scholarly journals Deep Neck infections of Odontogenic Origin and Their Clinical Significance. A Retrospective Study from Hradec Králové, Czech Republic

2015 ◽  
Vol 58 (3) ◽  
pp. 86-91 ◽  
Author(s):  
Helena Doležalová ◽  
Josef Zemek ◽  
Luboš Tuček

Introduction: Cellulitis remains a very serious disease even today. Mortality, which varied between 10–40%, has been reduced owing to the standard securing of airway patency and use of an appropriate surgical treatment approach. Materials and methods: A total of 195 patients were hospitalised for cellulitis at the University Hospital in Hradec Králové during 2007–2011. The following parameters were evaluated: age, gender, dependence of incidence of the disease on the season of the year, frequency of attacks of the particular areas and their clinical characteristics, aetiology of the inflammation, types of patient complaints, prevalence of current systemic diseases, results of microbiological and selected laboratory analyses, socio-economic status of the patients, and duration of patient stay at the hospital. Statistical analysis was performed by using Pearson’s correlation coefficient, the statistical significance level was p < 0.05. Results: The mean age of the patients was 39.8 years. The group of 195 patients included 108 (55%) males and 87 (45%) females. The mean time between the first symptoms of the disease and admission to the Department was 5 days. From among the 195 patients, 116 (59.5%) were working persons, 79 (40.5%) were non-working (children, students, unemployed persons, women on maternity leave, retired people). The odontogenic origin of the disease was verified in 173 (88.7%) patients. In total, 65 (33.3%) patients had no coinciding complicating systemic disease, 22 (11.3%) patients had diabetes mellitus. The most frequent symptom of cellulitis was painful swelling, found in 194 (99.5%) patients, followed by jaw contracture, found in 153 (78.5%) patients. Conclusion: The results are largely very similar to those of previous studies performed in other countries, except that we found no correlation between the prevalence of cellulitis and the socio-economic status, nor have we confirmed Klebsiella pneumoniae sp. as the cause of cellulitis in patients with diabetes mellitus.

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 923.4-924
Author(s):  
H. Hachfi ◽  
D. Khalifa ◽  
M. Brahem ◽  
N. Ben Chekaya ◽  
M. Younes

Background:Knee osteoarthritis and obesity are both major health problems. It is now admitted that the prevalence of knee osteoarthritis gets higher with obesity and that weight loss helps knee function and allows patients to avoid surgery.Objectives:The aim of this study was to study the influence of obesity on knee osteoarthritis features.Methods:A cross-sectional study was conducted in the university hospital Taher Sfar of Tunisia over a period of 6 months. Patients who had knee osteoarthritis confirmed by radiographs were included. Sociodemographic, clinical, radiological and therapeutic data were collected from medical records and visits. Obesity was defined by a body mass index (BMI) ≥30. Functional impairment was assessed by the Womac index and Lequesne index.Results:The study included 186 patients. There were 31 males and 155 femmes. The mean age was 60±10 years. The percentage of obese patients was 53,8%. The mean age was similar in both groups obese and non obese. There were more women in the obese group compared to the non obese group (p=0.0001), more patients who had diabetes mellitus and dyslipidemia (p=0.002). Non-obese patients had a shorter duration of symptoms with no statistical significance (p=0.151). Obese patients had more involvement of both knees (p<0.0001). Obesity did not have an impact on pain severity. Severity of radiological images (p=0,0001) were more frequent in obese patients. Functional impairment was similar in both groups. However, the percentage of patients having a very important functional impairment with Lequesne index was higher in obese patients (p<0.029). Obese patients also needed more physical therapy sessions (p=0.035).Conclusion:Knee osteoarthritis in obese patients is characterized with the femlae gender predominance, bilateral knee involvement, and a more severe images on radiographs. Thus the need for better control of weight and the importance of physical activity.References:[1]Coggon D, Reading I, Croft P, et al. Knee osteoarthritis and obesity. Int J Obes Relat Metab Disord J Int Assoc Study Obes 2001; 25: 622–627.Disclosure of Interests:None declared


