Airway Intervention Treatment for Infants

2015 ◽  
Vol 66 (5) ◽  
pp. 351-356
Author(s):  
Takeshi Shiraishi
1995 ◽  
Vol 109 (12) ◽  
pp. 1197-1199 ◽  
Author(s):  
R. B. S. Laing ◽  
P. J. C. Wardrop ◽  
P. D. Welsby ◽  
R. P. Brettle

AbstractThe immunodeficiency which results from HIV infection is associated with a range of opportunistic infections and tumours which may present with the symptoms of upper airways disease. This paper presents three cases of stridor from different causes in patients with HIV infection, all of whom recovered following treatment. The management of this problem requires consideration of the likely aetiology which, in those with advanced immunodeficiency, includes bacterial and fungal laryngitis and epiglottitis as well as rapidly growing laryngeal tumours. Recommendations for the treatment of those with HIV infection who present with severe or rapidonset stridor should include a combination of aggressive airway intervention and broad-spectrum antibacterial and antifungal agents. Laryngeal biopsy for histology and culture is particularly important for those patients who fail to respond to the aforementioned treatment.


2018 ◽  
Vol 46 (5-6) ◽  
pp. 371-384 ◽  
Author(s):  
Micaela Mitolo ◽  
Caterina Tonon ◽  
Chiara La Morgia ◽  
Claudia Testa ◽  
Valerio Carelli ◽  
...  

Background: Bright light treatment is a therapeutic intervention mainly used to treat sleep and circadian disturbances in Alzheimer’s disease (AD) patients. Recently, a handful of studies also focused on the effect on cognition and behavior. Conflicting findings are reported in the literature, and no definite conclusions have been drawn about its specific therapeutic effect. Summary: The aim of this review is to provide a critical evaluation of available evidence in this field, highlighting the specific characteristics of effective bright light treatment. Eligible studies were required to assess at least one of the following outcome measures: sleep, cognition, mood, and/or behavior (e.g., depression, agitation). A total of 32 articles were included in this systematic review and identified as research intervention studies about light treatment in AD. The quality of the papers was evaluated based on the US Preventive Service Task Force guidelines. Key Messages: Overall, the current literature suggests that the effects of light treatment in AD patients are mixed and may be influenced by several factors, but with a general trend toward a positive effect. Bright light seems to be a promising intervention treatment without significant adverse effects; therefore, further well-designed randomized controlled trials are needed taking into account the highlighted recommendations.


2020 ◽  
Vol 14 ◽  
Author(s):  
Ana Carolina Siqueira de Carvalho ◽  
Patricia De Fatima Augusto Barros ◽  
Romulo DelValle ◽  
Rosimere Ferreira Santana

Objetivo: identificar evidências científicas sobre o uso da contenção mecânica em pacientes adultos e idosos nos serviços de urgências e emergências. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, realizado nas bases de dados: Medline (via PubMed), CINAHL, Scopus e Lilacs, nos últimos cinco anos, 2014 a 2019. Avaliaram-se e classificaram-se os estudos quanto ao seu rigor científico, para a classificação do Nível de Evidência, por meio de um instrumento baseado na Rating System for the Hierachy of Evidence for Intervention/Treatment Question. Resultados: encontraram-se três estudos, no Havaí, Canadá e Austrália, produzidos em 2014 e 2016, sendo dois artigos com abordagem quantitativa e um artigo qualitativo, todos na língua inglesa. Informa-se que dois tratavam de implementação de estratégias de educação para reduzir o uso da contenção e um sobre a percepção dos profissionais de saúde sobre o uso da contenção. Conclusão: conclui-se que estratégias educacionais para profissionais de saúde são necessárias para reduzir o uso da contenção mecânica, evitando resultados deletérios não só para os pacientes, mas para a equipe. Descritores: Adultos; Idosos; Restrição Física; Serviços Médicos de Emergência; Enfermagem em Emergência; Saúde do Idoso.AbstractObjective: to identify scientific evidence on the use of mechanical restraint in adult and elderly patients in urgent and emergency services. Method: this is a bibliographic, descriptive, integrative review of the literature, carried out in the databases: MEDLINE (via PubMed), CINAHL, SCOPUS and LILACS, in the last five years, 2014 to 2019. They were evaluated and classified the studies are based on their scientific rigor, for the classification of the Level of Evidence, using an instrument based on the Rating System for the Hierachy of Evidence for Intervention / Treatment Question. Results: three studies were found, in Hawaii, Canada and Australia, produced in 2014 and 2016, two articles with a quantitative approach and one qualitative article, all in English. It is reported that two dealt with the implementation of education strategies to reduce the use of restraint and one about the perception of health professionals about the use of restraint. Conclusion: it is concluded that educational strategies for health professionals are necessary to reduce the use of mechanical restraint, avoiding deleterious results not only for patients, but for the team. Descriptors: Adults; Aged; Restraint, Physical; Emergency Medical Services; Emergency Nursing; Health of the Elderly.ResumenObjetivo: identificar evidencia científica sobre el uso de restricciones mecánicas en pacientes adultos y ancianos en servicios urgentes y de emergencia. Método: esta es una revisión bibliográfica, descriptiva, integradora de la literatura, realizada en las bases de datos: MEDLINE (a través de PubMed), CINAHL, SCOPUS y LILACS, en los últimos cinco años, 2014 a 2019. Fueron evaluados y clasificados los estudios en cuanto su rigor científico, para la clasificación del Nivel de Evidencia, utilizando un instrumento basado en el Rating System for the Hierachy of Evidence for Intervention/Treatment Question. Resultados: se encontraron tres estudios, en Hawai, Canadá y Australia, producidos en 2014 y 2016, dos artículos con un enfoque cuantitativo y un artículo cualitativo, todos en inglés. Se informa que dos se ocuparon de la implementación de estrategias educativas para reducir el uso de la contención y uno sobre la percepción de los profesionales de la salud sobre el uso de la contención. Conclusión: se concluye que las estrategias educativas para los profesionales de la salud son necesarias para reducir el uso de contención mecánica, evitando resultados nocivos no solo para los pacientes, sino también para el equipo. Descriptores: Adulto; Anciano; Restricción Física; Servicios Médicos de Urgencia; Enfermería de Urgencia; Salud del Anciano.


