scholarly journals PHLEBITIS IN PERIPHERAL VASCULAR CATHETERS OF HOSPITALIZED PATIENTS

2019 ◽  
Vol 5 ◽  
Author(s):  
Emile Rodrigues Da Silva ◽  
Rosane Soares
Keyword(s):  
Statistical Analysis ◽  
Statistical Significance ◽  
Signs And Symptoms ◽  
University Hospital ◽  
Peripheral Vascular ◽  
Chi Square ◽  
Multiprofessional Team ◽  
Venous Puncture ◽  
Chi Square Test ◽  
Vascular Catheters

Objective: To identify the occurrence of mechanical and chemical phlebitis in peripheral venous catheters of hospitalized adult patients. Method: a descriptive observational study with 100 patients over 18 years of age who underwent peripheral venous puncture, performed in September and October 2016 at the Adult Hospitalization Unit of a University Hospital. The site of insertion of the peripheral puncture device was evaluated daily in order to identify signs and symptoms of phlebitis. Statistical analysis was performed using the chi-square test, considering statistical significance when p <0.05. Results: Phlebitis occurred in 21% of cases, with grade 1 (52.4%) prevalent. Of the 21 cases, 14 occurred due to mechanical causes, 50% due to repeated punctures and 7 due to chemical causes, which presented a statistically significant value in relation to some medications used (p = 0.008). Conclusion: the result of the study made the importance of the multiprofessional team in the care of these patients perceptible.

scholarly journals Computer-generated STOPP/START recommendations for hospitalised older adults: evaluation of the relationship between clinical relevance and rate of implementation in the SENATOR trial

2020 ◽  
Vol 49 (4) ◽  
pp. 615-621 ◽  
Author(s):  
Kieran Dalton ◽  
Denis Curtin ◽  
Denis O’Mahony ◽  
Stephen Byrne
Keyword(s):  
Older Adults ◽  
Clinical Relevance ◽  
Statistical Significance ◽  
University Hospital ◽  
Chi Square ◽  
Implementation Rate ◽  
Key Factor ◽  
Chi Square Test ◽  
The Relationship ◽  
Trial Intervention

Abstract Background findings from a recent qualitative study indicate that the perceived clinical relevance of computer-generated STOPP/START recommendations was a key factor affecting their implementation by physician prescribers caring for hospitalised older adults in the SENATOR trial. Aim to systematically evaluate the clinical relevance of these recommendations and to establish if clinical relevance significantly affected the implementation rate. Methods a pharmacist–physician pair retrospectively reviewed the case records for all SENATOR trial intervention patients at Cork University Hospital and assigned a degree of clinical relevance for each STOPP/START recommendation based on a previously validated six-point scale. The chi-square test was used to quantify the differences in prescriber implementation rates between recommendations of varying clinical relevance, with statistical significance set at P &lt; 0.05. Results in 204 intervention patients, the SENATOR software produced 925 STOPP/START recommendations. Nearly three quarters of recommendations were judged to be clinically relevant (73.6%); however, nearly half of these were deemed of ‘possibly low relevance’ (320/681; 47%). Recommendations deemed of higher clinical relevance were significantly more likely to be implemented than those of lower clinical relevance (P &lt; 0.05). Conclusions a large proportion (61%) of the computer-generated STOPP/START recommendations provided were of potential ‘adverse significance’, of ‘no clinical relevance’ or of ‘possibly low relevance’. The adjudicated clinical relevance of computer-generated medication recommendations significantly affects their implementation. Meticulous software refinement is required for future interventions of this type to increase the proportion of recommendations that are of high clinical relevance. This should facilitate their implementation, resulting in prescribing optimisation and improved clinical outcomes for multimorbid older adults.

scholarly journals Nursing work in the surgical ward and psychosocial risks related to management modes

2020 ◽  
Vol 41 ◽  
Author(s):  
Bruna Pires Madrid ◽  
Kamille Kotekewis ◽  
Cecília Helena Glanzner
Keyword(s):  
University Hospital ◽  
Management Styles ◽  
Chi Square ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Psychosocial Risks ◽  
Surgical Ward ◽  
Chi Square Test ◽  
Management Modes ◽  
Student’S T

