scholarly journals Analysis of pathological characteristics and nursing intervention of patients with gastric polyps based on image stitching algorithm and endoscopy

2021 ◽  
Vol 37 (6-WIT) ◽  
Author(s):  
Linzhen Zhu ◽  
Linlin Zhu ◽  
Weihua Yu
Keyword(s):  
The Elderly ◽  
Nursing Intervention ◽  
Image Stitching ◽  
Hyperplastic Polyps ◽  
Creative Commons ◽  
Pathological Characteristics ◽  
Gastric Polyps ◽  
Stomach Body ◽  
Surgical Conditions ◽  
Objective Basis

Original Article Linzhen Zhu1, Linlin Zhu2, Weihua Yu3 ABSTRACTObjectives: The paper uses image stitching algorithm to understand the clinical and pathological characteristics of gastric polyps under gastroscope, and provides objective basis for the clinical diagnosis and treatment of gastric polyps and nursing intervention. Methods: The endoscopic, pathological data and surgical conditions of 111 patients with gastric polyps detected in the hospital from January 2017 to August 2019 were retrospectively analyzed. Results: The elderly patients (≥60 years old) in this group were those with high incidence of gastric polyps (56.8%); 80 patients with single polyps (72.1%), 31 patients with multiple polyps (27.9%); polyps were mainly located in the stomach (53.2%); polyps diameter ≤0.5cm are more common (69.4%); polyps are mainly hyperplastic polyps (40.5%) and inflammatory polyps in 37 cases (33.3%). Polyps were removed by biopsy forceps in 30 cases, endoscopic submucosal injection of 0.9% NaCl solution combined with high-frequency electrosurgical removal of 54 cases, endoscopic mucosal resection (EMR) in 6 cases, and endoscopic submucosal dissection (ESD) in treatment of the 4 cases, the remaining 17 cases were treated with surgery, and 12 patients were followed up, 2 of whom relapsed. Conclusion: Gastric polyps are small in diameter and mostly single; polyps are mainly located in the stomach body, mainly hyperplastic polyps; treatment methods are mostly endoscopic resection, and there is a possibility of recurrence after polypectomy, and follow-up should be strengthened. Full preparation before the operation, close cooperation during the operation, and careful postoperative care are important links to ensure the safety of the operation and reduce complications such as upper gastrointestinal bleeding. KEYWORDS: Pathological characteristics; Nursing; Gastric polyps; Image stitching algorithm; Endoscopy. doi: https://doi.org/10.12669/pjms.37.6-WIT.4854How to cite this:Zhu L, Zhu L, Yu W. Analysis of pathological characteristics and nursing intervention of patients with gastric polyps based on image stitching algorithm and endoscopy. Pak J Med Sci. 2021;37(6):1620-1624. doi: https://doi.org/10.12669/pjms.37.6-WIT.4854 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Prevalence of gastric polypoid lesions in a single endoscopic centre

2013 ◽  
Vol 154 (20) ◽  
pp. 770-774
Author(s):  
Ágnes Anna Csontos ◽  
Bálint Fekete ◽  
Katalin Lőrinczy ◽  
Orsolya Terjék ◽  
Lajos Berczi ◽  
...  
Keyword(s):  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Chronic Gastritis ◽  
Malignant Lesion ◽  
Fundic Gland ◽  
Hyperplastic Polyps ◽  
Gastric Polyps ◽  
Fundic Gland Polyps ◽  
Upper Gastrointestinal

Background: The prevalence of gastric polyps is unknown in Hungary. Aim: The aim of the authors was to assess the prevalence of polypoid lesions of the stomach in the endoscopic centre of the 2nd Department of Medicine, Semmelweis University. Methods: Results of upper gastrointestinal endoscopies carried out between March 2010 and June 2011 were analysed. Results: 193 cases with polyps were diagnosed in 4174 endoscopies (4.62%). Hyperplastic polyps, fundic gland polyps and malignant lesion were detected in 33.67%, 31.09% and 2.07% of the cases, respectively. Proton pump inhibitor use was more frequent among patients diagnosed with fundus gland polyps (p = 0.007), while hyperplastic polyps were diagnosed more frequently in patients with chronic gastritis (p = 0.032). Conclusions: The frequency of gastric polyps was higher than expected from data published in the literature. Long-term proton pump-inhibitor use and chronic gastritis were associated with fundus gland and hyperplastic polyps, respectively. Orv. Hetil., 2013, 154, 770–774.

scholarly journals Patterns of medication use and adherence to medications among residents in the elderly homes

