scholarly journals Effect of sugammadex on postoperative pulmonary complications in patients with respiratory dysfunction after laparoscopic gastric or intestinal surgery: A retrospective study

2020 ◽  
Author(s):  
Yiqin Ji ◽  
Hui Yuan ◽  
Yijun Chen ◽  
Xincai Zhang ◽  
Fan Wu ◽  
...  

Abstract Background Use of sugammadex is associated with fewer postoperative pulmonary complications. This study investigated the relationship between sugammadex and postoperative pulmonary complications (PPC) in specific patients with respiratory dysfunction. Methods The authors reviewed the electronic medical and anesthesia records of patients with respiratory dysfunction who had laparoscopic gastric or intestinal surgery at a single center between May 01, 2018, and December 31, 2019. The patients were divided into the sugammadex group and the non-sugammadex group, based on whether or not they received sugammadex. Binary logistic regression analyses were used to characterize the differences in incidence of PPC. Results A total of 112 patients were included, of which 46 patients (41.07%) received sugammadex. In the logistic regression analysis, the incidences of PPC were fewer in the sugammadex group. Postoperative fever [Odds Ratio (OR) 0.330; 95% Confidence Interval (CI) 0.137–0.793, p = 0.0213], postoperative ICU admission (OR 0.204; 95% CI 0.065 to 0.644, p = 0.007), cough (OR 0.143; 95% CI 0.061 to 0.333, p < 0.001), pleural effusion (all) (OR: 0.280; 95% CI 0.104 to 0.759, p = 0.012), pleural effusion (massive) (OR: 0.142; 95% CI 0.031 to 0.653, p = 0.012), and difficulty in breathing (OR: 0.111; 95% CI 0.014 to 0.849, p = 0.039) showed significant differences between the two groups. Conclusions Sugammadex-mediated reversal of neuromuscular blockade can reduce the PPC in patients with respiratory dysfunction.

2020 ◽  
Vol 18 (3) ◽  
pp. 347-356
Author(s):  
Kojiro Matsuda

The purpose of the present study was to clarify the relationship between the development of the yips in baseball, overcommitment to sport, and resilience. Participants: 482 Japanese baseball players who belonged to a university baseball team (mean age = 19.43 years, SD = 1.00) were included in the analysis. A face sheet, a questionnaire on the yips, the scale of overcommitment to sport, and the Bidimensional Resilience Scale. Binary logistic regression analyses were used to evaluate the extent, to which overcommitment and resilience predicted the presence or absence of developing the yips in baseball. The results indicated the overcommitment was significant but the two factors of resilience, namely, innate resilience and acquired resilience were not significant. Thus, it is possible that the higher the tendency of overcommitment to baseball, the higher the possibility of developing the yips. It is recommended that a longitudinal study be conducted to examine what factors are involved in the process in depth. The purpose of the present study was to clarify the relationship between the development of the yips in baseball, overcommitment to sport, and resilience. Binary logistic regression analyses revealed that while overcommitment was significant in the development of the yips, innate and acquired resilience were not. It is recommended that a longitudinal study be conducted to examine what factors are involved in the process in depth.


2020 ◽  
pp. 107780122094503
Author(s):  
Brooke de Heer ◽  
Sarah Prior ◽  
Jenna Fejervary

While research in recent years has investigated the influence of pornography consumption on sexually aggressive behavior, research on the relationship between pornography and experienced victimization is sparse. The current study sought to explore female sexual victimization and its relationship with pornography consumption and alcohol use at two universities ( N = 483). Binary logistic regression analyses indicate that both pornography and alcohol consumption were unique predictors of self-reported victimization for college females and that the combined effect of pornography and alcohol dramatically increases the odds of victimization. Results are discussed in the context of pornography’s impact on the minimization of sexually aggressive acts in real life and campus rape culture.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A305-A306
Author(s):  
Jesse Moore ◽  
Ellita Williams ◽  
Collin Popp ◽  
Anthony Briggs ◽  
Judite Blanc ◽  
...  

