scholarly journals Hypoxemia Event and Related Factor on Diagnostic Bronchoscopy for Lung Tumor Case

2020 ◽  
Vol 40 (2) ◽  
pp. 66-74
Author(s):  
Andre Prawira Putra ◽  
Menaldi Rasmin ◽  
Wahju Aniwidyaningsih

Background: Bronchoscopy is a commonly medical procedure perfomed for diagnose lung tumor cases. Hypoxemia often appear as complication related diagnostic bronchoscopy. Therefore, there is a need of research data to knowing related factors and clinical consequences may occur ahead. Methods: Design of this study is cross sectional with suspicion lung malignancy population who undergoing diagnostic bronchoscopy from January until april 2019 at National Respiratory Center Persahabatan General Hospital Jakarta. Total 195 consecutive patients participated dan observed for oxygen saturation in premedication, during and post-bronchoscopy. Hypoxemia was defined as a desaturation

2015 ◽  
pp. 57-60
Author(s):  
Xuan Chuong Tran ◽  
Thi Thanh Hoa Le ◽  
Ngoc Van Nguyen ◽  
Thanh Nguyen

Background: HIV/AIDS is still a dangerous infection in Vietnam and in the world. Studying of HIV infection and related factors in high risk groups, including female massage therapists is therefore very important. Aims: 1. To study the HIV infection in female massage therapists in Quang Ngai province. 2. To fine some related factors to HIV infection. Patients and methods: Female massage therapists working in Quang Ngai province. Cross-sectional, descriptive study. Results: The rate of HIV infection was 0.99%. Group older than 22 years old had higher rate of infection than group under 22 years old (1.80% vs 0.69%). The girls from urban areas or not using condom had higher rate of infection than group from rural or not using condom (1.57% vs 0.47% and 7.32% vs. 0.57%). Most of HIV infected belong to single or divorce groups. Conclusions: The rate of HIV infection in female massage therapists in Quang Ngai province was 0.99%. The HIV infection related factor was not using condom in sexual contact. Keywords: HIV, female massage therapists, Quang Ngai


2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Serafina Perrone ◽  
◽  
Maurizio Giordano ◽  
Giuseppe De Bernardo ◽  
Paola Lugani ◽  
...  

Abstract Background Although many studies emphasize the importance of using oxygen saturation (SpO2) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. Methods Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO2 was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. Results Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO2 ranges were observed. Centers using written standard operating procedures on oxygen management and SpO2 monitoring maintained a correct average range of SpO2 90–95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. Conclusions There is considerable variation in SpO2 targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2180
Author(s):  
Mari Noguchi ◽  
Tomoya Kitakaze ◽  
Yasuyuki Kobayashi ◽  
Katsuyuki Mukai ◽  
Naoki Harada ◽  
...  

We investigated the effects of β-cryptoxanthin on skeletal muscle atrophy in senescence-accelerated mouse-prone 1 (SAMP1) mice. For 15 weeks, SAMP1 mice were intragastrically administered vehicle or β-cryptoxanthin. At 35 weeks of age, the skeletal muscle mass in SAMP1 mice was reduced compared with that in control senescence-accelerated mouse-resistant 1 (SAMR1) mice. β-cryptoxanthin increased muscle mass with an increase in the size of muscle fibers in the soleus muscle of SAMP1 mice. The expressions of autophagy-related factors such as beclin-1, p62, LC3-I, and LC3-II were increased in the soleus muscle of SAMP1 mice; however, β-cryptoxanthin administration inhibited this increase. Unlike in SAMR1 mice, p62 was punctately distributed throughout the cytosol in the soleus muscle fibers of SAMP1 mice; however, β-cryptoxanthin inhibited this punctate distribution. The cross-sectional area of p62-positive fiber was smaller than that of p62-negative fiber, and the ratio of p62-positive fibers to p62-negative fibers was increased in SAMP1 mice. β-cryptoxanthin decreased this ratio in SAMP1 mice. Furthermore, β-cryptoxanthin decreased the autophagy-related factor expression in murine C2C12 myotube. The autophagy inhibitor bafilomycin A1, but not the proteasome inhibitor MG132, inhibited the β-cryptoxanthin-induced decrease in p62 and LC3-II expressions. These results indicate that β-cryptoxanthin inhibits the p62 accumulation in fibers and improves muscle atrophy in the soleus muscle of SAMP1 mice.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Pehlivan ◽  
K Ozdemir