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Magda AlGameel
Keyword(s):  
Side Effects ◽  
Patient Education ◽  
Chronic Diseases ◽  
Kidney Diseases ◽  
Medication Use ◽  
The Elderly ◽  
Current Therapy ◽  
Creative Commons ◽  
National Medical ◽  
Liver And Kidney

Objective: To evaluate health care related to medication regimens among institutionalized elders in Damanhour, Beheira Governate, Egypt. Methods: A prospective, multi-centered, observational study was conducted in the two elderly residential homes in Damanhour between March and May 2017. A questionnaire was developed and validated to test for elderly socio-economic, chronic diseases, current therapy adherence, vaccination history and patient education. Descriptive and quantitative analysis were performed. Results: sixty-three elderly residents were included in the study. The sample showed broad socioeconomic variability posing a true reflection of Egyptian population. 63.5% had no hearing problems, 31.7% had proper vision and 57% could move with no help. More than three quarters had chronic diseases of which 58.7% were previously hospitalized. The most prevalent diseases were hypertension, diabetes and arthritis 46%, 41.3%, 26.9% respectively. Only 7.9% and 4.7% showed chronic liver and kidney diseases, respectively and less than 10% suffered from respiratory related diseases. No alcohol drinker, 25.3% were smokers and 58.7% drank caffeine. Only 25.3% of residents showed full adherence to their medication pattern. Approximately 80% of residents never received proper patient education. Forty-three residents did not know the indication of their medications and 92% ignored its side effects. Conclusion: Absence of proper medical care exposure for the elderly residents was reflected in their low medication adherence, adverse side effects and hospitalization. We suggest extension of the national medical insurance system to include larger number of elderly population. To monitor the care given concerning medication, a daily resident gerontological nurse needs to be assigned, visits by clinical pharmacists weekly or bi-weekly from the nearby governmental hospital can improve improper medication. doi: https://doi.org/10.12669/pjms.36.4.1923 How to cite this:Algameel M. Patterns of Medication use and adherence to medications among residents in the elderly homes. Pak J Med Sci. 2020;36(4):---------. doi: https://doi.org/10.12669/pjms.36.4.1923 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Reduction of stress and blood pressure with meditation therapy in elderly groups in balai pelayanan sosial tresna werdha (BPSTW) in Yogyakarta

2019 ◽  
Vol 1 (1) ◽  
pp. 31-38
Author(s):  
Fajarina Lathu A
Keyword(s):  
Blood Pressure ◽  
Physical Health ◽  
Stress Measurement ◽  
Intervention Group ◽  
The Elderly ◽  
Nursing Intervention ◽  
Health Problems ◽  
Control Group ◽  
Depression Anxiety Stress Scale ◽  
Physical Health Problems

Stress in elderly institution residents is an interesting phenomenon to study. Sustained stress in the elderly can be harmful and cause mental and physical health problems. Hypertension is one of the physical health problems that can result from stress. Nursing Intervention Classification 2013 recommends the use of Meditation Therapy to address the problem. Meditation is a self-directed exercise to relax and calm the mind, besides that meditation is an easy and inexpensive activity. This certainly provides benefits for the institution in caring for the elderly. Less information on meditation therapy, challenging nurses to perform scientific verification.Scientific proof of reduced stress and blood pressure in elderly groups at the Balap Pelayanan Tresna Werdha (BPSTW) in Yogyakarta This research is a quasy experiment with pretest and posttest with control group. The treatment group was given meditation therapy for 7 times a week, while the control group was not given treatment. Respondents were selected using simple random sampling. Stress measurement using the DASS (Depression Anxiety Stress Scale) and blood pressure were measured using a digital sphygmomanometer. The stress in intervention group of elderly after being treated results decreased by 1.8, whereas in the control group it increased by 0.029. The systole blood pressure in the intervention group of elderly decreased 6.257 mmHg and 0.457 mmHg in the control group. When the elderly diastole blood pressure in the intervention group experienced an average decrease of 3.4 mmHg, while in the control group it increased by 1.057 mmHg. Conclusion: Meditation therapy is significant for reducing stress and blood pressure in the elderly at the Balai Pelayanan Tresna Werdha (BPSTW) in Yogyakarta

scholarly journals A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease

2018 ◽  
Vol 1 (1) ◽  
pp. 24-34
Author(s):  
Bahtiar Bahtiar ◽  
Sahar Sahar ◽  
Junaiti Junaiti ◽  
Wiarsih Wiarsih ◽  
Wiwin Wiwin
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Chronic Diseases ◽  
The Elderly ◽  
Nursing Intervention ◽  
Prolonged Treatment ◽  
Descriptive Phenomenology ◽  
Grieving Process ◽  
Disease Condition ◽  
Psychological Reaction