ABSTRACT Aim: To evaluate the management modes in the workplace of the nursing staff of the surgical ward of a university hospital. Methods: Cross-sectional, descriptive, quantitative and analytical study performed in the Surgical Ward of a university hospital in southern Brazil. Sample consisted of 160 nursing workers who answered the Management Styles Assessment Scale. Comparisons were made using Student's t-test and One-Way analysis of variance (ANOVA), Pearson's chi-square test, multiple comparisons test and multiple linear regression analyzes. Results: The Collectivist style was classified as “Predominant” by 46.2% (72) of the workers. The Normative and Directive styles were rated as “Moderate Presence” by 53.2% (84) and 50.3% (77), respectively. The Individualist style was rated as “Unremarkable” by 60.6% (94) of the sample. Conclusions: The presence of collectivist management meets the characteristics of nursing work, which is patient care, planned and performed jointly and in line with the multiprofessional team in the pursuit of comprehensive care.

scholarly journals Prevalence and Prognostic Implications of PD-L1 Expression in Soft Tissue Sarcomas

2021 ◽  
Vol 27 ◽  
Author(s):  
Mohamed Kelany ◽  
Thomas FE. Barth ◽  
Dina Salem ◽  
Marwa M. Shakweer
Keyword(s):  
Soft Tissue ◽  
Statistical Significance ◽  
Soft Tissue Sarcomas ◽  
Predictive Marker ◽  
University Hospital ◽  
Chi Square ◽  
Tissue Samples ◽  
Cancer Subtypes ◽  
Chi Square Test ◽  
Prognostic Implications

Background: PD-L1 expression differs from 19 to 92% in various cancer subtypes. Its expression carries a worse prognostic value in various malignancies and could also be used as a predictive marker for immune checkpoint inhibitor response. This study aimed to explore the prevalence of PD-L1 expression in soft tissue sarcomas and the correlation of PD-L1 expression with clinicopathological features.Patients and Methods: The tissue samples of 50 patients with STS were tested for PD-L1 expression using immunohistochemistry (IHC). We followed a 6-step proportional scoring system. The patients were treated at Ain Shams University Hospital from 2011 to 2017. We also explored the correlation of PD-L1 expression with different clinical features of the patients. The chi-square test was used to calculate the differences among variables.Results: Twelve cases (24%) showed positive PD-L1 expression with the highest prevalence in rhabdomyosarcoma and desmoid tumors (2/2 and 2/3 cases, respectively), followed by GIST in 2/4 cases and liposarcoma in 3/11 cases. Patients with positive PD-L1 expression showed a trend for worse survival, with a median overall survival of 11 months vs. 19 months for patients with negative PD-L1 expression (p-value = 0.1) and a mean PFS of 6 months vs. 11 months for patients with negative PD-L1 expression (p-value = 0.1). However, these findings did not reach statistical significance.Conclusion: Although the results did not reach statistical significance due to the small number of cases, PD-L1 expression could represent a prognostic factor for poor outcome. Larger clinical trials are recommended for the validation of PD-L1 as a poor prognostic biomarker.

scholarly journals Awareness of Dental Surgeons in Pune and Mumbai, India, regarding Chemomechanical Caries Removal System

2013 ◽  
Vol 14 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Bijle Mohammed Nadeem Ahmed ◽  
Monika Bhalla ◽  
Shahzad S Mumkekar ◽  
KV Murali
Keyword(s):  
Statistical Analysis ◽  
Qualitative Data ◽  
Statistical Significance ◽  
Equal Proportion ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
Caries Removal ◽  
Questionnaire Method ◽  
Removal System