Abstract Background This study was conducted to determine the health literacy levels and related factors of the patients who applied to a health unit. Methods The population of this cross-sectional study was the patients who applied to a district outpatient clinic in the center of Malatya. Power 80% and in the 95% confidence interval based on the mean of health literacy scale of Turkey (29.5 ± 5.7) the sample size was determined as 317. In the first three months of 2019 outpatients and 384 randomized patients who agreed to participate in the study, developed by the Ministry of Health Literacy Turkey Health Questionnaire-32 (THLQ) was applied. The score obtained from the scale is considered to be insufficient of 25 and below, limited to > 25-33 points and a score of < 33 and above is sufficient. In the analysis of the data, Kolmogorov Smirnov, Mann Whitney U, Kruskal Wallis and Chi-Kare tests were used and p < 0.05 was chosen as the level of error. Results 49.9% of the participants were male and 50.1% were female. The average age is 35.94 ± 13.8. While 24% of the participants have secondary or lower education, 40.6% are graduates of higher education. In this study,the health literacy scale mean score of the participants is 15.85 ± 11.07. According to the results of THLQ-32, 78.1% of the participants were in the “insufficient” health literacy category, 14.0% in the “limited” category, only 7.9% in the “sufficient” category. Gender, age, educational background, frequency of applying to the health institution were determined as factors affecting the level of health literacy (p < 0.05). However, the presence of a disease causing regular drug use was not identified as a related factor (p > 0.05). Conclusions In this study, although of have a high education level of the participants were found to be inadequate of health literacy levels according to Turkey average value reflects the general. Key messages According to these results, it may be difficult for the groups that are insufficient in terms of health literacy to benefit from health services. Raising the health literacy level of the society can be an important component of health promotion.


2016 ◽  
Vol 24 (1) ◽  
pp. 65-96
Author(s):  
Byung Jin Kang

This study examines the effects of crisis-related factors on the returns of KOSPI200 index options using a factor model, which was introduced by Constantinides, Jackwerth and Savov (2013). Three factors incorporating price jumps, changes in volatility, and volatility jumps are considered as the crisis-related factors. With the data for the period from 2004 to 2015, we find followings : First, most of the crisis-related factor premia are statistically significant, and their signs are consistent with those expected. Second, these crisis-related factors contribute to improve the understanding of the cross-sectional variation in KOSPI200 index option returns. Third, the crisis-related factor premia became much more significant after the global financial crisis in 2008. Finally, our empirical findings are robust to whether the long options and the in-the-money options are included in the sample or not, and to whether the factor premia are constrained to equal the corresponding premia estimated from the cross-section of equities.


2017 ◽  
Vol 21 (2) ◽  
pp. 391-402 ◽  
Author(s):  
Sara M Parisi ◽  
Lisa M Bodnar ◽  
Tamara Dubowitz

AbstractObjectiveTo investigate relationships between weight resilience (maintaining a normal weight in a food desert environment) and fruit and vegetable (F&V) intake, attitudes and barriers.DesignCross-sectional, in-person surveys collected May–December 2011, including self-reported data on F&V-related psychosocial factors, attitudes and barriers. Two 24 h dietary recalls were completed; weight and height were measured. Multivariable regression models estimated prevalence ratios (95 % CI).SettingTwo low-income, predominantly African-American food deserts in Pittsburgh, Pennsylvania, USA.SubjectsWomen aged 18–49 years (n 279) who were the primary food shopper in a household randomly selected for a parent study.ResultsFifteen per cent were weight resilient, 30 % were overweight and 55 % were obese. Overall, 25 % reported eating ≥5 F&V servings/d. After adjustment for age, education, parity, employment, living alone, physical activity, per capita income and mean daily energy intake, women eating ≥5 F&V servings/d were 94 % more likely to be weight resilient compared with those eating <5 servings/d (1·94; 1·10, 3·43). Across BMI groups, self-efficacy regarding F&V consumption was high and few F&V barriers were reported. The most frequently reported barrier was concern about the cost of F&V (36 %). Of the attitudinal F&V-related factors, only concern about wasting food when serving F&V was associated with weight resilience in adjusted models (0·29; 0·09, 0·94). In a model predicting consuming ≥5 F&V servings/d, driving one’s own car to the store was the only attitudinal F&V-related factor associated with consumption (1·50; 1·00, 2·24).ConclusionsIn this population, weight resilience may be encouraged by improving access to affordable and convenient F&V options and providing education on ways to make them palatable to the entire household, rather than by shifting women’s F&V perceptions, which are already positive.


