scholarly journals Comparisons of fatigue between dialysis modalities: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246890
Author(s):  
Yukio Maruyama ◽  
Masaaki Nakayama ◽  
Atsushi Ueda ◽  
Mariko Miyazaki ◽  
Takashi Yokoo
Keyword(s):  
Patient Outcomes ◽  
Employment Status ◽  
Combined Therapy ◽  
Cross Sectional Study ◽  
Profile Of Mood States ◽  
Sectional Study ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
Fatigue Development ◽  
Original Scale

Background Fatigue is one of the most frequent complications in dialyzed patients and is associated with poorer patient outcomes. Multiple factors are reported to be associated with fatigue development. Of them, the impacts of dialysis modalities remain unknown. Methods A total of 194 dialysis patients (mean age, 61±11 years; 134 males; modalities included hemodialysis (HD) in 26, online hemodiafiltration (HDF) in 74, peritoneal dialysis (PD) in 68, and combined therapy with PD and HD in 26 cases) were recruited for this cross-sectional study. Fatigue was assessed using the Profile of Mood States (POMS), a Visual Analogue Scale (VAS), and our original scale of fatigue, and depression was assessed by the Beck Depression Inventory-second edition (BDI-II). Our original scale of fatigue was administered both on dialysis and dialysis-free days to patients on HD and online HDF. Results The scores of the POMS, VAS, and our original scale were weakly but significantly inter-related (rho = 0.58, P<0.01; rho = 0.47, P<0.01, and rho = 0.42, P<0.01 between POMS and VAS, POMS and our original scale for fatigue, and VAS and our original scale for fatigue, respectively). The scores of these 3 tests showed no significant differences among the 4 modalities. On multivariate analysis, age, body mass index, creatinine, and employment status were associated with the presence or severity of fatigue, whereas dialysis modality was not. A similar result was obtained in 122 patients without depression. The prevalence of fatigue by our original scale was significantly lower on dialysis-free days than on dialysis days in patients on HD and online HDF. Conclusions The results suggest that there is no significant association between different dialysis modalities including HD, online HDF, PD and combined therapy with PD and HD and the prevalence or severity of fatigue.

scholarly journals Faktor-Faktor Yang Mempengaruhi Penyapihan Bayi Umur Kurang Dari 6 Bulan Melalui Studi Cross Section

2021 ◽  
pp. 88-95
Author(s):  
Dahniar Dahniar ◽  
Nurdiana Nurdiana ◽  
Abdul Halim
Keyword(s):  
Employment Status ◽  
Nutritional Value ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Birth Spacing ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Approach ◽  
Nutritional Needs

Weaning too early can affect the growth of the baby and the mother often ignores the nutritional needs of the baby. In addition, malnutrition is more common today than during the first 4-6 months of life. This is because many families do not understand the special needs of babies and are unable to provide food with good nutritional value. The type of research used is a survey with a cross-sectional study approach. The population is all mothers who have babies aged 6 months and the sample is all mothers who have babies aged 6 months. The sampling technique was simple random sampling. The results showed that there was a significant effect between mothers who did weaning for less than 6 months with education = 0.006. There is a significant effect between mothers who do weaning for less than 6 months with employment status = 0.008. There is a significant effect between mothers who do weaning less than 6 months with birth spacing = 0.007.

scholarly journals Factors Related To Outcome of Traumatic Brain Injury Patients at M Djamil Padang Hospital

2021 ◽  
Vol 5 (8) ◽  
pp. 811-817
Author(s):  
Nora Fitri ◽  
Syarif Indra ◽  
Hendra Permana
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Patient Outcomes ◽  
Significant Relationship ◽  
Traffic Accidents ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Major Threat

Background: Traumatic brain injury is still a major threat because it can cause global morbidity and mortality. Many factors can affect the outcome of a traumatic brain injury. Some conditions that can exacerbate traumatic brain injury include GCS conditions, blood pressure variability, and pupillary reflexes.Methods: The research was conducted in M. Djamil Padang Hospital from October 2020 to March 2021. The study design was a cross-sectional study in traumatic brain injury patients with ≤ 48 hours of onset and the aged between 18-60 years. The subjects in this study consisted of 66 subjects. At 6 weeks after onset, a GOS assessment was performed to assess patient outcomes. Statistical analysis was performed computerized with SPSS 22.0. P-value <0.05 was considered statistically significant. Results: Most of the patients were male (71.2%) with an average age of 36.41 ± 14,275 years, and the most common injury mechanism was traffic accidents (95.5%). There was a significant relationship between onset of incidence, hypotension, pupillary reflexes, and Rotterdam score with the outcome of traumatic brain injury patients (p<0.05) and there was no significant relationship between age, gender, and mechanism of injury with the outcome patients with traumatic brain injury. Conclution: The onset of events, hypotension, pupillary reflexes, and Rotterdam scores significantly affect the outcome patients of traumatic brain injury.

Causes, Complications and Pattern of Hemodialysis in Egypt

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Tamer W Elsaid ◽  
Mostafa A Abdulgawaad ◽  
Fatma A. Nasser S Ali
Keyword(s):  
Current Practice ◽  
Evidence Base ◽  
Cross Sectional Study ◽  
Work Status ◽  
Sectional Study ◽  
Dialysis Patients ◽  
Cross Sectional ◽  
International Guidelines ◽  
Co Morbidity ◽  
End Stage

Abstract Background There is a gap between evidence base and current practice in hemodialysis pattern which is different from a country to another due to different economic levels and organization of health. these gaps include many things such as causes and co-morbidity modality of hemodialysis medication given. Methods This cross sectional study was carried out on 500 end Stage renaldisease (ESRD)in Egypt All patients selected were subjected to full history, examination, medical record which included iron study HGB, bone study, erythropoietin. vitamins,HD prescription, causes and complications of HD. Results HD pattern in Egypt agrees with the international guidelines and other countries except age(less than USA), bicarbonate as buffer for HD (acetate still used) HGB level is 9.2 gm./dl(target 11-12), using sevelamer as phosphate binder less than usual percent of others, work status for HD pts., is higher than others, routine iron investigations and routine adequacy of HD Conclusion there are increased prevalence of dialysis patients in Egypt and few difference in the pattern of HD with international guidelines

scholarly journals Emergency general surgery in Rwandan district hospitals: a cross-sectional study of spectrum, management, and patient outcomes

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Christophe Mpirimbanyi ◽  
Alexandre Nyirimodoka ◽  
Yihan Lin ◽  
Bethany L. Hedt-Gauthier ◽  
Jackline Odhiambo ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
General Surgery ◽  
Cross Sectional Study ◽  
Spectrum Management ◽  
Sectional Study ◽  
Emergency General Surgery ◽  
Cross Sectional ◽  
District Hospitals
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