scholarly journals ICU Nurses’ Perception of Visits to Patients

2020 ◽  
Vol 4 (1) ◽  
pp. 91-101
Author(s):  
Ines Dobrinić ◽  
Slađana Režić
Keyword(s):  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
The Family ◽  
The University ◽  
Positive Effect ◽  
Visiting Policy

Introduction. Visits to patients are part of a positive and effective strategy of helping patients and their families to better adapt to the stress caused by a patient’s admission to an intensive care unit (ICU). Aim. To determine the ICU nurses’ perception of visits to patients. Methods. The study was conducted at the University Hospital Centre Zagreb (UHC). The cross-sectional study included nurses who work in ICUs. An anonymous, self-designed questionnaire was used and filled in by 44 respondents. The questionnaire consisted of 17 closed-ended questions pertaining to demographic data, questions related to information on visits and questions about the concept of open visits. Results. Out of the total number of 44 respondents, 25 respondents stated that their ICU has booklets about the manner of visits and visiting hours, and that they hand them out to families, while 19 respondents stated that they do not have such booklets. 61% of the respondents feel they have sufficient training to communicate with the patient’s family. 41% of the respondents said that the visits had a positive effect on the patient’s condition and only 2% stated that the visits had no positive effect. 57 % of the respondents think that visits sometimes have a positive effect on the patient’s condition. Of the total number of respondents, 84% feel that visiting hours should be limited. Respondents feel that visits sometimes impede them in their work (66%), while 59% of the respondents feel that visits help spread infections. Out of the total number of respondents, only 32% of them stated that they were familiar with the open ICU concept. Conclusion. More than half of the respondents stated that they have a written visiting policy on ICU wards, and that they are trained to communicate with the family members of patients. Most respondents feel that visits contribute to the spread of infections and that they would limit children’s visits to the ICU. The respondents’ poor knowledge of the open ICU concept creates one of the barriers to introducing it in their wards.

scholarly journals Reconciliation of medications upon the admission of patients to the cardiology sector of a university hospital

2020 ◽  
Vol 10 (4) ◽  
pp. 0353
Author(s):  
Lorena S. Miranda ◽  
Ana L. Cavalcante ◽  
Rafael M. Pinheiro ◽  
Dayani Galato ◽  
Emília V. Silva
Keyword(s):  
Medical Records ◽  
Medication Reconciliation ◽  
Adverse Reactions ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Medical Prescription ◽  
Cross Sectional ◽  
Cardiology Department ◽  
The University

Introduction: The reconciliation of medications is an important process that impacts on patient safety during the level of care transition, a moment with high discrepancy rates that can lead to adverse reactions. Objective: To analyze the results of medication reconciliation in order to identify discrepancies between the medical prescription and the medications previously used by the patient. Method: A descriptive, cross-sectional study was conducted between May and November 2017 (until the second fortnight of the month), with patients admitted to the cardiology department of the University Hospital of Brasília. Data was collected through interviews with patients, relatives and/or caregivers, and through consultation of the medical records. The reconciliation of medications was performed daily, from Monday to Friday, within 48 hours of the patient’s admission to the unit, through a medication reconciliation form prepared by the author. Results: 90 patients were included in the study and a total of 297 discrepancies were found, 267 (90%) being intentional and 30 (10%), unintentional. Among the unintentional discrepancies, the most frequent was omission of medication in use by the patient (56%). Of the intentional discrepancies, the dosage modifications were more common in 45% of the cases. Conclusion: The reconciliation of medications was a crucial clinical service for the identification and resolution of unintentional discrepancies between previously used medications and hospital medical prescription.

scholarly journals Factors associated with balance impairments amongst stroke survivors in northern Benin: A cross-sectional study

2021 ◽  
Vol 77 (1) ◽  
Author(s):  
Oyéné Kossi ◽  
Mendinatou Agbetou ◽  
Sènadé I. Noukpo ◽  
Lisa T. Triccas ◽  
Daniel-Eude Dossou-Yovo ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
University Hospital ◽  
Stroke Survivors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Male Predominance ◽  
Factors Associated ◽  
Post Stroke ◽  
Severity Of Disability ◽  
The University