ABSTRACT Aim To evaluate awareness of dental surgeons in Pune and Mumbai, India regarding chemomechanical caries removal system (CMCR). Study design Sixty practicing dental surgeons from Mumbai (30) and Pune (30) were surveyed using questionnaire. Materials and methods Qualitative data was collected on the basis of structured schedule questionnaire method. Statistics Statistical analysis was done using SPSS v. 12.0. To test statistical significance, Chi-square test, Fishers exact test and Mann-Whitney U test were used. Results Of total respondents, 46.7% dental surgeons in Pune and 13.3% in Mumbai were aware about CMCR products. Carisolv® was known to 57.1% of dental surgeons in Pune and 75% in Mumbai, whereas, Papacarie® was known to 28.6% of dentists in Pune and none in Mumbai among the respondents aware about CMCR products. Conclusion A significantly higher proportion of dental surgeons from Pune were aware about CMCR products compared to Mumbai. Dental surgeons from Mumbai were unaware about Papacarie®. Almost equal proportion of Dentists from Mumbai and Pune would like to undergo CDE programs to seek knowledge on CMCR, particularly Papacarie®. How to cite this article Bijle MNA, Patil S, Mumkekar SS, Arora N, Bhalla M, Murali KV. Awareness of Dental Surgeons in Pune and Mumbai, India, regarding Chemomechanical Caries Removal System. J Contemp Dent Pract 2013;14(1):96-99.

Change in perception of sclerotherapy results after exposure to pre–post intervention photographs

2017 ◽  
Vol 33 (4) ◽  
pp. 282-287 ◽  
Author(s):  
Fabricio R Santiago ◽  
Mario Piscoya ◽  
Yung-Wei Chi
Keyword(s):  
Varicose Veins ◽  
Statistical Significance ◽  
Wilcoxon Test ◽  
Clinical Severity ◽  
Post Intervention ◽  
Chi Square ◽  
Severity Scores ◽  
Venous Clinical Severity Score ◽  
Before And After ◽  
Chi Square Test

Objective To evaluate patients’ self-perception of cosmetic improvement before and after they were presented with pre- and postprocedure photographs after sclerotherapy with 75% dextrose. Methods Treatments included sclerotherapy of reticular and varicose veins using 75% dextrose. All treated limbs were photographed and classified according to Clinical, Etiology, Anatomy, and Pathology classification and Venous Clinical Severity Score pre- and posttreatment. The patients were queried before and after viewing the photos during these visits and indicated if they were very unsatisfied, dissatisfied, satisfied, or very satisfied. Nonparametric kappa correlation coefficient and a Chi square test were used to measure associations among agreement (p < 0.05 indicated statistical significance). The paired Wilcoxon test was used to compare statistical differences in mean Venous Clinical Severity Scores measured at different times (p < 0.05 indicated statistical significance). Data were analyzed using STATA software (version 12). Results Individuals were more satisfied with the results of sclerotherapy after exposure to images portraying their limbs two months after the procedure (p = 0.0028). This effect was maintained six months after sclerotherapy (p = 0.0027). Conclusion Patient exposure to pre- and postsurgical photographs is a simple intervention with the potential of improving patient satisfaction up to six months after treatment with sclerotherapy.

Association Between Positive Occipital Sharp Transients of Sleep and Lambda Waves

2018 ◽  
Vol 50 (3) ◽  
pp. 219-221
Author(s):  
Ushtar Amin ◽  
Lucy Sullivan ◽  
Pat Trudeau ◽  
Selim R. Benbadis
Keyword(s):  
Statistical Analysis ◽  
Chi Square ◽  
High Association ◽  
Similar Morphology ◽  
Strong Similarity ◽  
Continuity Correction ◽  
Chi Square Test

Positive occipital sharp transients of sleep (POSTS) and lambda waves have similar morphology and location. We studied a possible association between these 2 normal EEG patterns. We reviewed a series of consecutive unselected ambulatory EEGs during a 3-month period (October 16, 2017 to January 19, 2018) and identified records with POSTS and records with lambda waves. Statistical analysis was performed using a chi-square test. A total of 140 ambulatory EEGs were reviewed. Duration of EEGs ranged from 24 to 168 hours (mean 76 hours). The population was 34% males, with ages ranging from 3 to 93 years (mean 48 years). Of the 140 records, 30 were abnormal, including 20 with epileptiform abnormalities. A chi-square test for independence (with Yates continuity correction) indicated a significant association between POSTS and lambda waves, χ2(1, n = 140) = 69.208, p < .001, φ = 0.72. In addition, 100% of records with lambda waves had POSTS, and 72% of records with POSTS had lambda waves. There is a high association between lambda waves and POSTS. This suggests a strong similarity between the 2 waveforms, and possibly a common occipital generator.

