scholarly journals The Impact of Social Work Intervention in Alcohol-Induced Pancreatitis in Ireland: a Single-Center Experience

2015 ◽  
Vol 50 (4) ◽  
pp. 438-443 ◽  
Author(s):  
C. Beagon ◽  
N.R. Bhatt ◽  
S.M. Donnelly ◽  
M. Egan ◽  
A.P. McKay ◽  
...  
Keyword(s):  
Social Work ◽  
Single Center ◽  
Single Center Experience ◽  
Work Intervention ◽  
The Impact

scholarly journals Impact of Tocilizumab on Clinical Outcomes in COVID-19-Associated Cytokine Release Syndrome: A Single-Center Experience

2021 ◽  
pp. 089719002110282
Author(s):  
Karan Raja ◽  
Nicole Daniel ◽  
Susan Morrison ◽  
Ruben Patel ◽  
Jessica Gerges ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Clinical Status ◽  
Rank Test ◽  
Cytokine Release ◽  
Cytokine Release Syndrome ◽  
Single Center ◽  
Post Dose ◽  
Single Center Experience ◽  
Signed Rank Test ◽  
The Impact

Background: Tocilizumab is an interleukin-6 receptor antagonist hypothesized to blunt the uncontrolled immune response, cytokine release syndrome, in severe COVID-19 and prevent attributable morbidity and mortality. Objective: The objective of this study was to assess the impact of tocilizumab on clinical outcomes in COVID-19-associated cytokine release syndrome. Methods: Single-center, retrospective cohort study assessing sixty-nine adult patients receiving tocilizumab for suspected COVID-19 cytokine release syndrome. The primary outcome was change in WHO clinical status scale on day seven post-dose analyzed using the Wilcoxon signed rank test. Secondary outcomes assessed impact of timing of administration on clinical outcome. Safety analyses included development of neutropenia, thrombocytopenia, transaminitis, and sepsis within 7 days post-dose. Statistical analyses were conducted using Microsoft Excel. Results: No aggregate clinical change was found between day 0 and day 7. Eleven patients improved, twenty-seven worsened, and thirty-one showed no change. Clinical outcomes were weakly correlated with time from symptom onset (rs = 0.21; p = 0.08) or hospital admission (rs = -0.08; p = 0.49) to dose. In-hospital mortality was 63%. Sepsis was diagnosed in 21 patients, five of which were post-dose. Transaminitis, neutropenia, and thrombocytopenia occurred in seven, one, and six patients, respectively. Conclusion: Tocilizumab did not appear to influence clinical outcomes in our study population, irrespective of timing of administration. Adverse events were not considered drug-related.

The Impact of Marijuana Use on Liver Transplant Recipients: A 900 Patient Single Center Experience

2021 ◽  
Author(s):  
Jacob Guorgui ◽  
Takahiro Ito ◽  
Daniela Markovic ◽  
Antony Aziz ◽  
Stephanie Younan ◽  
...  
Keyword(s):  
Liver Transplant ◽  
Marijuana Use ◽  
Transplant Recipients ◽  
Single Center ◽  
Single Center Experience ◽  
Liver Transplant Recipients ◽  
The Impact

scholarly journals Repeat and Relapsing Peritonitis Microbiological Trends and Outcomes: A 21-Year Single-Center Experience

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Marina Reis ◽  
Catarina Ribeiro ◽  
Ana Marta Gomes ◽  
Clara Santos ◽  
Daniela Lopes ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Catheter Removal ◽  
Control Group ◽  
Single Center ◽  
Cure Rate ◽  
Technique Survival ◽  
Tenckhoff Catheter ◽  
Single Center Experience ◽  
The Impact ◽  
Multiple Episodes

Peritonitis is a major peritoneal dialysis complication. Despite a high cure rate, relapsing and repeat peritonitis is associated with Tenckhoff catheter biofilm and multiple episodes of peritoneal damage. In relapsing peritonitis, prompt catheter removal is mandatory; otherwise, in repeat peritonitis, there is not a clear indication for catheter removal. It is questionable if the approach to removal should be different. There are few recent data on repeat and relapsing peritonitis microbiology and clinical outcomes since most studies are from the past decade. This study evaluates the microbiology, clinical outcomes, and impact of relapsing and repeat peritonitis on technique survival and the impact of catheter removal in development of further peritonitis episodes by the same microorganism. We developed a single-center retrospective study from 1998 to 2019 that compared repeat and relapsing peritonitis with a control group in terms of causative microorganisms, cure rate, catheter removal, and permanent and temporary transfer to hemodialysis. We also compared repeat and relapsing peritonitis clinical outcomes when Tenckhoff catheter was not removed. Comparing to the control group, the repeat/relapsing group had a higher cure rate (80.4% versus 74.5%, p = 0.01 ) and lower rate of hospitalization (10.9% versus 27.7%, p = 0.01 ). Technique survival was superior in the repeat/relapsing group (log rank = 4.5, p = 0.03 ). Gram-positive peritonitis was more common in the repeat/relapsing group especially Streptococci viridans (43.5% versus 21.3%, p = 0.01 ) and Gram-negatives in the control group (26.6% vs 9.0%, p = 0.02 ). When the Tenckhoff catheter was not removed after a repeat episode, 58.6% developed a new repeat/relapsing episode versus 60.0% in the relapsing group. Although repeat and relapsing peritonitis have a higher cure rate, it leads to further episodes of peritonitis and consequent morbidity. When Tenckhoff catheter was not removed, the probability of another peritonitis episode by the same microorganism is similar in repeat and relapsing peritonitis.