2020 ◽  
Author(s):  
Serafina Perrone ◽  
Maurizio Giordano ◽  
Giuseppe De Bernardo ◽  
Paola Lugani ◽  
Pasquale Sarnacchiaro ◽  
...  

Abstract Background: Although many studies emphasize the importance of using oxygen saturation (SpO2) targets in the NICUs, there is a wide variability in used saturation ranges among centers. Primary aim was to draw a representative picture on how the management of oxygen monitoring is performed in the Italian NICUs. Second aim was to identify healthcare-professionals related factors associated with oxygen targeting in the preterm population. Methods: Cross-sectional study with data collection via an electronic survey form. A questionnaire containing pre-piloted and open questions on monitoring and management of the SpO2 was administered to neonatologists across the network of the Italian Society of Neonatology. The questions focused on: the infrastructure, specific training, healthcare professionals and patients-related factors. The results of the survey were anonymously collected, summarized and analyzed. Results: Out of 378 questionnaires, 93 were correctly filled. Thirty-six different SpO2 ranges were observed. Centers using written standard operating procedures on oxygen management and SpO2 monitoring maintained a correct average range of SpO2 90-95%, avoided hyperoxia and reconsidered saturation targets in relation to comorbidities. 39.8% of responders disabled alarms during neonatal care. One center used biomarkers for complete monitoring of neonatal oxygenation status. Conclusions: There is considerable variation in SpO2 targets for preterm infants in the Italian NICUs. Standard operating procedures and specific training for health care personnel are the main factors playing a role for the correct maintenance of the recommended oxygen targets in preterms.


2019 ◽  
Author(s):  
Justin-Agorye Ingwu ◽  
Chiamaka Idoko ◽  
Chidinma-Egbichi Israel ◽  
Ijeoma Maduakolam ◽  
Obiagele Madu

Background & Aim: The use of chemotherapy for the treatment of breast cancer has experienced a rapid increase in recent years and this is expected to continue. The objectives of the study were to ascertain the patient-related factors, therapy related factors, and health care system factors that influence non-adherence to chemotherapy among breast cancer survivors at University of Nigeria Teaching Hospital (UNTH), Enugu. Methods & Materials: The study design was a cross-sectional descriptive survey with a total population of 100 cancer survivors. The breast cancer questionnaire was the instrument used for data collection. Results: The result of the study showed that financial constraint 61(61.0%) was the major patient related factor that influence non-adherence to chemotherapy, medication side effects (hair loss, loss of weight) 62(62.0%) and duration of treatment 50(50.0%) were the major therapy related factors while unfavorable hour of clinic visit 40(40.0%) was the major health care related factor that influences non-adherence to chemotherapy. Conclusion: It was concluded that the federal government should re-implement the health care policy that allowed treatment free-of-charge at Nigerian government hospitals to those with malignancies and other chronic ailments to mitigate the burden of associated financial problems and encourage patients to seek orthodox medical care. Also, health education initiation on benefit of adhering to chemotherapy would be needed on the part of the nurses to foster the women intake of chemotherapy. Nurses caring for women who receive endocrine therapy for breast cancer should identify those who may be at greater risk for being non-adherent.


2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Naara Fernanda Custodio Vieira ◽  
Maiara Rodrigues Dos Santos ◽  
Ana Claudia Giesbrecht Puggina

