Driving While Impaired and Riding with an Impaired Driver among Recent Latinx Immigrants

2021 ◽  
pp. 036119812110148
Author(s):  
Eduardo Romano ◽  
Mariana Sanchez ◽  
Eileen P. Taylor ◽  
Rosa Babino
Keyword(s):  
Young Adult ◽  
Latin American ◽  
National Institutes Of Health ◽  
Dade County ◽  
Baseline Assessment ◽  
Drinking And Driving ◽  
Inclusion Criteria ◽  
Driving While Impaired ◽  
One Year ◽  
Significant Factors

The overarching aim of this study is to assess driving while impaired by alcohol (DWI) and riding with an impaired driver (RWID) rates among young adult Latinx immigrants to Miami-Dade County, Florida, within a year of arrival in the U.S.A. More specifically, this study aims to: (i) describe the demographic and socioeconomic characteristics of Latinx immigrants to Miami-Dade County within a year of arrival; (ii) examine their alcohol use, DWI, and RWID; and (iii) identify factors influencing these behaviors. This study uses baseline data from an ongoing National Institutes of Health-funded longitudinal study examining drinking and driving trajectories among young adult recent Latinx immigrants to Miami-Dade County. During the baseline assessment, retrospective pre-immigration data and post-immigration data were obtained via personal interviews. Inclusion criteria included being a Latinx immigrant, 18–34 years old, who recently immigrated (within one year before baseline assessment) to the U.S.A. from a Latin American country with the intention of staying in the U.S.A. for at least three years beyond baseline. Respondent-driven sampling was applied. Results showed that since arriving in the U.S.A. approximately 6.3% of all participants had engaged in DWI at least once and 20% reported RWID. Although household income and being male were significant factors, the factor that influenced post-immigration DWI/RWID the most was pre-immigration DWI (odds ratio = 13.1) and pre-immigration RWID (odd ratio = 24.5). Interventions aimed to prevent recent immigrants from engaging in DWI and RWID should take cultural factors and pre-immigration behaviors into account.

Diagnoses and mortality in a population without acute myocardial infarction, but with elevated highsensitive troponin I – a retrospective register-based single center study

2021 ◽  
Vol 20 (1) ◽  
pp. 18-24
Author(s):  
Rasmus Søgaard Hansen ◽  
◽  
Jesper Revsholm ◽  
Daniel Pilsgaard Henriksen ◽  
Lars Christian Lund Lund ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Troponin I ◽  
Inclusion Criteria ◽  
Danish Population ◽  
Medical Observation ◽  
Single Center Study ◽  
One Year ◽  
High Sensitive Troponin ◽  
Center Study

Aim: To explore, which differential diagnoses to consider in individuals with elevated troponins without acute myocardial infarction (AMI), and the mortality for those individuals. Methods: Retrospective, register-based study on a representative sample of the Danish population with the following inclusion criteria: High-sensitive troponin I (hs-TnI) ≥25 ng/L, age ≥18 years, and exclusion of AMI. Results: 3067 individuals without AMI but increased hs-TnI were included. Most frequent discharge diagnoses: Pneumonia (12.8%), Aortic valve disorder (11.3%), Medical observation (10.9%) and Heart failure (8.9%). The 30-days and one-year mortality was 15.8% and 32.0%, respectively. Conclusions: A selected number of alternative diagnoses must be considered in individuals with increased hs-TnI. Due to high mortality it is crucial to carefully evaluate these individuals despite the absence of AMI.

scholarly journals Educação em saúde para crianças com estomias intestinais: o enfermeiro como mediador do cuidar

2018 ◽  
Vol 6 (10) ◽  
pp. 44 ◽  
Author(s):  
Sandra De Nazaré Costa Monteiro ◽  
Elisabete Mesquita Peres Carvalho ◽  
Laiane Medeiros ◽  
Ana Lúcia Da Silva ◽  
Dirce Guilhem
Keyword(s):  
Health Education ◽  
Latin American ◽  
Retrieval System ◽  
Medical Literature ◽  
Caribbean Literature ◽  
Care Plan ◽  
Literature Analysis ◽  
Inclusion Criteria ◽  
Healthy Development ◽  
Education Nursing