scholarly journals Frequency of dementia among elderly admitted to a Geriatrics Inpatients Sector of a Brazilian public hospital

2018 ◽  
Vol 12 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Rafael Thomazi ◽  
Liciana Vaz de Arruda Silveira ◽  
Paulo José Fortes Villas Boas ◽  
Alessandro Ferrari Jacinto
Keyword(s):  
Univariate Analysis ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
University Hospital ◽  
Chi Square ◽  
Diagnosis Of Dementia ◽  
Elderly Inpatients ◽  
Chi Square Test ◽  
Student’S T ◽  
Clinical Conditions

ABSTRACT Patients with dementia are commonly admitted to inpatient sectors. The aim of this study was to describe the frequency of dementia among elderly inpatients admitted to the Geriatrics Sector of a Brazilian Tertiary University Hospital, and to identify associations between dementia and clinical and sociodemographic factors. Methods: All patients admitted to the Geriatrics Sector of a public Brazilian university-hospital from March 1st 2014 to January 31st 2015 were assessed by geriatricians. The patients were divided into groups "with or without diagnosis of dementia". Univariate analysis was performed between these two groups using the Chi-Square Test, Student's t-test or the Mann-Whitney Test. Results: One hundred and three elderly inpatients, with a mean age of 82 (±7.9) years, were assessed. Overall, 74.7% had low educational level (<4 years), 66% used polypharmacy, 57.2% developed delirium during hospitalization and 59% were totally dependent for basic activities of daily living. The diagnosis of dementia was observed in 59 (57%) subjects. Conclusion: The frequency of dementia was high among the elderly inpatients evaluated. The association between dementia and certain clinical conditions, such as incontinence, delirium and use of psychoactive drugs, was in line with the medical literature.

scholarly journals Gloves Perforations in Minor Oral Surgical Procedures: A Comparison of Latex and Nitrile Gloves

2021 ◽  
Vol 30 (02) ◽  
pp. 103-106
Author(s):  
Ajeet Kumar ◽  
◽  
Naveed Iqbal ◽  
Javaria Farooq ◽  
Saad Uddin Siddiqui
Keyword(s):  
Local Anesthesia ◽  
Surgical Procedures ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
P Value ◽  
Dominant Hand ◽  
Chi Square ◽  
Oral Surgical Procedures ◽  
Latex Gloves ◽  
Chi Square Test

OBJECTIVE: This study was performed to compare incidence of perforations in Latex and Nitrile examination gloves during Minor Oral surgical procedures performed under local anesthesia. METHODOLOGY: 100 pairs of latex and 100 pairs of Nitrile examination gloves where used to perform 200 minor oral surgical procedures under local anesthesia. After completion of every minor oral surgical procedure each gloves was examined by Water Inflation method to observe presence or absence of Perforations. A data sheet was used to collect data including type of Gloves used (Latex or Nitrile) presence of perforations, sites of perforations and nature of minor oral surgical procedures. Data was entered and analyzed using SPSS version 20. Descriptive analysis was conducted to calculate frequency and percentages of Number and sites of perforations for both Nitrile and latex examination gloves. Chi Square test was used to find out statistical significance of difference of perforations rate between Nitrile and Latex gloves. P value of < 0.05 was considered significant. RESULTS: Out of 200 latex gloves 23 (11.5) had 29 perforations whereas out of total 200 Nitrile gloves 28 (14%) had 22 perforations. Nitrile gloves had a statistically significant higher rate of perforations as compared to Latex gloves. (P value 0.043). For both Nitrile and Latex gloves left non dominant hand had highest frequency of perforations Latex 18 (81.81%) perforations and Nitrile 18(62.06%). Index finger and thumb were most frequent sites of perforations in both Latex and Nitrile gloves. CONCLUSION: Gloves perforations were more common in Nitrile examination gloves however total number of perforations was more in Latex examination gloves.