Abstract Introduction Literature shows that exercise moderates the relationship between sleep and emotional distress (ED.) However, it is unclear whether different types of exercise, such as aerobic and strengthening, affect this relationship differently. We investigated the moderating role of two types of exercise (aerobic and strengthening) regarding the relationship between ED and sleep. Methods Our analysis was based on data from 2018 National Health Interview Survey (NHIS), a nationally representative study in which 2,814 participants provided all data. Participants were asked 1) “how many days they woke up feeling rested over the past week”, 2) the Kessler 6 scale to determine ED (a score &gt;13 indicates ED), and 3) the average frequency of strengthening or aerobic exercise per week. Logistic regression analyses were performed to determine if the reported days of waking up rested predicted level of ED. We then investigated whether strengthening or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Logistic regression analyses were performed to determine if subjective reporting of restful sleep predicted level of ED. We investigated whether strengthening exercise or aerobic exercise differentially moderated this relationship. Covariates such as age and sex were adjusted in the logistic regression models. Results On average, participants reported 4.41 restful nights of sleep (SD =2.41), 3.43 strengthening activities (SD = 3.19,) and 8.47 aerobic activities a week (SD=5.91.) We found a significant association between days over the past week reporting waking up feeling rested and ED outcome according to K6, Χ2(1) = -741, p= &lt;.001. The odds ratio signified a decrease of 52% in ED scores for each unit of restful sleep (OR = .48, (95% CI = .33, .65) p=&lt;.001.) In the logistic regression model with moderation, aerobic exercise had a significant moderation effect, Χ2(1) = .03, p=.04, but strengthening exercise did not. Conclusion We found that restful sleep predicted reduction in ED scores. Aerobic exercise moderated this relationship, while strengthening exercise did not. Further research should investigate the longitudinal effects of exercise type on the relationship between restful sleep and ED. Support (if any) NIH (K07AG052685, R01MD007716, K01HL135452, R01HL152453)


Author(s):  
Magaji Garba Taura ◽  
Lawan Hassan Adamu ◽  
Abdullahi Yusuf Asuku ◽  
Kabiru Bilkisu Umar ◽  
Musa Abubakar

Abstract Background Sex determination is one of the leading criterion in identification and verification of an individual. However, the potential roles of differences in adjacent fingerprint white line count (FWLC) in sex inference are not well elucidated in the literature especially among Hausa population. The study was conducted to determine sexual dimorphism and predict sex using adjacent digit FWLC difference (adj. DFWLCD) among Hausa population of Kano state, Nigeria. Methods The study population involved 300 participants. FWLC was determined from a plain fingerprint captured using live scanner. The formula for adj. DFWLCD of thumb and fifth digit is dR15 for right hand. The same applied for possible combination in cephalocaudal direction. Mann-Whitney and t tests were used for comparison of variables between sexes. Binary logistic regression analyses were employed for determination of sex. Results We observed a significantly larger adj. DFWLCD in males compared with females in most of the digit combination. A significant sexual dimorphism was observed in most of the adj. DFWLCD involving ring digit in both right (dR14, dR24, and dR34) and left (dL14, dL24, and dL34). The best discrimination was observed in adjacent FWLC difference of second and fourth digits in both right and left digits (dR24 and dL24). This was further supported by stepwise logistic regression analyses. Conclusion The adj. DFWLCD exhibits sexual dimorphism. The best prediction potentials were found to be dR24 and dL24 for right and left hands respectively.


Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Andrew C Radtke ◽  
Joshua Pankratz ◽  
Ryan Holdsworth ◽  
Dovile Baniulis ◽  
Nicole Kornder ◽  
...  

Background fMRI is being increasingly used as an adjunct imaging technique for preoperative planning for patients with various brain lesions. The proximity of the lesion to eloquent cortex is a major factor in guiding surgical planning. Our group has previously reported significant association between the distance between brain tumor periphery and area of fMRI activation (Lesion-Activation Distance; LAD) and morbidity and mortality outcomes. This study investigated the relationship between vascular lesion LAD and morbidity. Methods This study was a retrospective analysis of data from patients with vascular lesions [arteriovenous malformations (AVMs) (n=49), and cavernomas (n=57)], who had received fMRI as part of their preoperative planning. The preoperative fMRI included motor mapping (n=87) and/or language mapping (n=102). The fMRI paradigms were chosen based on observed preoperative weakness (aphasia, paresis) and anticipated functional areas of the brain that may be affected by treatment. Results Multiple logistic regression analyses showed that a model that combines Age and Language LAD was a significant predictor of postoperative deficits (p= 0.04). Broca’s LAD(1-2 cm) X Age was a significant predictor of postoperative deficits (change in odds ratio (OR) =0.82, CI:0.68-0.98). The relationship between Brocas’s LAD and postoperative aphasia and Broca’s LAD and pre and postoperative aphasia trended towards significance (p = .08 and p =.07 respectively). Wernicke’s LAD, independently or combined with Age, was not a significant predictor of postoperative deficits. Binary logistic regression analysis for SMC LAD and postop deficits did not reach significance (p =.10). There were no significant differences in postoperative language or motor deficits as a function of gender or handedness. Conclusions These results suggest that both age and the proximity of a vascular lesion to language LAD are factors that can help predict postoperative outcomes, especially for Broca’s LAD. The lack of similar results when investigating the relationship between Wernicke’s LAD and postoperative deficits suggests potential brain reorganization and/or robustness of this brain region. These results have implications for the potential use of fMRI as a presurgical tool for language mapping in patients with vascular lesions.