scholarly journals Revisiting donor risk over two decades of single-center experience: More attention on the impact of overweight

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S280-S281
Author(s):  
Cheng-Maw Ho ◽  
Yu-Min Huang ◽  
Chih-Yang Hsiao ◽  
Yao-Ming Wu ◽  
Ming-Chih Ho ◽  
...  
Keyword(s):  
Single Center ◽  
Single Center Experience ◽  
The Impact

scholarly journals The impact of TNF-α 308G>A gene polymorphism on children’s overweight risk and an assessment of biochemical variables: A cross-sectional single-center experience

2019 ◽  
Vol 60 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Cristina Oana Mărginean ◽  
Claudiu Mărginean ◽  
Mihaela Iancu ◽  
Valeriu G. Moldovan ◽  
Lorena Elena Melit ◽  
...  
Keyword(s):  
Gene Polymorphism ◽  
Single Center ◽  
Cross Sectional ◽  
Biochemical Variables ◽  
Single Center Experience ◽  
Tnf Α ◽  
The Impact

The impact of pre-transplant donor specific anti-HLA antibodies (DSAs) on lung transplant outcome: A single center experience

2019 ◽  
Author(s):  
Shahrzad M. Lari ◽  
Michael Y Shino ◽  
Ariss Derhovanessian ◽  
David M Sayah ◽  
Joseph P Lynch ◽  
...  
Keyword(s):  
Lung Transplant ◽  
Single Center ◽  
Hla Antibodies ◽  
Transplant Outcome ◽  
Single Center Experience ◽  
The Impact

EPS社工介入模式

2016 ◽  
Vol 50 (01n02) ◽  
pp. 93-115
Author(s):  
炳光 甘
Keyword(s):  
Social Work ◽  
Service User ◽  
Effective Means ◽  
Work Practice ◽  
Social Work Practice ◽  
User Participation ◽  
Strengths Perspective ◽  
Work Intervention ◽  
The Impact ◽  
Important Basis

本文主要介紹筆者始創的一個名為EPS的社工介入模式。這個介入模式主要是運用充權(Empowerment)、參與(Participation)和強項角度(Strengths Perspective)三個概念去推行社工的介入方法。本文首先介紹這個模式的三個基本信念，包括：(一) 社會工作的重要目標是去幫助服務對象達致充權；(二) 透過參與才能讓服務對象獲得充權；及(三) 極度相信服務對象有能力及有強項。本文分別闡述充權的概念和作用，分析為何要促進服務對象的參與，剖析達致有意義及高度參與的方法，以及檢視強項角度的信念和重要性。EPS模式認為，社工實踐中一定要將這三個概念 (E、P、S) 緊扣在一起，才能達到社工的理想目標。無論在哪個服務範疇，社工都應該以強項角度去看事物，鼓勵服務對象的參與，從而令他們得到充權。充權是要達到的目標，參與是一個方法，而強項是一個重要的基礎。目標，方法，基礎三樣缺一不可。這個模式指出社工介入的核心元素是採用強項角度去運用參與以達致充權作用。本文最後探討若忽略這三個重要概念或其中一個，社工的介入會出現甚麼問題，並剖析三個概念的互動如何促進社工介入的成效，以及介紹EPS模式在不同領域的應用。 This article introduces a social work intervention model which is called EPS Model and is newly developed by the author. The EPS Model is to apply the following three concepts in social work practice, including Empowerment (E), Participation (P) and Strengths Perspective (S).The article firstly presents the three basic beliefs of the model: (1) the main goal of social work practice is not just to provide services and help people solve problems, but to help people empower themselves; (2) the empowerment goal can be actualized through promoting service user participation and (3) we have to strongly believe that people have strengths and abilities. The article then introduces the concept of empowerment and its functions, discusses why service user participation should be promoted and the effective means of promoting meaningful and greater participation, and examines the faith and importance in strengths perspective. The main characteristics of the EPS Model is to affirm that these three concepts (E, P and S) are inter-related and need to be closely inter-linked. Empowerment should be regarded as the aim of social work practice. Participation is the effective means to achieve empowerment. Strengths perspective is thus regarded as the important basis for social work intervention. The aim, the means and the basis are equally important and neither one can be excluded. This model suggests that social work practice should be based on the strengths perspective and should make use of participation to achieve service users' empowerment. The article finally examines the problems arising from the neglect of any one of the three important concepts, the impact of the interplay of the three concepts on the effect of social work practice and the application of the EPS Model in different service settings.

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