Background: Balance impairment is the predominant risk factor for falls in stroke survivors. A fear of falling after stroke can contribute to sedentary lifestyles, increased disability and risk of recurrence, leading to poor quality of life.Objective: To determine the frequency and factors associated with balance impairments amongst stroke survivors at the University Hospital of Parakou.Method: This cross-sectional study included adult stroke survivors. Stroke survivors after discharge were enrolled at the University Hospital of Parakou between 01 January 2020 and 30 September 2020. Balance impairments were measured by using the Berg Balance Scale (BBS), the Timed Up and Go (TUG) and the Get Up and Go (GUG) tests.Results: A total of 54 stroke survivors were included, with a mean age of 58.37 ± 12.42 years and a male predominance of 68.52%. The mean BBS score was 36.87 ± 14.34 with a minimum and a maximum of 10 and 56, respectively. Thirteen (24.07%) had balance impairments (BBS score ≤ 20), 34 (62.96%) had a TUG score ≥ 14 s (abnormal), 9 (16.67%) presented a moderate risk of falling and 6 (11.11%) presented high risk of fall with the GUG test. Post-stroke duration (odds ratio [OR] = 0.04; 95% CI: 0.04–0.30; p 0.01), severity of disability (OR = 8.33; 95% CI: 1.03–67.14; p = 0.03) and the number of physiotherapy sessions (OR = 0.18; 95% CI: 0.03–0.93; p = 0.02) were significantly associated with balance impairments.Conclusion: Our results showed that almost one quarter of stroke survivors after discharge at the University Hospital of Parakou had balance impairments. Post-stroke duration, severity of disability and the number of physiotherapy sessions were significantly associated with balance impairments.Clinical implications: [AQ1] Balance should be regularly assessed in people post-stroke. Further studies should document the content of rehabilitation and any rehabilitative efforts to improve balance in people post-stroke in Benin.

scholarly journals The Neurologic Complications Associated with Anesthesia in Pediatrics Treated with Radiotherapy Under Anesthesia

2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shahryar Sane ◽  
Behzad Sinaei ◽  
Parang Golabi ◽  
Hadi Talebi ◽  
Nazila Rahmani ◽  
...  
Keyword(s):  
Pediatric Patients ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Neurologic Complications ◽  
Sectional Study ◽  
Cross Sectional ◽  
Charity Hospital ◽  
Safe Anesthesia ◽  
Anesthesia Complications

Background: Children with brain tumors experience potential neurologic complications when are treated with radiotherapy, especially if done frequently under anesthesia. Objectives: This study aimed to evaluate the neurologic complications associated with anesthesia in pediatrics treated with radiotherapy under anesthesia. Methods: This cross-sectional study consisted of 133 pediatric patients with a brain tumor who needed anesthesia for performing radiotherapy and were referred to Omid Charity Hospital and Imam Khomeini University Hospital from 2014 to 2020 by the census. Statistical values less than 0.05 were considered significant (P < 0.05). Results: The patients were in range of 1 - 8 years, and the number of 3,208 anesthesia inductions were conducted for daily radiotherapy. Major complications such as stroke, arrhythmia, tachyphylaxis, and aspiration were not observed. There was a significant relationship between the tumor side, anesthesia, and neurologic complications (P < 0.05). No significant differences were found between demographic data (age, sex, and weight) (P > 0.05). Conclusions: Anesthesia complications in this study were slight and insignificant. Some were either due to the tumor effect on other vital organs or prior exposure to radiotherapy and chemotherapy. Thus, for providing safe anesthesia, considering the tumor effect on body organs and neurologic complications caused by it can be a great help to reduce anesthesia complications in pediatrics under radiotherapy.