2017 ◽  
Vol 2 (2) ◽  
pp. 147-155
Author(s):  
Dina Fida ◽  
Ismayani Ismayani ◽  
Fajri Jakfar

Abstrak.Kopi adalah salah satu jenis tanaman perkebunan yang sudah lama dibudidayakan dan memiliki nilai ekonomi yang dapat menghasilkan keuntungan. Kopi tubruk merupakan kopi tradisional yang umumnya lebih keras karena bubuk kopi murni yang langsung diseduh dengan air  mendidih, teksturnya lebih kasar, lebih banyak mengandung ampas, aroma kopi yang lebih menyengat, serta tingkat kekentalan yang bisa disesuaikan dengan lidah penikmatnya. Loyalitas konsumen pada umumnya merupakan suatu sikap konsumen yang loyal terhadap pilihan dan penggunaan produk dalam waktu yang lama dan untuk masa yang akan datang, Sedangkan kepuasan konsumen ialah perasaan senang atau kecewa seseorang yang berasal dari perbandingan antara kesannya terhadap kinerja (hasil) sesuatu produk dengan harapannya. Pada penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi loyalitas konsumen terhadap minuman kopi tubruk di Meulaboh, Mengetahui hubungan antara tingkat kepuasan konsumen dengan loyalitas konsumen terhadap konsumsi kopi tubruk di Meulaboh.Adapun metode yang digunakan adalah Uji Validitas dan Reliabilitas,Regresi Logistik Biner dan Chi Square.Hasil Regresi Biner Logistik menunjukkan bahwa citarasa, harga, kualitas pelayanan dan lokasi merupakan faktor yang mempengaruhi loyalitas konsumen terhadap minuman kopi tubruk.Hasil Uji Chi-Square menunjukkan bahwa adanya hubungan yang signifikan antara kepuasan konsumen dengan loyalitas konsumen terhadap minuman kopi tubruk di Meulaboh.Consumer Loyality To The Consumption Of Coffee Brewed In MeulabohAbstract.Coffee is one of the plantation species has long been cultivated and have a mutually beneficial economic value.The brewed coffee is a traditional coffee are generally harder for pure coffee powder that instantly brewed with boiling water, rough texture, contains more dregs, pungent coffee aroma, as well as the level of consistency that can be adapted to the tongue of the audience.Consumer loyalty is generally a loyal consumer attitudes towards choice and use of the product for a long time and for the future.While customer satisfaction is feeling happy or disappointed someone who comes from a comparison between her impression of the performance (yield) of a product with expectations.In this study aims to determine the factors that influence consumer loyalty to the coffee beverage brewed in Meulaboh.Determine the relationship between the level of customer satisfaction and customer loyalty towards the consumption of instant coffee in Meulaboh.The methods used are validity and reliability, Binary Logistic Regression and Chi Square.Binary logistic regression results show that the simultaneous testing of the factors that influence loyalty is taste, price, service quality, and location. While testing only partially furnished variables that influence loyalty.Chi-Square test results indicate that there is a significant relationship between customer satisfaction and customer loyalty so that customer satisfaction is influenced flavors that suit the tastes of consumers. 


