scholarly journals Evolución ponderal y de comorbilidades a largo plazo en pacientes intervenidos de cirugía bariátrica

2020 ◽  
Vol 112 (2) ◽  
pp. 165-170
Author(s):  
María Marqueta de Salas ◽  
◽  
Lorena Rodríguez Gómez ◽  
Norberto Herrera Merino ◽  
Javier Martín Ramiro
Keyword(s):  
Bariatric Surgery ◽  
Sleep Apnea Syndrome ◽  
Cross Sectional Study ◽  
Class Iii ◽  
Cross Sectional ◽  
Obesity Class ◽  
Obstructive Sleep ◽  
Long Term Follow Up

Objective: The aim of this paper is to analyze the outcome of major comorbidities and body mass index during long-term follow-up in patients undergoing bariatric surgery. Material and methods: A retrospective cross-sectional study was conducted on a sample of 28 patients (32 women and 6 men; mean age: 43.52 years) undergoing bariatric surgery between 2008 and 2011. The surgical procedures performed were adjustable gastric banding (n =8), sleeve gastrectomy (n = 8) and gastric bypass (n = 22). Results: Diabetes mellitus was resolved in 73.43% of cases, hypertension in 47.05%, dyslipidemia in 75% and obstructive sleep apnea syndrome in 70%. Five years after surgery, 28.9% of the patients had obesity class I, 23.7% had overweight, 23.7% had obesity class II and 23.7% had obesity class III. Conclusion: bariatric surgery achieves resolution of comorbidities associated with obesity in a high percentage of cases. This effect is more effective in dyslipidemia. Weight regain in the long-term and follow-up beyond five years after surgery are still pending issues.

scholarly journals Side Effects Following Administration of the First Dose of Oxford-AstraZeneca’s Covishield Vaccine in Bangladesh: A Cross-Sectional Study

2021 ◽  
Vol 13 (4) ◽  
pp. 888-901
Author(s):  
Nishat Jahan ◽  
Fahad Imtiaz Rahman ◽  
Poushali Saha ◽  
Sadia Afruz Ether ◽  
ASM Roknuzzaman ◽  
...  
Keyword(s):  
Side Effects ◽  
Rapid Development ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Post Vaccination ◽  
Long Term Follow Up ◽  
Larger Sample

In response to the raging COVID-19 pandemic, Bangladesh started its vaccine administration in early 2021; however, due to the rapid development and launch of the vaccines in the market, many people had concerns regarding the safety of these vaccines. The purpose of this study was to evaluate the side effects that were experienced by the Bangladeshi residents after receiving the first dose of the Oxford-AstraZeneca’s Covishield vaccine (ChAdOx1nCoV-19). The study was conducted using both online and printed questionnaires and the data were analysed using SPSS. The results included the responses of 474 vaccine recipients from March–April 2021. Pain at the site of injection, fever, myalgia, fatigue and headache were the most commonly reported symptoms, and the overall side effects were found to be significantly more prevalent in the younger population (p ≤ 0.05). These findings were consistent with the results indicated by the clinical trial of ChAdOx1nCoV-19. Logistic regression analysis further revealed that compared to people aged 70 years or above, the incidence of reported side effects was significantly higher in people aged 18–30 years (odds ratio (OR) = 8.56), 31–40 years, (OR = 5.05), 41–50 years (OR = 4.08), 51–60 years (OR = 3.77) and 61–70 years (OR = 3.67). In addition, a significantly higher percentage of female participants suffered from post-vaccination side effects compared to males (OR = 1.51). It was concluded that the Covishield vaccine was well-tolerated among people of different age groups. Nevertheless, further long-term follow-up study with a larger sample size is warranted to establish the long-term safety of the COVID-19 vaccine.

scholarly journals Long-Term Follow-up of Obstructive Sleep Apnea Syndrome Following Surgery in Children and Adults

2000 ◽  
Vol 192 (3) ◽  
pp. 165-172 ◽  
Author(s):  
Mieko Sato ◽  
Masaaki Suzuki ◽  
Takeshi Oshima ◽  
Masaki Ogura ◽  
Akira Shimomura ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Obstructive Sleep ◽  
Long Term Follow Up ◽  
Apnea Syndrome

scholarly journals Epidemiology of interdigital infections of toe web spaces in Shanghai, China: Etiology, risk factors, and therapeutic approaches

2020 ◽  
Author(s):  
Qian Yu ◽  
Wei Li ◽  
Siyue Kan ◽  
Xiaoping Liu ◽  
Hong Yang ◽  
...  
Keyword(s):  
Drug Susceptibility ◽  
Cross Sectional Study ◽  
Therapeutic Effects ◽  
Recurrence Rates ◽  
Cross Sectional ◽  
Long Term Follow Up ◽  
Medical Histories ◽  
Pathogenic Agents

Abstract Background Interdigital infections are frequently misdiagnosed as tinea pedis and remain intractable to treatments because of high recurrence rates and potential complications. We aimed to understand the epidemiology of interdigital infections in Shanghai, China. Methods We conducted a cross-sectional study at Shanghai Dermatology Hospital from January 2019 to December 2019, enrolling 57 patients with acute interdigital inflammation. Patients received antibiotic therapy and underwent long-term follow-up. Clinical features and medical histories, including blood, bacterial, and mycologic examination results, cultures and drug susceptibility test results, and follow-up data were analyzed for pathogenic agents. Results We found Pseudomonas aeruginosa (40.35%), Staphylococcus aureus (36.84%), and other bacteria (22.8%). Compared to other bacteria, P. aeruginosa interdigital infection were more inclined to co-infect with fungal agents. Further, P. aeruginosa interdigital infections were frequently seen in the spring and autumn and in patients aged 60–69 years. However, interdigital infections caused by S. aureus occurred more frequently in the summer and in patients aged 31–40 years. We found that levofloxacin had excellent therapeutic effects. Conclusion Our findings may inform treatment and diagnostic guidelines and, subsequently, help reduce the rate of recurrence and improve patient outcomes following interdigital infections.

