The relationship between dental metal allergy, periodontitis, and palmoplantar pustulosis: An observational study

SummaryThe retrospective observational study surveys the relationship between development of inhibitors in the treatment of haemophilia patients and risk factors such as changing FVIII products. A total of 119 patients were included in this study, 198 changes of FVIII products were evaluated. Results: During the observation period of 12 months none of the patients developed an inhibitor, which was temporally associated with a change of FVIII products. A frequent change of FVIII products didn’t lead to an increase in inhibitor risk. The change between plasmatic and recombinant preparations could not be confirmed as a risk factor. Furthermore, no correlation between treatment regimens, severity, patient age and comorbidities of the patients could be found.

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The relationship between epidural analgesia and intrapartum maternal fever and the consequences for maternal and neonatal outcomes: a prospective observational study

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.1080/14767058.2021.1879042 ◽

2021 ◽

pp. 1-9

Author(s):

Baisong Zhao ◽

Bing Li ◽

Qingning Wang ◽

Xingrong Song

Keyword(s):

Observational Study ◽

Epidural Analgesia ◽

Prospective Observational Study ◽

Neonatal Outcomes ◽

Maternal And Neonatal Outcomes ◽

The Relationship

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Observational study of the relationship between nurse staffing levels and compliance with mandatory nutritional assessments in hospital

Journal of Human Nutrition and Dietetics ◽

10.1111/jhn.12847 ◽

2021 ◽

Author(s):

A. Recio‐Saucedo ◽

G. B. Smith ◽

O. Redfern ◽

A. Maruotti ◽

P. Griffiths ◽

...

Keyword(s):

Observational Study ◽

Nurse Staffing ◽

Staffing Levels ◽

The Relationship

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The Relationship between Foot Status and Motor Status in Preschool Children: A Simple, Comparative Observational Study

Healthcare ◽

10.3390/healthcare9080936 ◽

2021 ◽

Vol 9 (8) ◽

pp. 936

Author(s):

Milan Kojić ◽

Branka Protić Gava ◽

Milan Bajin ◽

Marko Vasiljević ◽

Jasmina Bašić ◽

...

Keyword(s):

Preschool Children ◽

Observational Study ◽

Total Sample ◽

Nonparametric Tests ◽

Significance Level ◽

Flat Feet ◽

Significant Difference ◽

Left And Right ◽

The Relationship

Background: The research objective of the study is to determine the differences in the manifestation of the motor status of normally fed preschool test subjects, classified into groups according to foot status. Methods: This is a simple, comparative observational study. Preschool children included in this study have been subjected to anthropometric measurements in order to determine BMI, tests for motor skills assessment (running at 20 m from a high start, standing broad jump, backwards polygon, rectangular seated forward bend, plate tapping, sit-ups for 60 s, and bent arm hang), and a determination of foot status. The total sample was comprised of 202 test subjects who attended a regular sports program, aged 3.9 to 6.5 years of decimal age (M = 141; Age = 5.3 ± 0.74; Height = 117.3 ± 7.1; Weight = 22 ± 3.7; F = 61; Age = 5.1 ± 0.73; Height = 114.9 ± 7.4; Weight = 21.2 ± 3.8), of which 153 (75.7%) were normally fed, 6 (3%) were undernourished, 30 were overweight (14.9%), and 13 were obese (6.4%). Results: In the total sample, 30 (14.9%) subjects had normal arch feet, 90 (44.6%) high arched feet, and 41 (20.3%) flat feet. We found 41 (20.3%) subjects who had different left and right foot statuses within this sample. The data were processed by means of nonparametric tests (the Kruskal–Wallis and Mann–Whitney U tests) at a significance level p ≤ 0.05. Conclusion: The results show that there is a statistically significant difference between groups of subjects with different foot statuses in the manifestation of motor status in most tests, with a significance level of p ≤ 0.01, and in tests of sit-ups for 60 s and the bent arm hang, there is a statistically significant difference, the level of which is p ≤ 0.05. It is only in the inclination test of rectangular seated forward bend that no statistically significant difference was displayed.

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The relationship between maximal expiratory pressure values and critical outcomes in mechanically ventilated patients: a post hoc analysis of an observational study

Annals of Intensive Care ◽

10.1186/s13613-020-00791-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Yann Combret ◽

Guillaume Prieur ◽

Roger Hilfiker ◽

Francis-Edouard Gravier ◽

Pauline Smondack ◽

...

Keyword(s):