Background: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness. Keyword: grieving, chronic illness, elderly, family

scholarly journals AGREEMENT BETWEEN DIFFERENT PATHOLOGISTS IN HISTOPATHOLOGIC DIAGNOSIS OF 128 GASTRIC POLYPS

2017 ◽  
Vol 54 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Sérgio Henrique Brito BARBOSA ◽  
Geraldo Cezário de LÁZARO FILHO ◽  
Luciano Monteiro FRANCO ◽  
José Telmo VALENÇA JUNIOR ◽  
Miguel Ângelo NOBRE E SOUZA ◽  
...  
Keyword(s):  
University Hospital ◽  
Histopathological Diagnosis ◽  
Fundic Gland ◽  
Digestive Endoscopy ◽  
Hyperplastic Polyps ◽  
Kappa Index ◽  
Substantial Agreement ◽  
Gastric Polyps ◽  
Fundic Gland Polyps ◽  
Histopathologic Diagnosis

ABSTRACT BACKGROUND - Gastric polyps are elevated mucosal lesions. Most of them are less than 1 cm and when larger than 2 cm, has a high malignancy probability. The histopathological types are mainly fundic gland polyps, hyperplastic polyps and adenomatous polyps. OBJECTIVE - To evaluate the agreement between three different pathologists in the histopathological diagnosis of 128 biopsied gastric polyps in Digestive Endoscopy Unit from Walter Cantídeo University Hospital, between May 2010 to May 2012. METHODS - To describe the intensity of agreement between observers, we use kappa index that is based on the number of concordant measures between them. RESULTS - There was substantial agreement in the diagnosis of adenoma (kappa=0.799, CI: 0.899-0.698) and fundic glands (kappa=0.655, CI: 0.755-0.555). Regarding to hyperplastic polyps (kappa=0.415, CI: 0.515-0.315) and inflammatory (kappa=0.401, CI: 0.501-0.301), we obtained a moderate agreement. Regarding the presence of Helicobacter pylori in biopsy of the polyp, there was a low agreement (kappa=0.219, CI: 0.319-0.119). CONCLUSION - It is clear that the agreement between pathologists depends on the histological type of the biopsied polyp and this agreement is more substantial in adenoma, or fundic gland polyps.

Nursing Intervention in Decrease of Blood Cholesterol and Blood Pressure in The Lansia Group Provided Cupping Therapy in The Village of Wedomartani Sleman

2021 ◽  
Vol 15 (5) ◽  
pp. 1305-1308
Author(s):  
Su warsi
Keyword(s):  
Blood Pressure ◽  
Treatment Group ◽  
Alternative Therapy ◽  
The Elderly ◽  
Nursing Intervention ◽  
Cupping Therapy ◽  
Blood Cholesterol ◽  
Control Group ◽  
Measuring Device ◽  
Cholesterol Levels

Background: Much alternative therapy such as cupping therapy in the community as one of the cheap treatment efforts without side effects makes the challenge and the goal for nursing staff improve nursing services. The unfinished scientific verification of cupping therapy's alternative therapy makes nurses need to prove decreased blood pressure and cholesterol levels in the elderly. Objective: Scientific proof of cholesterol and blood pressure decrease after Cupping Therapy in an elderly group in Wedomartani Village, Sleman Yogyakarta Indonesia. Method: quantitative type with pseudo experimental research design. Pre-test and Post-test nonequivalent control group. The treatment group was given wet cupping therapy, while the control group was given dry cupping. Respondents were selected using a purposive sampling technique. Blood pressure measurement uses a digital tensimeter and cholesterol measurement using a digital blood cholesterol level measuring device. Results: The elderly blood cholesterol levels after the average therapy decreased 42.89 mg/dl, whereas blood cholesterol levels in the control group decreased an average of 20.95 mg/dl. The blood pressure of the elderly systole in the intervention group after the average therapy decreased 10.74 mmHg, whereas the control group's systole blood pressure decreased an average of 1.58 mmHg. Diastole blood pressure in the treatment group decreased 3,48 mmHg, in the diastole blood pressure control group increased 5,26 mmHg. Conclusions: Wet and dry cupping are both significantly associated with decreased blood cholesterol and blood pressure levels, but wet cupping lowers blood cholesterol levels by a mean difference of 21.95 mg/dl and mean systole blood pressure of 3.74 mmHg and pressure diastole blood difference of mean 9.1 mmHg. Keyword: Blood Pressure. Cupping Therapy, Cholesterol, Elderly