scholarly journals Polysonographic changes in obese patients with indication of bariatric surgery

2021 ◽  
Vol 48 ◽  
Author(s):  
VICTOR MARTINS FERNANDES ◽  
GIBRAN RIBEIRO DA ROCHA ◽  
THIAGO CARVALHO MILET ◽  
DANIEL MATOS BARRETO ◽  
JORGE FARIA DE MIRANDA SANTOS ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Sleep Apnea Syndrome ◽  
Cross Sectional Study ◽  
Standard Test ◽  
P Value ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Respiratory Event

ABSTRACT Introduction: obstructive Sleep Apnea Syndrome (OSAS) is a serious confition that compromises the quality of life and survival of patients. Its main risk fator in adults is obesity and the gold standard test for diagnosis is polysomnography (PSG), mainly through the apneia-hypopnea index (AHI). Objective: to analyze the sleep pattern of obese patients with indication for bariatric surgery, determining the main polisomnographic parameters compromised by obesity. Methods: This work is a cross-sectional study with analysis of polysomnography perfomed in patients with obesity in the peroperative period of bariatric surgery at a clinic in Vitória da Conquista/BA during 2017. The Epi Info 7 platform was used for analysis of the data. Results: 58 polysomnographic reports were analyzed, with 56,9% morbdly obese and 43,1% non-morbid. The prevalence of OSAS was 70,68% and de AHI ranged from zero to 84,6 with a mean of 19,47±22,89 e/h. morbidly obese, compared to “non-morbid”, had a longer saturation time below 80% and 90% (0,4±0,93 vs. 0,12±0,45 e 4,87±7,38 vs. 1,36±2,87 respectively; p-value=0,02 in both), worse index respiratory disorders ((29,24±25,36 vs. 16,88±16,21; p-value=0,02), higher AHI (24,71±25,68 vs. 12,56±16,67; p-value=0,02), higher hypopnea index values (16,41±17,10 vs. 6,99±8,52; p-value=0,006) and lower minimum saturation (78,24±9,80 vs. 85,24±6,33; p-value=0,004). Conclusions: the high prevalence of OSAS found confirms its indication in the preoperative period of bariatric surgery. The main respiratory event involved in most individuals with OSAS was the hypopnea index.

Cognitive Functioning in Multiple Sclerosis

1969 ◽  
Vol 115 (524) ◽  
pp. 765-775 ◽  
Author(s):  
K. L. Jambor
Keyword(s):  
Multiple Sclerosis ◽  
Direct Method ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Short Period ◽  
Long Term Follow Up ◽  
Multiple Sclerosis Patients

In previous studies the estimation of the incidence of intellectual changes in multiple sclerosis has varied from as low as 2 per cent. (Cottrell and Wilson, 1926) to as high as 72 per cent. (Ombredane, 1929). In order to establish the incidence accurately, the most satisfactory method would clearly be a long-term follow-up (covering lifetime) of a sample of multiple sclerosis patients. Any cross-sectional study would include patients in varying degrees of advancement of the disease, and patients found to be free of intellectual deficits at the time of investigation would not necessarily remain so. Also, the indirect psychometric assessment of intellectual loss is notoriously difficult, and the direct method of follow-up would give much more accurate results. The only direct study up to date has been that of Canter (1951), who found a highly significant (i.e. 13·48 points) loss on re-testing multiple sclerosis patients on the Army General Classification Test after a four-year period. Even after such a short period as six months he found slight losses on most Wechsler-Bellevue subtests, in contrast to an average gain of six full IQ points of the control group.

scholarly journals Obstructive sleep apnea syndrome among obese individuals: A cross-sectional study

2017 ◽  
Vol 63 (10) ◽  
pp. 862-868 ◽  
Author(s):  
Débora Aparecida Oliveira Modena ◽  
Everton Cazzo ◽  
Elaine Cristina Cândido ◽  
Letícia Baltieri ◽  
Luciana Jaroslavsky Bueno da Silveira ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Obstructive Sleep Apnea Syndrome ◽  
Sleep Apnea Syndrome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Obstructive Sleep ◽  
Apnea Syndrome

Summary Introduction: The obstructive sleep apnea syndrome (OSAS) is a respiratory illness, characterized by recurrent episodes of apnea and hypopnea, leading to reduction or cessation of the airflow. Obesity is one of the major risk factors for the development of OSAS. To help in the diagnosis of this disease, easily applicable and low-cost questionnaries were developed, such as the Berlin Questionnaire (BQ). Objective: To evaluate the efficacy of the BQ for the screening of OSAS among candidates to bariatric surgery in a multidisciplinary preoperative program. Method: This is an observational, descriptive and cross-sectional study which evaluated obese individuals that were being prepared for bariatric surgery by means of the BQ. Results: BQ was able to detect that minimal variations in the body mass index, neck circumference and hip-to-waist ratio lead to changes in the risk to develop OSAS; the higher the values of these variables, the higher the risk for OSAS development. Conclusion: BQ was an efficient and reliable tool to demonstrate the high risk for OSAS development in individual with obesity.

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