Resumo: Este estudo analisou a produção científica nacional e internacional desenvolvidos pela enfermagem acerca da educação em saúde para crianças com estomias intestinais. Trata-se de uma revisão integrativa de publicações nas bases do portal da Biblioteca Virtual de Saúde, PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online e Cinahl, em português, inglês e espanhol, de janeiro de 2013 a dezembro de 2016. A busca resultou em 125 artigos dos quais 9 cumpriram os critérios de inclusão. Da análise surgiram quatro categorias: (1) educação em saúde; (2) atuação do enfermeiro; (3) Plano de cuidados; e (4) Inserção social. A educação em saúde para pais/cuidadores é primordial para o desenvolvimento saudável de crianças com estomias.Palavras-chave: Criança; Estomia; Educação em saúde; Enfermagem; Revisão Integrativa. Health education for children with intestinal stomies: the nurse as caregiver of careAbstract: This study analyzed the national and international scientific production developed by nursing on health education for children with intestinal stomies. This is an integrative review of publications in the databases of the Virtual Health Library, PubMed, Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online and Cinahl in Portuguese, English and Spanish, from January 2013 to December 2016. The search resulted in 125 articles, of which 9 fulfilled the inclusion criteria. Four categories emerged from the analysis: (1) health education; (2) nurses' performance; (3) Care plan; and (4) Social insertion. Health education for parents / caregivers is paramount for the healthy development of children with stomies.Keywords: Child; Stomach; Health education; Nursing; Integrative Revision. 

scholarly journals CLINICAL AND LABORATORY CHARACTERISTICS OF SARS-COV-2 INFECTION IN CHILDREN AND ADOLESCENTS

2021 ◽  
Vol 39 ◽  
Author(s):  
Marlos Melo Martins ◽  
Arnaldo Prata-Barbosa ◽  
Maria Clara de Magalhães-Barbosa ◽  
Antonio José Ledo Alves da Cunha
Keyword(s):  
Latin American ◽  
Inflammatory Responses ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Current Evidence ◽  
Cochrane Library ◽  
Childhood And Adolescence ◽  
Inflammatory Reactions ◽  
One Year ◽  
Novel Coronavirus

ABSTRACT Objective: To present the current evidence on clinical and laboratory characteristics of infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during childhood and adolescence. Data source: This is a narrative review conducted in the databases: Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Latin American and Caribbean Health Sciences Literature in the Virtual Health Library (LILACS/VHL), Scopus, Web of Science, Cochrane Library, portal of the Coordination for the Improvement of Higher Education Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES), Scientific Electronic Library Online (SciELO), ScienceDirect, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The terms used were SARS-CoV-2, COVID-19, novel coronavirus, child, newborn, and adolescent. Data synthesis: Unlike adults, most children infected by SARS-CoV-2 have mild or asymptomatic clinical presentations. Symptomatic children mainly have low fever and cough, with some associated gastrointestinal symptoms. Severe cases are rare and occur especially in infants under one year of age. Detection of viral particles in feces seems to be more persistent in children and can be used as a tool for diagnosis and control of the quarantine period. Different from adults, children can present distinct inflammatory responses, as has happened in new cases of Kawasaki-like syndrome associated with SARS-CoV-2 infection. Conclusions: Most children have asymptomatic or mild presentations, with a prevalence of fever, cough, and gastrointestinal symptoms. New cases with different systemic inflammatory reactions in children have been reported, with clinical manifestations distinct from those typically found in adults.

scholarly journals Systematic Review and Proportional Meta-Analysis of Endarterectomy and Endovascular Therapy with Routine or Selective Stenting for Common Femoral Artery Atherosclerotic Disease

2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Khalid Hamid Changal ◽  
Mubbasher Ameer Syed ◽  
Tawseef Dar ◽  
Muhammad Asif Mangi ◽  
Mujeeb Abdul Sheikh
Keyword(s):  
Endovascular Treatment ◽  
Femoral Artery ◽  
Meta Analysis ◽  
Common Femoral Artery ◽  
Target Lesion ◽  
Target Lesion Revascularization ◽  
Inclusion Criteria ◽  
One Year ◽  
New Evidence

