scholarly journals Patients Presenting with a Hot, Swollen Joint: A Single-Centre Retrospective Analysis

2020 ◽  
Vol 16 (1) ◽  
pp. 38-42
Author(s):  
Emanuele Chisari ◽  
Khaled M. Yaghmour ◽  
Fidel Peat ◽  
Wasim Khan
Keyword(s):  
Synovial Fluid ◽  
Retrospective Analysis ◽  
P Value ◽  
Common Condition ◽  
Cytological Investigation ◽  
Single Centre ◽  
Cytological Examination ◽  
High Profile ◽  
High Incidence ◽  
M 14

Background: A hot, swollen joint is a common clinical condition encountered in the ED and elective orthopaedic and rheumatology clinics. These patients can be difficult to manage and properly treat. Aims and Objectives: The aim of this study was to report a single centre retrospective analysis of patients presenting to our institution for a hot, swollen joint over a three-month period. Methods: The study included patients presenting with a hot, swollen joint to ED or electively to clinics. The synovial fluid was aspirated and sent for microbiological and cytological investigation. P value was set to < 0.001. 36 patients (22 M, 14 F) with a mean age of 72.8 ± 17.4 years met our criteria. 20 cases (55.6 %) involved the knee joint, the wrist in 10 cases (27.8%), the elbow in 3 cases (8.3%) and the shoulder in 3 cases (8.3%). Results: Of the 36 synovial fluid samples collected, only 7 (19.4%) reported evidence of infection. On cytological examination of the synovial fluid, 21 (58.3%) reported presence of calcium pyrophosphates crystals (Pseudogout), 4 (11.1 %) reported presence of uric acid crystals (Gout) and 11 (30.5%) reported absence of crystals. We found a significant correlation between age and the diagnosis of pseudogout and between previous antibiotic treatment and ED presentation. Our study sheds light on the high incidence of crystal-related pathologies. Conclusion: In order to improve our management of this common condition and enhance our understanding of the clinical diagnosis in certain patient population, further high-profile clinical studies are needed.

scholarly journals Effect of COVID-19-related lockdown on ophthalmic practice in Italy: A report from 39 institutional centers

2021 ◽  
pp. 112067212110024
Author(s):  
Roberto dell’Omo ◽  
Mariaelena Filippelli ◽  
Gianni Virgili ◽  
Francesco Bandello ◽  
Giuseppe Querques ◽  
...  
Keyword(s):  
Quantitative Analysis ◽  
Retinal Detachment ◽  
Retrospective Analysis ◽  
Surgical Procedures ◽  
Public Transportation ◽  
Rhegmatogenous Retinal Detachment ◽  
Intravitreal Injections ◽  
P Value ◽  
Academic Hospitals ◽  
Rate Ratios

Background/objectives: To compare the number of eye surgical procedures performed in Italy in the 2 months following the beginning of lockdown (study period) because of COVID-19 epidemic with those performed in the two earlier months of the same year (intra-year control) and in the period of 2019 corresponding to the lockdown (inter-year control). Methods: Retrospective analysis of surgical procedures carried out at 39 Academic hospitals. A distinction was made between elective and urgent procedures. Intravitreal injections were also considered. Percentages for all surgical procedures and incidence rate ratios (IRR) for rhegmatogenous retinal detachment (RRD) events were calculated. A p value <0.05 was considered significant. Results: A total of 20,886 versus 55,259 and 56,640 patients underwent surgery during the lockdown versus intra-and inter-year control periods, respectively. During the lockdown, only 70% of patients for whom an operation/intravitreal injection was recommended, finally underwent surgery; the remaining patients did not attend because afraid of getting infected at the hospital (23%), taking public transportation (6.5%), or unavailable swabs (0.5%). Elective surgeries were reduced by 96.2% and 96.4%, urgent surgeries by 49.7% and 50.2%, and intravitreal injections by 48.5% and 48.6% in the lockdown period in comparison to intra-year and inter-year control periods, respectively. IRRs for RRDs during lockdown dropped significantly in comparison with intra- and inter-year control periods (CI: 0.65–0.80 and 0.61–0.75, respectively, p < 0.001 for both). Conclusion: This study provides a quantitative analysis of the reduction of eye surgical procedures performed in Italy because of the COVID-19 epidemic.

PENGARUH EDUKASI PERAWAT TERHADAP KETEPATAN KELUARGA PASIEN MELAKUKAN CUCI TANGAN DALAM PENCEGAHAN PENULARAN COVID-19 DI RSUD ARIFIN ACHMAD PROVINSI RIAU

2021 ◽  
Vol 3 (4) ◽  
pp. 70-74
Author(s):  
Nurul Utami
Keyword(s):  
Quantitative Research ◽  
Public Awareness ◽  
Nurse Education ◽  
Hand Washing ◽  
P Value ◽  
Average Value ◽  
High Incidence ◽  
Quasi Experimental ◽  
And Control ◽  
Source Of Information

Corona virus is a virus that attacks the respiratory system. The high incidence of Covid-19 is due to low public awareness of applying health protocols. So the need for prevention and control efforts by complying with health protocols to wear masks, keep your distance and wash your hands properly. Washing hands is an easy routine and is important in infection control, and is the best method to prevent the transmission of microorganisms. The purpose of this study was to determine the effect of nurse education on the accuracy of the patient's family through hand washing in preventing Covid-19 transmission at Arifin Achmad Hospital, Riau Province. This research uses quantitative research with a quasi experimental design, with a population of 20 people. Data collection tools used observation sheets and data analysis was carried out univariate and bivariate with the Wilcoxson test. The results of this study show that the average value before being given education about hand washing is low compared to the average value after being given education about hand washing. So that hand washing education is effective in increasing hand washing to prevent Covid-19 transmission with a p-value of 0.000. The results of this study are expected to be a source of information and knowledge for the nursing profession regarding the effect of providing nurse education on the accuracy of the patient's family in washing hands.

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