2018 ◽  
Vol 5 (1) ◽  
pp. 43-56
Author(s):  
Diana Pramesti ◽  
Muhyadi Muhyadi

Penelitian ini bertujuan untuk mengungkapkan pengaruh: Supervisi kepala sekolah, motivasi kerja guru, iklim kerja dan status sosial ekonomi secara parsial maupun bersama-sama berpengaruh terhadap kinerja guru SMA Negeri di Kota Pangkalpinang. Penelitian ini merupakan penelitian ex-post facto dengan pendekatan kuantitatif. Penelitian ini menggunakan teknik sampling jenuh di mana semua populasi sebagai subjek penelitian. Pengujian validitas dilakukan dengan expert judgement dan confirmatory factor analisys (CFA). Pengujian reliabilitas menggunakan Cronbach’s Alpha (α). Analisis data menggunakan teknik statistik regresi berganda. Hasil penelitian meliputi (1) Supervisi kepala sekolah berpengaruh terhadap kinerja guru dengan nilai signifikansi 0,032< 0,05. (2) Motivasi kerja berpengaruh terhadap kinerja guru nilai signifikansi 0,000< 0,05. (3) Iklim kerja guru berpengaruh terhadap kinerja guru nilai signifikansi 0,031< 0,05. (4) Status sosial ekonomi tidak berpengaruh terhadap kinerja guru nilai signifikansi 0,130>0,05. (5) Supervisi kepala sekolah, motivasi kerja, iklim kerja guru dan status sosial ekonomi secara bersama-sama berpengaruh terhadap kinerja guru nilai signifikansi 0,000<0,05. Sumbangan efektif setiap variabel sebagai berikut (1) supervisi kepala sekolah sebesar 8,1%; (2) motivasi kerja guru sebesar 42,0%; (3) iklim kerja guru sebesar 17,3%; (4) status sosial ekonomi sebesar 1,8% dan (5) supervisi kepala sekolah, motivasi kerja, iklim kerja guru, status sosial ekonomi secara bersama-sama berpengaruh terhadap kinerja guru sebesar 62,3%.Kata kunci: supervisi kepala sekolah, motivasi kerja guru, iklim kerja guru, status sosial ekonomi, kinerja guru THE FACTORS OF AFFECTING SENIOR HIGH SCHOOLSTEACHER’S PERFORMANCEAbstractThe research aims to reveal the effect of: Principal supervision, teacher's work motivation, teachers’ work climate, and socio-economic status simultaneously on the performance of the teachers of State Senior High Schools in Pangkalpinang. This research was ex-post facto research with the quantitative approach. It used the saturated sample where all the population became the sample. The validation was done through expert judgement and confirmatory factor analisys (CFA). The reliability was measured using Cronbach's Alpha (α). The data analysis used the multiple regression statistical technique. The results included. (1) The principal supervision affects the performance of the teachers, with the highest significance of 0.032 < 0,05. (2) The work motivation affects teacher performance at the significance level of  0.000 < 0,05. (3) Teachers’ working climate affects their performance with the highest significance of 0.031 < 0,05. (4) Socio-economic status does not affect the performance of the teacher with the highest significance of 0.133 > 0,05. (5) The principal supervision, work motivation, teachers’ work climate, and socio-economic status simultaneously affect the performance of the teachers, at the significance level of 0.000 < 0,05. The effective contribution of each variable as a follows: (1) Principal supervision is 8.1%; (2) Teacher motivation is 42.0%; (3) work climate is17.3%; (4) Socio-economic status is 1.8% and, (5) Principal supervision, the motivation to work, teachers’ work climate, socio-economic status altogether are 63.3%.Keywords: principal supervision, teacher work motivation, teachers work climate, socio-economic status, teachers performance


2021 ◽  
Vol 149 ◽  
Author(s):  
Aysegul Alpcan ◽  
Serkan Tursun ◽  
Yaşar Kandur

Abstract Several studies have demonstrated that higher levels of vitamin D are associated with better prognosis and outcomes in infectious diseases. We aimed to compare the vitamin D levels of paediatric patients with mild/moderate coronavirus disease 2019 (COVID-19) disease and a healthy control group. We retrospectively reviewed the medical records of patients who were hospitalised at our university hospital with the diagnosis of COVID-19 during the period between 25 May 2020 and 24 December 2020. The mean age of the COVID-19 patients was 10.7 ± 5.5 years (range 1–18 years); 43 (57.3%) COVID-19 patients were male. The mean serum vitamin D level was significantly lower in the COVID-19 group than the control group (21.5 ± 10.0 vs. 28.0 ± 11.0 IU, P < 0.001). The proportion of patients with vitamin D deficiency was significantly higher in the COVID-19 group than the control group (44% vs. 17.5%, P < 0.001). Patients with low vitamin D levels were older than the patients with normal vitamin D levels (11.6 ± 4.9 vs. 6.2 ± 1.8 years, P = 0.016). There was a significant male preponderance in the normal vitamin D group compared with the low vitamin D group (91.7% vs. 50.8%, P = 0.03). C-reactive protein level was higher in the low vitamin D group, although the difference did not reach statistical significance (9.6 ± 2.2 vs. 4.5 ± 1.6 mg/l, P = 0.074). Our study provides an insight into the relationship between vitamin D deficiency and COVID-19 for future studies. Empiric intervention with vitamin D can be justified by low serum vitamin D levels.