2021 ◽  
Author(s):  
Yiyi Ding ◽  
Shuo Wang ◽  
Rui Guo ◽  
Aizhen Zhang ◽  
Yufang Zhu

Abstract BACKGROUND: Evidence regarding the relationship between unbound bilirubin levels and acute bilirubin encephalopathy was limited. Therefore, this study set out to investigate whether the unbound bilirubin level was independently related to acute bilirubin encephalopathy in children who underwent exchange transfusion after adjusting for other covariates. METHODS: A total of 46 neonates who underwent exchange transfusion were involved in The First People's Hospital Of Changde City in China from 2016-1-1 to 2018-12-31. The target independent variable and the dependent variable were unbound bilirubin levels measured at baseline and acute bilirubin encephalopathy respectively. Covariates involved in this study included sex, age, birth weight, blood glucose, red blood cell, hemolysis, receive phototherapy before exchange transfusion. RESULTS: The average gestational age of 46 selected participants was 38.6 ± 1.3 weeks old, the average age was 146.5 ± 86.9 hours old, 52.17% of them were male. Result of fully-adjusted binary logistic regression showed unbound bilirubin levels were positively associated with risk of acute bilirubin encephalopathy after adjusting confounders (Odds ratio = 1.41, 95% confidence intervals 1.05-1.91, P value <0.05). CONCLUSION: Unbound bilirubin levels are associated with neonatal acute bilirubin encephalopathy. The mechanism of unbound bilirubin levels leading to neonatal acute bilirubin encephalopathy needs to be further explored.


Author(s):  
Jee Hye Wee ◽  
Dae Myoung Yoo ◽  
Soo Hwan Byun ◽  
Chang Myeon Song ◽  
Hyo-Jeong Lee ◽  
...  

This study aimed to evaluate the association between asthma and the intake of coffee/green tea/soda. We used Health Examinee data from the Korean Genome and Epidemiology Study (2004–2016). The participants (n = 3146 with asthma; n = 158,902 non-asthma) were asked about the frequency and amount of their coffee/green tea/soda intake. Multiple logistic regression analyses were used to calculate the adjusted odds ratios (aORs) with 95% confidence intervals (CIs) for asthma according to the frequency and amount of coffee/green tea/soda intake. Compared to the group consuming no coffee, the aORs for asthma were 0.82 (95% CI = 0.73–0.93, p = 0.002) in the group consuming coffee 1–2 times/day and 0.87 (95% CI = 0.78–0.97, p = 0.011) in the group consuming coffee in quantities of 1 cup, respectively. However, the frequency and amount of green tea and soda consumption were not significantly associated with asthma after adjusting for coffee consumption (all p > 0.05). These findings were consistent in the female subgroup (1–2 times/day: aOR = 0.76, 95% CI = 0.66–0.87, p < 0.001, and 1 cup each time: aOR = 0.79, 95% CI = 0.70–0.90, p < 0.001) but not in the male subgroup. Drinking 1 cup of coffee each time and 1–2 times per day may have protective effects against asthma in a Korean population. However, the associations between asthma and green tea/soda cannot be clearly established.


2019 ◽  
Vol 32 (7-8) ◽  
pp. 851-860 ◽  
Author(s):  
Erik J. Rodriquez ◽  
Melanie Sabado-Liwag ◽  
Eliseo J. Pérez-Stable ◽  
Anne Lee ◽  
Mary N. Haan ◽  
...  

Objective: To assess whether unhealthy behaviors moderated the relationship between allostatic load (AL) and future significant depressive symptoms (SDSs) among 1,789 older Latinos. Method: Longitudinal data included baseline AL, three unhealthy behaviors (UBs), and 2-year follow-up SDS. Multivariable logistic regression analyses, stratified by birthplace (U.S. vs. foreign born), modeled the effects of AL, UB count (range = 0-3), and their interaction on follow-up SDS. Results: Compared with U.S.-born, foreign-born participants engaged in fewer UBs (0.52 vs. 0.60 behaviors, p = .01) and had higher baseline SDS (31% vs. 20%, p < .001). Among foreign-born participants, the effect of AL on future SDS (adjusted odds ratios [aORs]; 95% confidence interval [CI]) significantly increased across UB counts of 0 to 3: 1.06 [0.83, 1.35], 1.46 [1.14, 1.87], 2.00 [1.18, 3.41], and 2.75 [1.18, 6.44], respectively. Discussion: Among foreign-born Latinos, these results were most pronounced for women and adults above age 80, which may represent higher risk groups requiring more intensive screening for depression.


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