Ophthalmology

2018 ◽  
Author(s):  
Venki Sundaram
Keyword(s):  
Visual Recognition ◽  
Medical Knowledge ◽  
The Elderly ◽  
Good Communication ◽  
Ocular Manifestations ◽  
Eye Problems ◽  
Hand Eye Coordination ◽  
Patient Groups ◽  
Surgical Conditions ◽  
Medical Teams

Ophthalmology principally aims to prevent visual loss, restore visual function, and relieve ocular discomfort. The majority of the pathology can be directly visualized and thus requires proficient ocular examination techniques and visual recognition skills. Another distinguishing aspect of ophthalmology is the overlap between medical and surgical conditions. Common systemic diseases such as diabetes and hypertension have ocular features, and diseases involving every organ of the body can have ocular manifestations. A thorough medical knowledge is paramount, as is the ability to collaborate with other medical teams. Intraocular surgery for conditions such as cataract is technically challenging, as ocular tissues are so delicate. It therefore requires high levels of fine hand–eye coordination. As an ophthalmologist, you will be faced both with acute eye conditions, some of which are sight-threatening and require prompt diagnosis and management, and with chronic conditions, which require monitoring and treatment for many years. You will be exposed to patients of all ages, from premature babies to the elderly, so good communication with a wide range of patient groups and their families is essential. Patients often say that what they fear most is losing their sight. Therefore, empathy and support for patients with debilitating visual impairment are imperative. The questions in this chapter will test your knowledge of acute emergency ophthalmic presentations and the understanding and interpretation of ophthalmic examination, as well as ocular conditions that have systemic associations. In addition, questions relating to ophthalmic risk factors, communication, and probity are included. Eye problems can be daunting to many medical students and doctors. Through practice in examining patients and recognizing key conditions, confidence can be gained in how best to manage these patients and, importantly, when to refer them to other specialties. Ophthalmology incorporates a unique and appealing mix of medical and surgical conditions. It is a rapidly advancing specialty with recent significant advances in diagnostic and therapeutic options. It also provides an opportunity for a good work–life balance.

PREVENTATIVE NURSING INTERVENTION WITH THE ELDERLY

1978 ◽  
Vol 4 (5) ◽  
pp. 28-34 ◽  
Author(s):  
Amy Joyce ◽  
Rosemary Krawczyk
Keyword(s):  
The Elderly ◽  
Nursing Intervention

Clinical and pathological characteristics of elderly colorectal cancer patients over 70 years old and comparison with patients under 50 years old.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e14174-e14174
Author(s):  
Betul Erismis ◽  
Nadire Kucukoztas ◽  
Samed Rahatli ◽  
Selim Yalcin ◽  
Omer Dizdar ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Elderly Patients ◽  
Cancer Patients ◽  
Systemic Disease ◽  
Performance Status ◽  
The Elderly ◽  
University Hospital ◽  
Individual Treatment ◽  
Pathological Characteristics ◽  
Colorectal Cancer Patients

e14174 Background: Incidence of colon cancer increases with age and generally is diagnosed at the age of between 60-75. Because of comorbidities in elderly patients who are older 70 years of age, lower doses of adjuvant or metastatic therapy is given them or the other option can be the chemotherapeutics which had less side effects. Methods: We aim to identify clinical and pathological characteristics of elderly colorectal cancer patients over 70 years of age who were followed at Baskent University Hospital and compare with CRC patients under the 50 years of age. Results: 182 CRC patients were assigned to the study who were followed between 1998-2011. We classified the patients into two categories according to the age. 91 participants were over 70 years of age and 91 participants were under 50 years of age. There were no significant differences between two groups for gender and percentage of patients having surgery (p=0.65/0.732). History of having systemic disease was significantly higher in the elderly group (p<0.001). Adjvuvant chemotherapy was given to the 38 (53.5%) patients aged over 70 and 66 (91.7%) patients aged under 50 (p<0.001). We compared the both groups for progression free and overall survival time for all stages. However, there were no statistically significant differences between two groups. Conclusions: Our study confirms that elderly CRC patients get benefit from the adjuvant chemotherapy treatment as the same as patients under 50 years of age. Therefore, physcians should consider about performance status and systemic disease in elderly patients and give an individual treatment to them.

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