to obtain information regarding circumstances and consequences of the fall. Fall circumstances were separated into intrinsic/personal and environmental categories including: falls with activity; falls with movement; falls due to trips or slips; falls related to a physical or mental state; location of the fall; and the season when the fall occurred. Consequences of falls were classified according to type of injury (laceration, fracture) and medical care received. Results: A total of 53 of the 225 (33%) participants reported a fall; 70% of falls occurred at home and 40% of falls were associated with impaired physical or mental state (e.g., falling asleep and falling out of a chair or inattention to tying shoes, or forgetting to use a device). Additionally, 21% of falls were associated with activities, 21% with mobility, and 34% with slips or trips. The majority of people who fell sustained an injury (72%); injuries ranged from bruising to fractures and 55% of those with an injury sought medical care (32% to emergency). Conclusion: Post-stroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention programming for people with chronic stroke.

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