scholarly journals Prevalence of Intestinal Opportunistic Parasites Infections among HIV Positive Children in the University Hospital Center Yalgado Ouédroago of Ouagadougou, Burkina Faso

2021 ◽  
Vol 10 (10) ◽  
pp. 550-557
Author(s):  
Traoré Roukiatou Zongo Cheikna ◽  
Zongo Oumarou Ouédraogo Ganamé Abasse ◽  
Zida Adama Yonaba Caroline ◽  
Traoré Yves Savadogo Aly
Keyword(s):  
Intestinal Parasites ◽  
Cross Sectional Study ◽  
Gastrointestinal Parasites ◽  
Sub Saharan Africa ◽  
University Hospital ◽  
Hiv Positive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stool Samples ◽  
The University

In sub-Saharan Africa, Gastrointestinal parasites infections are widespread, particularly among immune deficient individuals. Prevalence of these infections varies from locality to other due to many factors. The present cross-sectional study aimed to assess the prevalence of intestinal parasites among HIV-positive children in the paediatric clinic at the University Hospital Yalgado Ouedraogo of Ouagadougou. A cross-sectional study was conducted in the University hospital of Ouagadougou from July to November 2015. Ninety-three (93) freshly issued stool samples were collected in HIV-positive children less than 15 years old. Stool samples were analysed for the presence of various intestinal parasites using direct microscopy, formol-ether concentration method, modified Ziehl Neelsen stain and Weber trichrome stain. The study included 93 HIV positive children. The prevalence of intestinal parasitic infection was 24.73% (23/93). The most detected parasites were Entamoeba coli (52.17% of total detected parasites), Trichomonas intestinalis (21.73%), Giardia intestinalis (8.65%), Entamoeba histolytica (4.34%). Patients with multi-infection (2 or 3 parasites) have been detected. The participants, 97.5% (89/93) were on cotrimoxazole prophylaxis and 81.76% (76/93) were on ARV therapy. Despite the medical care given to the HIV-infected children, the prevalence of opportunistic intestinal is high at the University hospital Yalgado Ouédraogo (CHU-YO)and deserves special attention.

scholarly journals Mental Health Consequences of Lockdown During the COVID-19 Pandemic: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Ahmed Msherghi ◽  
Ali Alsuyihili ◽  
Ahmed Alsoufi ◽  
Aimen Ashini ◽  
Zenib Alkshik ◽  
...  
Keyword(s):  
Demographic Data ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Psychological Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Family ◽  
Clinically Significant ◽  
Study Participants ◽  
Libyan Population

ObjectiveWe aimed to provide an overview of the psychological status and behavioral consequences of the lockdown during the COVID-19 pandemic in Libya.MethodsA cross-sectional study was conducted among the Libyan population through May and June 2020 in more than 20 cities. The survey comprised basic demographic data of the participants and anxiety symptoms measured using the seven-item Generalized Anxiety Disorder scale (GAD-7) with ≥15 as the cut-off score for clinically significant anxiety symptoms. Additionally, a survey regarding the lockdown effect was administered, which consisted of several parts, to measure the lockdown status.ResultsA total of 8084 responses were recorded, of which, 5090 (63%) were women and 2994 (37%) were men. The mean age (SD) for study participants was 27.2 (8.9) years. Among the participants, 1145 (14.2%) reached the cut-off score to detect anxiety symptoms; however, of the study variables, only five were predictors of clinically significant anxiety: age, gender, marital status, work status, being a financial supporter for the family, and being infected with COVID-19. Women had 1.19 times higher odds to exhibit anxiety symptoms than men. Increasing age was significantly associated with reduced likelihood of exhibiting anxiety symptoms, whereas being married was significantly associated with higher likelihood of anxiety symptoms, compared to not being married. Being suspended from work was associated with an increase in the likelihood of anxiety symptoms. However, we found that being infected with COVID-19 was associated with a 9.59 times higher risk of exhibiting severe anxiety symptoms. Among the study participants, 1451 (17.9%) reported a physical and/or verbal abuse episode from family members, 958 (11.9%) reported abuse outside the family, and 641 (7.9%) reported abuse from enforcers, during the lockdown.ConclusionOur study provided an overview of the psychological and behavioral status, among those who resided in Libya during the civil war and COVID-19 pandemic. The study demonstrates a concerningly high level of clinically significant anxiety during lockdown among the Libyan population during Libya’s lockdown period.