Introduction. Common femoral endarterectomy (CFE) has been the therapy of choice for common femoral artery atherosclerotic disease (CFA-ASD). In the past, there was inhibition to treat CFA-ASD endovascularly with stents due to fear of stent fracture and compromise of future vascular access site. However, recent advances and new evidence suggest that CFA may no longer be a ‘stent-forbidden zone’. In the light of new evidence, we conducted a meta-analysis to determine the use of endovascular treatment for CFA-ASD and compare it with common femoral endarterectomy in the present era.Methods. Using certain MeSH terms we searched multiple databases for studies done on endovascular and surgical treatment of CFA-ASD in the last two decades. Inclusion criteria were randomized control trials, observational, prospective, or retrospective studies evaluating an endovascular treatment or CFE for CFA-ASD. For comparison, studies were grouped based on the treatment strategy used for CFA-ASD: endovascular treatment with selective stenting (EVT-SS), endovascular treatment with routine stenting (EVT-RS), or common femoral endarterectomy (CFE). Primary patency (PP), target lesion revascularization (TLR), and complications were the outcomes studied. We did proportional meta-analysis using a random-effect model due to heterogeneity among the included studies. If confidence intervals of two results do not overlap, then statistical significance is determined.Results. Twenty-eight studies met inclusion criteria (7 for EVT-RS, 8 for EVT-SS, and 13 for CFE). Total limbs involved were 2914 (306 in EVT-RS, 678 in EVT-SS, and 1930 in CFE). The pooled PP at 1 year was 84% (95% CI 75-92%) for EVT-RS, 78% (95% CI 69-85%) for EVT-SS, and 93% (95% CI 90-96%) for CFE. PP at maximum follow-up in EVT-RS was 83.7% (95% CI 74-91%) and in CFE group was 88.3% (95% CI 81-94%). The pooled target lesion revascularization (TLR) rate at one year was 8% (95% CI 4-13%) for EVT-RS, 19% (95% CI 14-23%) for EVT-SS, and 4.5% (95% CI 1-9%) for CFE. The pooled rate of local complications for EVT-RS was 5% (95% CI 2-10%), for EVT-SS was 7% (95% CI 3 to 12%), and CFE was 22% (95% CI 14-32%). Mortality at maximum follow-up in CFE group was 23.1% (95% CI 14-33%) and EVT-RS was 5.3% (95% CI 1-11%).Conclusion. EVT-RS has comparable one-year PP and TLR as CFE. CFE showed an advantage over EVT-SS for one-year PP. The complication rate is lower in EVT RS and EVT SS compared to CFE. At maximum follow-up, CFE and EVT-RS have similar PP but CFE has a higher mortality. These findings support EVT-RS as a management alternative for CFA-ASD.

scholarly journals What are the Risk Factors for Worse Outcomes of Meniscus Surgery in 23-39-Year-Old Patients Ligamentously Stable Knees?

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0046
Author(s):  
◽  
Megan Flynn ◽  
Anthony Egger ◽  
Yuxuan Jin ◽  
Elizabeth Sosic ◽  
...  
Keyword(s):  
Risk Factors ◽  
Young Adult ◽  
Patient Reported Outcomes ◽  
Meniscal Repair ◽  
Patient Specific ◽  
Lower Baseline ◽  
Patient Reported ◽  
Grade 3 ◽  
One Year

Objectives: Meniscus tears are a common and significant source of knee dysfunction in active young adult patients, and no high-quality prospective cohort or RCTs studies exist evaluating patient-reported outcomes in patients in this age group with ligamentously stable knees. Our objective was to identify patient-reported outcomes and patient-specific risk factors from a prospective cohort with a minimum of one-year follow-up following meniscal repair or excision in patients with ligamentously stable knees. We hypothesized that both groups would have significant improvement in outcomes; patients undergoing meniscal repair would have a higher reoperation rate; and articular cartilage injuries, subsequent knee surgery, and certain demographic characteristics would be significant risk factors to inferior outcomes at one year. Methods: Between February 2015 and December 2017, ligamentously stable meniscal procedures were enrolled and prospectively followed using the outcomes management evaluation system (OME) at Cleveland Clinic. Patients aged 23-39 preoperatively completed a series of validated outcome measurements including the Knee Injury and Osteoarthritis Outcome Score for both Pain (KOOS Pain) and Quality of Life (KOOS QoL). At the time of surgery, physicians documented all intra-articular findings, treatment, and surgical techniques utilized. Patients were followed at minimum of 1-year postoperatively through the OME platform and asked to complete the same outcome instruments done at baseline as well as a question designed to evaluate the Patient Acceptable Symptom State (PASS). The incidence and details of any subsequent knee surgeries were also obtained. Multivariable regression analysis was used to identify significant predictors of outcomes. Results: A total of 371 patients aged 23-39 underwent meniscus excision or repair during the study period. One hundred ninety-four met inclusion criteria, and one-year follow-up was obtained on 72% (n = 139) of the cohort (67% male; median age 32). Both KOOS Pain and KOOS QoL improved significantly at one-year for the entire cohort. Fourteen percent of the cohort (9% on the ipsilateral knee, 5% on the contralateral knee) underwent subsequent surgery at a minimum of one-year postoperatively. The patient-specific risk factors for worse one-year outcomes included preoperative baseline mental capacity score (VR-12 MCS), lower baseline KOOS QoL score, and the intraoperative finding of any grade 3 or 4 chondral changes. Conclusion: Young adult patients with ligamentously stable knees undergoing meniscal surgery have significantly improved patient-reported outcomes regardless of excision or repair; however, 14% of patients underwent additional knee surgery at a minimum of one-year postoperatively. The risk factors for worse outcomes include lower baseline mental health score, lower baseline KOOS QoL score, and any grade 3 or 4 chondromalacia scene.

scholarly journals Clinical simulation with dramatization: gains perceived by students and health professionals