scholarly journals Relationship of the Self-perception of Lifestyle with Level of Physical Activity in People with and without Type 2 Diabetes

2019 ◽  
pp. 1-7
Author(s):  
Briseida Mayel Perez-Avelino ◽  
Nicolás Padilla-Raygoza ◽  
Verónica Benitez-Guerrero ◽  
María Luisa Sánchez Padilla ◽  
Vicente Beltrán-Campos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Statistical Significance ◽  
Self Perception ◽  
Chi Square ◽  
Cross Sectional ◽  
Lifestyle Questionnaire ◽  
Chi Square Test ◽  
Relationship Of

Objective: To determine the relationship of the perception of lifestyle with the level of physical activity in people with type 2 diabetes and without type 2 diabetes. Study Design: Analytical cross-sectional observational study in Celaya, Guanajuato, Mexico. Methodology: Sample composed of 100 people with type 2 diabetes and 100 people without type 2 diabetes, the lifestyle questionnaire and IPAQ questionnaire were used. Descriptive statistics were calculated for sociodemographic variables; it was calculated Chi-square test and Odds Ratio.  To demonstrate the statistical significance of results, the value of P was set at .05. Statistical analysis was performed in STATA 13.0 ®. Results: In patients with Type 2 Diabetes predominated females, married, who never went school and elementary and BMI ≥ 25 kg/m2; among patients without Type 2 Diabetes, predominant males, singles, went school or university, BMI ≥25 kg/m2; no relationship was found between lifestyle perception and level of physical activity in adults with type 2 diabetes (X² = 0.0022 gl 1 P = .96) neither it was found a significant relationship between lifestyle perception and level of physical activity in adults without type 2 diabetes (X² = 5.23 gl 1 P = .02 RM = 2.85 95% CI = 0.80 to 10.4). Conclusion: The results show that self-perception of lifestyle and physical activity is different in people with less age, more schooling, males.

scholarly journals ULTRASOUND PREDICTABILITY OF LOWER UTERINE SEGMENT CESAREAN SECTION SCAR THICKNESS

2020 ◽  
pp. 9-11
Author(s):  
Madhu Kumari ◽  
Kumari Bibha ◽  
Abha Sinha ◽  
Debarshi Jana
Keyword(s):  
Cesarean Section ◽  
Gestational Age ◽  
Statistical Significance ◽  
P Value ◽  
Chi Square ◽  
Medical College ◽  
Chi Square Test ◽  
Uterine Scar ◽  
Age Range ◽  
The Given

Objective: The objective of this study is to find out association between scar thickness, assessed sonographically, and intraoperative findings (IOF). Study Design: Descriptive study. Place and Duration of Study: Department of Obstetrics and Gynecology, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar from June 2019 to May 2020. Methodology: A total of 70 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri. Sonographic findings were co-related with introperative findings. All the given data were entered on SPSS version 23. Age was expressed as mean ± SD. Parity, gestational age, and interval between cesarean sections were expressed as frequencies with percentages. Statistical analysis was done by using Chi-square test for categorical data for association between sonographic scar thickness and intraoperative findings. The statistical significance was set at p-value <0.05. Results: The age range of the patients was 20- 36 years with a mean of 27.91 ±3.690 years. Gestational age at the time of cesarean section was between 27-40 weeks of gestation with a mean of 37 ±2.126 weeks. The interval from previous cesarean was 10 months at the minimum, and 6 years at the maximum with a mean of 2.29 ±1.0 months. Mean scar thickness was 2.5 mm. Association between scar thickness (<1-3 mm) and intaoperative findings of dehiscence and rupture showed a p-value of <0.001. Conclusion: Sonographic assessment of a uterine scar has a practical application to determine the thickness of previous scar, and assess its integrity.

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