scholarly journals Clinical profile and outcome of acute organophosphate poisoning in children of Upper Egypt: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Khaled A. Abdel Baseer ◽  
Eman Fathala Gad ◽  
Yaser F. Abdel Raheem
Keyword(s):  
Cumulative Dose ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Arterial Oxygen ◽  
Organophosphate Poisoning ◽  
Time Interval ◽  
Sectional Study ◽  
Cross Sectional ◽  
Presenting Symptoms

Abstract Background Organophosphates are one of the most common agents of poisoning in developing countries including Egypt. Due to lack of data about characteristics of organophosphates poisoning in our localities, we aimed to evaluate its clinical pattern and factors affecting outcome. Methods It was a cross-sectional study conducted in South valley University hospital between January 2019 and December 2019. It included all children ≤16 years of age presented with organophosphates poisoning. Diagnosis was performed from the history taken from the patient’s relatives and presenting symptoms. Demographic data, mode and route of poisoning, time from exposure to presentation, clinical symptomatology, grading and routine investigations were evaluated in addition to treatment taken and outcome. Results During the study period, 108 children; mean age was 7.95 ± 4.11 years (range 1. 5-16 years) presented with organophosphorous poisoning. Sixty five (60%) cases were females and 43 (40%) were males. Unintentional acts (87%) were detected more than suicidal (13%) and inhalation route (63.8%) more than ingestion (36. 2%). Miosis was the most frequent clinical sign (100%) followed by respiratory distress (77.7%). Regarding time of presentation to emergency department, 43 (40%) cases were presented within 6 h while others presented more than 6 h post-exposure. Mechanical ventilation (MV) was needed for 14 (13%) cases and 6 (5.5%) cases died due to respiratory failure. Duration of hospital stay, mean time interval from toxic exposure to hospital presentation, leucocytosis, need for MV and cumulative dose of pralidoxime were significantly higher in non survivors than survivors while Pao2 (partial arterial oxygen) and GCS (Glasgow coma scale) were significantly lower. Conclusion This study concluded that time consumed till presentation to hospital, low GCS, need for MV, leucocytosis, decreased PaO2 and increased cumulative dose of pralidoxime were independent risk factors of mortality.

scholarly journals A multidisciplinary approach to mental illness: do inflammation, telomere length and microbiota form a loop? A protocol for a cross-sectional study on the complex relationship between inflammation, telomere length, gut microbiota and psychiatric disorders

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032513 ◽  
Author(s):  
Mirko Manchia ◽  
Pasquale Paribello ◽  
Carlo Arzedi ◽  
Alberto Bocchetta ◽  
Paola Caria ◽  
...  
Keyword(s):  
Gut Microbiota ◽  
Psychiatric Disorders ◽  
Telomere Length ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Telomere Shortening ◽  
Age Related ◽  
The University