2020 ◽  
Vol 73 (6) ◽  
pp. 1245-1251
Author(s):  
Iryna A. Holovanova ◽  
Grygori A. Oksak ◽  
Iryna M. Tkachenko ◽  
Maxim V. Khorosh ◽  
Mariia M. Tovstiak ◽  
...  

The aim of our study was to identify the main risk factors for the occurrence of early complications of acute myocardial infarction after cardio-interventional treatment and to evaluate prognostic risk indicators. Materials and methods: Risk factors of myocardial infarction were determined by copying the case history data and calculating on their basis of the odds ratio and ±95% confidence interval. After it, we made a prediction of the risk of early complications of AMI with cardiovascular intervention by using a Cox regression that took into account the patient’s transportation time by ambulance. Results: Thus, the factors that increase the chances of their occurrence were: summer time of year; recurrent myocardial infarction of another specified localization (I122.8); the relevance of the established STEMI diagnosis; diabetes mellitus; renal pathology; smoking; high rate of BMI. Factors that reduce the chances of their occurrence: men gender – in 35%; the age over of 70 – by 50%; the timely arrival of an emergency medical team – by 55%. The factors that increase the chances of their occurrence were: age over 70 years; subsequent myocardial infarction of unspecified site; diabetes mellitus. Using of a Cox regression analysis, it was proved that the cumulative risk of early complications of AMI with cardio-intervention treatment increased from the 10th minute of ambulance arrival at place, when ECG diagnosis (STEMI), presence of diabetes mellitus, smoking and high BMI. Conclusions: As a result of the conducted research, the risk factors for early complications of AIM with cardio-interventional treatment were identified.


2009 ◽  
Vol 4 (4) ◽  
pp. 48-58
Author(s):  
Mical Kay Shilts ◽  
Anna C. Martin ◽  
Marilyn S. Townsend

Determining optimal intervention dose to meet time constraints of the teacher while maximizing behavioral impact for students has proven challenging. This study investigated the influence of intervention dose on 7th & 8th grade participants’ dietary and physical activity (PA) behaviors. Participants were assigned randomly to a: 1) 6 week-12 session nutrition intervention [treatment#1], or 2) 3 week-6 session nutrition intervention [treatment#2] with data collected pre/post intervention. Using ANCOVA, measures assessed dietary and PA self-efficacy and behaviors. Ethnically diverse participants (n=107) were included in the analyses (46% male). All students set two goals: one dietary and one PA regardless of dose. Treatment#1 resulted in similar outcomes compared to treatment#2 with no significant differences between groups. As a result, we recommend that teachers using the 12 week intervention give students the option of setting new goals after the 6th lesson to maintain motivation.


2021 ◽  
Vol 12 (1) ◽  
pp. 229-236
Author(s):  
Tri Yuni Hendrowati ◽  
Rahma Faelasofi

The COVID-19 pandemic requires the learning process to take place online, this has an impact on teachers who are required to creatively innovate unusual learning processes. This research aims to determine the difference in the average learning outcomes of students during online learning between the application of learning videos before and after receiving the learning video intervention treatment. The research instrument used was a test of statistics material. The learning outcomes test data obtained were processed by paired t-test. This research found that there was a difference in the average learning outcomes of students before and after the application of learning videos. The application of learning videos provides better learning outcomes than before using learning videos.


2021 ◽  
Author(s):  
Gjalt - Jorn Ygram Peters ◽  
Rik Crutzen

Acyclic Behavior Change Diagrams (ABCDs) are diagrams that illustrate the logic model (also known as ‘theory of change’) underlying any intervention, treatment, or campaign aiming to change some aspect of people’s minds and/or behaviors. Specifically, the ABCD shows the assumed causal and structural assumptions, thereby showing what is assumed to cause what (e.g. which elements of the intervention are assumed to influence which aspects of the target population’s psychology?) and what is assumed to consist of what (e.g. which determinants are assumed to contain which specific aspects of the target population’s psychology?).


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