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Elaine Cristina Negri ◽  
Alessandra Mazzo ◽  
José Carlos Amado Martins ◽  
Gerson Alves Pereira Junior ◽  
Rodrigo Guimarães dos Santos Almeida ◽  
...  
Keyword(s):  
Latin American ◽  
Web Of Science ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
National Library ◽  
Electronic Library ◽  
Clinical Simulation ◽  
Self Confidence ◽  
The Cochrane Library ◽  
Latin American And Caribbean

ABSTRACT Objective: to identify in the literature the gains health students and professionals perceive when using clinical simulation with dramatization resources. Method: integrative literature review, using the method proposed by the Joanna Briggs Institute (JBI). A search was undertaken in the following databases: Latin American and Caribbean Health Sciences Literature, Web of Science, National Library of Medicine, Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library, Scopus, Scientific Electronic Library Online. Results: 53 studies were analyzed, which complied with the established inclusion criteria. Among the different gains obtained, satisfaction, self-confidence, knowledge, empathy, realism, reduced level of anxiety, comfort, communication, motivation, capacity for reflection and critical thinking and teamwork stand out. Conclusion: the evidence demonstrates the great possibilities to use dramatization in the context of clinical simulation, with gains in the different health areas, as well as interprofessional gains.

Long-term outcome and prognostic factors of posterior circulation ischemia patients: Results from a single center retrospective study

Vascular ◽  
2019 ◽  
Vol 28 (1) ◽  
pp. 25-30
Author(s):  
Yanfei Han ◽  
Man Xu ◽  
Yuan Zhao ◽  
Yongbo Zhang
Keyword(s):  
Prognostic Factors ◽  
Basilar Artery ◽  
Good Prognosis ◽  
Posterior Circulation ◽  
National Institutes Of Health ◽  
Long Term Outcome ◽  
Nihss Score ◽  
The Mean ◽  
One Year ◽  
The One

Objective This study was to assess the clinical features and prognostic factors of posterior circulation cerebral infarction (PCCI) patients. Methods A total of 165 PCCI patients who were admitted to the Department of Neurology, Beijing Friendship hospital, Capital Medical University between January 2016 and December 2016 were included. Patients had complete medical record and received 12-month follow-up. The demographics, risk factors, clinical manifestations, National Institutes of Health Stroke Scale (NIHSS) score and imaging findings were collected and factors affecting their prognosis were further analyzed. Results The mean age was 59.5 ± 10.8 years and the mean National Institutes of Health Stroke Scale (NIHSS) score on admission was 6.6 ± 2.8. The one-year recurrence rate of stroke was 6.7%; 84.8% of patients had good prognosis (modified Rankin Scale [mRS] score 0–3) and 15.2% had poor prognosis (mRS score >3). The one-year mortality was 3.0%. Patients with ≥50% stenosis in the basilar artery and higher NIHSS score were more likely to have poor outcome. Conclusion The majority of PCCI patients have a good prognosis and a low mortality. The prognosis is poor in patients with ≥50% stenosis in the basilar artery and higher NIHSS score on admission.

scholarly journals Why People Participate in Collaborative Consumption: An Exploratory Study of Motivating Factors in a Latin American Economy

2020 ◽  
Vol 12 (5) ◽  
pp. 1936
Author(s):  
Jessica Alzamora-Ruiz ◽  
Carlos Guerrero-Medina ◽  
Myriam Martínez-Fiestas ◽  
Jaime Serida-Nishimura
Keyword(s):  
Latin American ◽  
Exploratory Study ◽  
Economic Benefits ◽  
Research Field ◽  
Recruitment Strategies ◽  
Motivating Factors ◽  
Collaborative Consumption ◽  
Intention To Participate ◽  
American Economy ◽  
Significant Factors

In recent decades, collaborative initiatives have become relevant in Latin America, however, the owners of these businesses still face great challenges to mobilize consumers interest. In the research field, many collaborative consumption (CC) researchers have focused on the identification of their predictors; but studies that have explored this phenomenon via motivations perspective are very limited, especially those that focus on the Latin American context. Furthermore, these studies have analyzed on particular consumption activities and consumers with previous experience, restricting the scope of its results. To close this gap, the research has as its purpose the exploration of the motivating factors that best predict the intention to participate in CC activities into one of the three countries with the greatest number of collaborative businesses in the region. The ANOVA and CHAID are applied to a sample of 2080 people. The results reveal that, although enjoyment, sustainability, reputation and economic benefits are significant factors for CC, not all are equally effective in promoting high levels of participation in Latin American context. These findings allow to achieve a better understanding of the collaborative phenomenon, and also they contribute to the development of value proposals and more focused recruitment strategies for potential consumers in the region.

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