Mechanical Ventilation ◽

Observational Study ◽

Univariate Analysis ◽

Premature Death ◽

Extubation Failure ◽

Short Term ◽

Expiratory Muscle ◽

Maximal Expiratory Pressure ◽

The Impact ◽

The Relationship

Abstract Background Little interest has been paid to expiratory muscle strength, and the impact of expiratory muscle weakness on critical outcomes is not known. Very few studies assessed the relationship between maximal expiratory pressure (MEP) and critical outcomes. The aim of this study was to investigate the relationship between MEP and critical outcomes. Methods This work was a secondary analysis of a prospective, observational study of adult patients who required mechanical ventilation for ≥ 24 h in an 18-bed ICU. MEP was assessed before extubation after a successful, spontaneous breathing trial. The relationships between MEP and extubation failure, and short-term (30 days) mortality, were investigated. Univariate logistic regressions were computed to investigate the relationship between MEP values and critical outcomes. Two multivariate analyses, with and without maximal inspiratory pressure (MIP), both adjusted using principal component analysis, were undertaken. Unadjusted and adjusted ROC curves were computed to compare the respective ability of MEP, MIP and the combination of both measures to discriminate patients with and without extubation failure or premature death. Results One hundred and twenty-four patients were included. Median age was 66 years (IQR 18) and median mechanical ventilation duration was 7 days (IQR 6). Extubation failure rate was 15% (18/124 patients) and the rate for 30-day mortality was 11% (14/124 patient). Higher MEP values were significantly associated with a lower risk of extubation failure in the univariate analysis [OR 0.96 95% CI (0.93–0.98)], but not with short-term mortality. MEP was independently linked with extubation failure when MIP was not included in the multivariate model, but not when it was included, despite limited collinearity between these variables. This study was not able to differentiate the respective abilities of MEP, MIP, and their combination to discriminate patients with extubation failure or premature death (adjusted AUC for the combination of MEP and MIP: 0.825 and 0.650 for extubation failure and premature death, respectively). Conclusions MEP is related to extubation failure. But, the results did not support its use as a substitute for MIP, since the relationship between MEP and critical outcomes was no longer significant when MIP was included. The use of MIP and MEP measurements combined did not reach higher discriminative capacities for critical outcomes that MEP or MIP alone. Trial Registration This study was retrospectively registered at https://clinicaltrials.gov/ct2/show/NCT02363231?cond=NCT02363231&draw=2&rank=1 (NCT02363231) in 13 February 2015

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Observational Study Regarding the Relationship between Nutritional Status, Dental Caries, Mutans Streptococci, and Lactobacillus Bacterial Colonies

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073551 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3551

Author(s):

Eugen Silviu Bud ◽

Cristina Ioana Bica ◽

Oana Elena Stoica ◽

Alexandru Vlasa ◽

Daniela Eșian ◽

...

Keyword(s):

Dental Caries ◽

Observational Study ◽

Nutritional Status ◽

Positive Association ◽

Mutans Streptococci ◽

Permanent Teeth ◽

Deciduous Teeth ◽

Dmft Index ◽

The Relationship ◽

Significant Health

The prevalence of dental caries and obesity is high as both raise significant health problems. The objective of this study was to evaluate the relationship between dental caries, the number of salivary colonies forming units of Mutans Streptococci (MS) and Lactobacillus (LB), and the nutritional status in a group of children from Transylvania. This observational study used a sample of 154 school children, aged 9 to 12 years. The prevalence of caries was measured using the decayed, missing, and filled teeth index for deciduous teeth (dmft index) and for permanent teeth (DMFT index). Height and weight were assessed for each subject, and their body mass index (BMI) percentile was calculated. Salivary levels of Mutans Streptococci (MS) and Lactobacillus (LB) were determined using the CRT Bacteria Test from Ivoclar Vivadent. In our study, we found a positive association between the BMI percentile, MS count, LB count, tooth brushing frequency, and the incidence of dental caries in children aged 9 to 12 years old. Future preventive programs should include nutrition control in order to prevent both the apparition of dental caries and obesity in children.

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Association between doctor-patient familiarity and patient-centred care during general practitioner's consultations: a direct observational study in Chinese primary care practice

BMC Family Practice ◽

10.1186/s12875-021-01446-4 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Chenwen Zhong ◽

Mengping Zhou ◽

Zhuojun Luo ◽

Cuiying Liang ◽

Lina Li ◽

...

Keyword(s):

Primary Care ◽

Observational Study ◽

Health Knowledge ◽

Care Practice ◽

Patient Centred Care ◽

Time Length ◽

Significant Difference ◽

Information Treatment ◽

Observation Code ◽

The Relationship

Abstract Background Patient-centred care is a core attribute of primary care. Not much is known about the relationship between patient-centred care and doctor-patient familiarity. This study aimed to explore the association between general practitioner (GP) perceived doctor-patient familiarity and the provision of patient-centred care during GP consultations. Methods This is a direct observational study conducted in eight community health centres in China. Level of familiarity was rated by GPs using a dichotomized variable (Yes/No). The provision of patient-centred care during GP consultations was measured by coding audiotapes using a modified Davis Observation Code (DOC) interactional instrument. Eight individual codes in the modified DOC were selected for measuring the provision of patient-centred care, including ‘family information’, ‘treatment effects’, ‘nutrition guidance’, ‘exercise guidance’, ‘health knowledge’, ‘patient question’, ‘chatting’, and ‘counseling’. Multivariate analyses of covariance were adopted to evaluate the association between GP perceived doctor-patient familiarity and patient-centred care. Results A total of 445 audiotaped consultations were collected, with 243 in the familiar group and 202 in the unfamiliar group. No significant difference was detected in overall patient-centred care between the two groups. For components of patient-centred care, the number of intervals (1.36 vs 0.88, p = 0.026) and time length (7.26 vs. 4.40 s, p = 0.030) that GPs spent in ‘health knowledge’, as well as time length (13.0 vs. 8.34 s, p = 0.019) spent in ‘patient question’ were significantly higher in unfamiliar group. The percentage of ‘chatting’ (11.9% vs. 7.34%, p = 0.012) was significantly higher in the familiar group. Conclusions This study suggested that GP perceived doctor-patient familiarity may not be associated with GPs’ provision of patient-centred care during consultations in the context of China. Not unexpectedly, patients would show more health knowledge and ask more questions when GPs were not familiar with them. Further research is needed to confirm and expand on these findings.

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