2018 ◽  
Vol 18 (1) ◽  
pp. 19-65 ◽  
Author(s):  
Willian Alves Dos Santos ◽  
Patricia Dos Santos Claro Fuly ◽  
Marise Dutra Souto ◽  
Mauro Leonardo Salvador Caldeira Dos Santos ◽  
Luiza De Lima Beretta

Objetivo: Identificar as associações entre odor e isolamento social em pacientes com feridas tumorais malignas. Material e método: Estudo piloto com corte transversal realizado com nove pacientes com feridas tumorais malignas atendidos em um hospital universitário no período de 2014 a 2016. Coletaram-se dados por meio de aplicação de escala likert de cinco pontos para avaliação do isolamento social relacionado ao odor de feridas tumorais malignas, durante as consultas de enfermagem. Analisaram-se os dados por estratégia estatística inferencial com cálculo de coeficiente de Spearman ao nível de significância de 5% (α = 0,05). Resultados: Constatou-se correlação com significância estatística entre o odor e as dimensões psicossociais: constrangimento e limitação em frequentar locais públicos. Conclusão: O odor é o principal sintoma que gera constrangimento e limita a convivência social, favorecendo o isolamento social e a degradação da qualidade de vida dos pacientes oncológicos. Objetivo: Analizar las asociaciones entre olores y aislamiento social en pacientes con heridas tumorales malignas.Material y método: Estudio piloto con corte transversal realizado con nueve pacientes con heridas tumorales malignas atendidas en un hospital universitario en el período de 2014 a 2016. Se recogieron datos por medio de aplicación de escala likert de cinco puntos para evaluación del aislamiento social relacionado con el olor de las heridas tumorales malignas durante las consultas de enfermería. Se analizaron los datos por estrategia estadística inferencial con cálculo de coeficiente de Spearman al nivel de significancia del 5% (α = 0,05).Resultados: Se constató correlación con significancia estadística entre el olor y las dimensiones psicosociales: constreñimiento y limitación en frecuentar locales públicos.Conclusión: El olor es el principal síntoma que genera constreñimiento y limita la convivencia social, favoreciendo el aislamiento social y la degradación de la calidad de vida de los pacientes oncológicos. Objective: To analysis associations between odor and social isolation in patients with malignant tumor wounds.Material and method: This is a cross-sectional pilot study performed with nine patients with malignant tumor wounds treated at a university hospital from 2014 to 2016. Data were collected using a five-point Likert scale for the evaluation of social isolation related to odor of malignant tumor wounds during nursing consultations. Data were analyzed by inferential statistical strategy with Spearman's coefficient at the significance level of 5% (α = 0.05).Results: Correlation was found with statistical significance between odor and psychosocial dimensions: constraint and limitation in attending public places.Conclusion: Odor is the main symptom that causes embarrassment and limits social coexistence, favoring social isolation and degradation of the quality of life of cancer patients.


2004 ◽  
Vol 46 (S1) ◽  
pp. 1-1
Author(s):  
Joachim Rosenbauer ◽  
Jean Baptiste du Prel ◽  
Andrea Icks ◽  
Reinhard W. Holl ◽  
G. Giani

1975 ◽  
Vol 19 (3) ◽  
pp. 209-230 ◽  
Author(s):  
Glen T. Evans ◽  
Millicent E. Poole

Previous research indicates that mean patterns of mental ability show striking differences between different ethnic groups. In this paper, some salient features of information processing on which there are likely to be differences between children of Australian born parents of low SES and children of migrant parents are discussed. An empirical study of these differences is described. The mean performance of the migrant children studied compared with children of low SES Australian born parents was found to be related to the balance between verbal and cognitive aspects of the task. The greater the cognitive demand for a given verbal requirement the better the performance of the migrant children relative to the children in the “Australian” group. Further, the intercorrelations between performances were found to be markedly different for the two groups. The results suggest that migrant children in particular may benefit from teaching which emphasises the pragmatic use of language to indicate desired discriminations and concepts.


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