Objetivo: identificar a prevalência do Diagnóstico de Enfermagem “Comunicação Verbal Prejudicada” (CVP), a frequência das características definidoras e dos fatores relacionados; (2) associar dados pessoais e da internação com a prevalência do diagnóstico. Metodologia: Foi realizado um estudo transversal quantitativo com pacientes internados em um hospital privado. Resultados: Participaram 384 pacientes com média de idade 58,6 (±17,4) anos. A maioria do sexo masculino (54,4%). A característica definidora e o fator relacionado mais frequentes foram não fala (27,8%) e alteração no sistema nervoso central (26,3%). Foram encontradas associações entre o diagnóstico e a unidade hospitalar em que o paciente estava internado (p<0,001), faixa etária (p<0,000) e escolaridade (p<0,001). O diagnóstico CVP apresentou prevalência de 37% no geral. Entretanto, a prevalência foi de 79,6% na UTI. Conclusão: Pacientes com mais idade e menor escolaridade parecem ser mais suscetíveis a ter esse diagnóstico. O diagnóstico CVP é alarmante em pacientes em cuidados intensivos. PREVALENCE OF NURSING DIAGNOSIS “IMPAIRED VERBAL COMMUNICATION” IN THE UNITS OF A PRIVATE HOSPITAL Objective: to identify the prevalence of the Nursing Diagnosis “Impaired Verbal Communication” (IVC), the frequency of defining characteristics and related factors; (2) associate personal and hospitalization data with the prevalence of the diagnosis. Methodology: A quantitative cross-sectional study was conducted with patients admitted to a private hospital. Results: Participated 384 patients with mean age 58.6 (± 17.4) years. Most males (54.4%). The most frequent defining characteristic and related factor were non-speech (27.8%) and central nervous system alteration (26.3%). Associations were found between the diagnosis and the impatient unit in which the patient was hospitalized (p <0.001), age group (p <0.000) and education level (p <0.001). The diagnosis of IVP had a prevalence of 37% overall. However, the prevalence was 79.6% in the Intensive Care Unit. Conclusion: Of the 384 patients analyzed, elderly people with low education seem to be more susceptible to this diagnosis, which is alarming in patients in intensive care, with some physical impediment to speech or altered level of consciousness.Descriptors: Prevalence; Nursing Diagnosis; Nursing; Nonverbal Communication.PREVALENCIA DEL DIAGNÓSTICO DE ENFERMERÍA "COMUNICACIÓN VERBAL PERJUDICADA" EN LAS UNIDADES DE UN HOSPITAL PRIVADOObjetivo: identificar la prevalencia del diagnóstico de enfermería "Comunicación Verbal Perjudicada" (CVP), la frecuencia de definición de características y factores relacionados; (2) asociar datos personales y de hospitalización con la prevalencia del diagnóstico. Metodología: se realizó un estudio transversal cuantitativo con pacientes ingresados en un hospital privado. Resultados: participaron 384 pacientes con una edad media de 58.6 (± 17.4) años. La mayoría de los hombres (54.4%). La característica definitoria más frecuente y el factor relacionado fueron el no habla (27.8%) y la alteración del sistema nervioso central (26.3%). Se encontraron asociaciones entre el diagnóstico y la unidad de hospitalización en la que el paciente fue hospitalizado (p <0.001), grupo de edad (p <0.000) y escolaridad (p <0.001). El diagnóstico de CVP tuvo una prevalencia del 37% en general. Sin embargo, la prevalencia fue del 79,6% en la Unidad de Terapia Intensiva. Conclusión: De los 384 pacientes analizados, las personas mayores con baja educación parecen ser más susceptibles a este diagnóstico, lo cual es alarmante en pacientes en cuidados intensivos, con algún impedimento físico para el habla o alteración del nivel de conciencia.Descriptores: Prevalencia; Diagnóstico de Enfermería; Enfermería; Comunicación no Verbal.


2020 ◽  
Author(s):  
Norihiko Takegami ◽  
Koji Akeda ◽  
Koichiro Murata ◽  
Junichi Yamada ◽  
Akihiro Sudo

Abstract BackgroundPrevious clinical studies reported that thoracolumbar vertebral fractures (VFs) associated with high energy spine trauma cause adjacent intervertebral disc (IVD) degeneration; however, the effect of non-traumatic VFs on the progression of adjacent disc degeneration remains to be determined. The purpose of this study was to examine the association between non-traumatic VFs and degenerative changes of adjacent IVDs.Methods98 consecutive patients undergoing spinal surgery were included in this study. VFs were semi-quantitatively evaluated by lateral lumbar radiography. 588 vertebral bodies (from T12 to L5) and 486 discs (from T12/L1 to L4/L5) were analyzed. The degree of IVD degeneration was evaluated by magnetic resonance imaging (MRI) and classified into two groups according to Pfirrmann’s classification. Grades I, II and III were defined as the early stage of IVD degeneration and Grades IV and V as the advanced stage. Intradiscal vacuum phenomena (VPs) were evaluated by computed tomography. Adjacent IVDs were categorized according to the locations of VFs (superior, inferior, and bilateral). Associations between the presence of VFs and the extent of IVD degeneration or the presence of VPs were statistically analyzed.ResultsIVDs adjacent to VFs were identified in 115 IVDs (31.1% of total; superior: 11.4%, bilateral: 8.6%, inferior: 11.1%). The presence of VFs was significantly associated with MRI grades of adjacent IVD degeneration (P<0.01) and the prevalence of VPs within adjacent IVDs (P<0.01). From logistic regression analysis, age, disc level, and VFs were independent related factors for disc degeneration (P<0.05).ConclusionThis study showed that VFs were an independent related factor for adjacent disc degeneration and occurrence of intradiscal VPs. VFs may affect the micro-environment of adjacent IVDs, leading to disc degeneration and disc rupture.


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