IntroductionSevere psychiatric disorders are typically associated with a significant reduction in life expectancy compared with the general population. Among the different hypotheses formulated to explain this observation, accelerated ageing has been increasingly recognised as the main culprit. At the same time, telomere shortening is becoming widely accepted as a proxy molecular marker of ageing. The present study aims to fill a gap in the literature by better defining the complex interaction/s between inflammation, age-related comorbidities, telomere shortening and gut microbiota in psychiatric disorders.Methods and analysisA cross-sectional study is proposed, recruiting 40 patients for each of three different diagnostic categories (bipolar disorder, schizophrenia and major depressive disorder) treated at the Section of Psychiatry and at the Unit of Clinical Pharmacology of the University Hospital Agency of Cagliari (Italy), compared with 40 age-matched and sex-matched non-psychiatric controls. Each group includes individuals suffering, or not, from age-related comorbidities, to account for the impact of these medical conditions on the biological make-up of recruited patients. The inflammatory state, microbiota composition and telomere length (TL) are assessed.Ethics and disseminationThe study protocol was approved by the Ethics Committee of the University Hospital Agency of Cagliari (PG/2018/11693, 5 September 2018). The study is conducted in accordance with the principles of good clinical practice and the Declaration of Helsinki, and in compliance with the relevant Italian national legislation. Written, informed consent is obtained from all participants. Participation in the study is on a voluntary basis only. Patients will be part of the dissemination phase of the study results, during which a local conference will be organised and families of patients will also be involved. Moreover, findings will be published in one or more research papers and presented at national and international conferences, in posters or oral communications.

scholarly journals The Relation between Red Meat and Whole-Grain Intake and the Colonic Mucosal Barrier: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1765
Author(s):  
Mohamad Jawhara ◽  
Signe Bek Sørensen ◽  
Berit Lilienthal Heitmann ◽  
Þórhallur Ingi Halldórsson ◽  
Andreas Kristian Pedersen ◽  
...  
Keyword(s):  
Outer Part ◽  
Human Colon ◽  
Cross Sectional Study ◽  
Red Meat ◽  
University Hospital ◽  
Mucosal Barrier ◽  
Sectional Study ◽  
Whole Grain ◽  
Cross Sectional ◽  
The University

The Colonic Mucosal Barrier (CMB) is the site of interaction between the human body and the colonic microbiota. The mucus is the outer part of the CMB and is considered as the front-line defense of the colon. It separates the host epithelial lining from the colonic content, and it has previously been linked to health and diseases. In this study, we assessed the relationship between red meat and whole-grain intake and (1) the thickness of the colonic mucus (2) the expression of the predominant mucin gene in the human colon (MUC2). Patients referred to colonoscopy at the University Hospital of Southern Denmark- Sonderjylland were enrolled between June 2017 and December 2018, and lifestyle data was collected in a cross-sectional study design. Colonic biopsies, blood, urine, and fecal samples were collected. The colonic mucus and bacteria were visualized by immunostaining and fluorescence in situ hybridization techniques. We found a thinner mucus was associated with high red meat intake. Similarly, the results suggested a thinner mucus was associated with high whole-grain intake, albeit to a lesser extent than red meat. This is the first study assessing the association between red meat and whole-grain intake and the colonic mucus in humans. This study is approved by the Danish Ethics Committee (S-20160124) and the Danish Data Protecting Agency (2008-58-035). A study protocol was registered at clinical trials.gov under NCT04235348.

scholarly journals Association between dynamic asymmetry of the newborn's head and intrauterine factors

2007 ◽  
Vol 65 (2A) ◽  
pp. 218-221 ◽  
Author(s):  
Cláudia Regina Beuter ◽  
Fleming Salvador Pedroso ◽  
Ricardo César Mazetto ◽  
Cassandra Trojahn dos Santos ◽  
Ângela Garcia Rossi
Keyword(s):  
Vestibular Function ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Head Turning ◽  
Cross Sectional ◽  
The Right ◽  
The University ◽  
Santa Maria

A non-comparable, individual, observational and contemporary cross-sectional study in newborns was made to determine the dynamic lateralization in the head turning after release from the midline and its relationship with obstetric variables. From October to December of 2005, 320 newborns were admitted to the Adjacent Lodgings of the University Hospital of Santa Maria. From those, 89 were selected for assessment of the vestibular function since they have had previously fetal static control through ultrasound. Our results show that the right-sided head lateralization was significantly greater than the left-sided. The predominancy of the lateralization towards the right side also occurred in cephalic presentations and left-sided back, however these were not significant. Results corroborate with the existing literature and suggest an association between fetal static and vestibular function.

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