Delay in Appendicectomy due to Pre-operative Imaging Results in Increased Complication Rate

2021 ◽  
Vol 15 (5) ◽  
pp. 1148-1150
Author(s):  
A. R. Nsar ◽  
A. A. Lashari ◽  
D. Kumar ◽  
T. Rasheed
Keyword(s):  
Body Mass Index ◽  
Acute Appendicitis ◽  
Imaging Study ◽  
Descriptive Study ◽  
P Value ◽  
Appendiceal Abscess ◽  
Imaging Results ◽  
The Mean ◽  
Complications Rate ◽  
Suspected Acute Appendicitis

Objectives: To determine the frequency of delay in case of suspected acute appendicitis and to determine the frequency of complications in patients of acute appendicitis having delay secondary to pre-operative imaging. Study Design: Descriptive study Place and Duration of Study: Department of General Surgery Unit-2, University of Lahore Teaching Hospital, Lahore 1st January 2020 to 31st March 2021. Methodology: Three hundred and eighty five patients, between 18-40 years of age of both genders presenting with clinically appendicitis were included. All the patients were operated under general anesthesia by a consultant surgeon having minimum of 5 years of experience. Results: The mean age was 28.746±5.25 years. Majority of the patients were between 26-30 years (42.6%). Body mass index of the patients were ˃25kg/m2 in 57.7%. Delay was seen in 155 (40.03%) cases, peri-appendiceal abscess was seen in 10 (2.6%) and peritonitis was seen in 13. Complications due to delay was pri-appendiceal abscess 8 and peritonitis 13 with p value ˂0.05. Conclusion: Delay in the appendectomy due to pre operative imaging has shown significant impact on complications rate and therefore suggests that delaying appendectomy is unsafe. Keywords: Appendectomy, Peri-appendiceal abscess, Peritonitis

The Association of Body Mass Index and Adverse Clinico-Pathological Characteristics of Non-Metastatic Breast Cancer Among Patients from Saudi Arabia

2020 ◽  
Vol 106 (1_suppl) ◽  
pp. 8-8
Author(s):  
Bashayer Alghamdi ◽  
Reema Alghamdi ◽  
Raghad Khallaf ◽  
Konooz faisal ◽  
Raghad Bishnaq ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Mass Index ◽  
Saudi Arabia ◽  
Lymph Node ◽  
Body Mass ◽  
Tumor Size ◽  
P Value ◽  
Axillary Lymph ◽  
Receptor Status ◽  
The Mean

Background: Obesity is a global health problem, especially in the Arab region, the prevalence of obesity is increasing. High body mass index (BMI) is a risk factor for many diseases, including cancer. Noticeably, breast cancer (BC) cases in Saudi Arabia occur at a younger age than western countries and different life style behaviours such as maintaining healthy body weight and physical activity may play a role in this. In this study, we aimed to investigate the association between BMI and BC clinicopathological features. Methods: This retrospective study was conducted by reviewing the records of females diagnosed with non-metastatic BC over four years. The association between BMI and patients’ demographics, BC histological type, receptor status, differentiation grade, tumor size, involvement of axillary lymph node, and performed procedures was analysed. Result: We studied 315 patients with non-metastatic BC. The mean age at the time of diagnosis was 52.43 years ±11.63. The mean BMI was 30.21±5.77. The mean tumor size was 3.19 cm ± 3.52. We found that the mean age of diagnosis is significantly greater in obese women than other BMI groups with a P-value = 0.025. A significant relationship was observed between BMI classification and tumor size in obese female patients aged ⩾ 40 years with P-value=0.022 Conclusion: The relationship between BMI and BC is still not clear, in this study we found an association with age at diagnosis and tumor size in older patients, characteristics as histological types, receptor status, lymph node involvement, and grade were not statistically significant.

scholarly journals Obesity treatment by Bioenterics intragastric balloon: Iranian results

2018 ◽  
Vol 28 (3) ◽  
Author(s):  
Mojgan Foroutan ◽  
Maryam Ardeshiri
Keyword(s):  
Body Mass Index ◽  
Body Weight ◽  
Drug Therapy ◽  
Intragastric Balloon ◽  
P Value ◽  
Bioenterics Intragastric Balloon ◽  
Gastric Obstruction ◽  
The Mean ◽  
Treatment Of Obesity

We studied the effectiveness, tolerability and safety of Bioenteric Intragastric Balloon (BIB) for treatment of obesity in Iranian population. 52 patients (46 female (88.5%), mean age: 35.5 ±10, mean body weight: 107.6±25.4 kg) referred to two major training hospitals in Tehran, Iran, after evaluation by a multidisciplinary team, underwent endoscopic BIB placement under unconscious sedation. BIB was removed after 6 months and patients were discharged with drug therapy and 1000 kcal diet. Weight and Body Mass Index (BMI) were assessed at baseline, 6 months and 1 year after BIB insertion. The mean weight and BMI at baseline were 107.6±25.4 kg and 39.4±7.9 kg/m2; 6 months after balloon placement, they were 88.7±21.9 kg and 32.5±7.4 kg and 6 months after balloon removal, they were 93.4±21.9kg and 34.85±8.2 kg/m2 respectively. The weight decline was statistically significant throughout the study and follow up with p value <0.001. The most frequent side effects were nausea and vomiting which were resolved in the majority of cases by one week. No major complications, such as death, gastric obstruction, gastric or esophageal perforation, or balloon displacement occurred in our study. BIB is a safe, effective and well-tolerated treatment of obesity, but its effects are temporary, so it should be accompanied and followed by other methods to achieve sustained weight reduction.

scholarly journals How Relevant Is the Place Where First-Year College Students Live in Relation to the Increase in Body Mass Index?

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1638
Author(s):  
Antonio Viñuela ◽  
Juan José Criado-Álvarez ◽  
Javier Aceituno-Gómez ◽  
Carlos Durantez-Fernández ◽  
José Luis Martín-Conty ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nursing Students ◽  
Body Mass ◽  
Repeated Measures ◽  
Eating Habits ◽  
The Body ◽  
P Value ◽  
First Year ◽  
Significant Difference ◽  
The Mean

(1) Objective: This study analyzes the evolution of the body mass index (BMI) throughout the academic year associated with changes in the lifestyle associated with the place where students live during the course, lifestyle design, and health strategies for the university community. (2) Methods: A total of 93 first-year nursing students participated in this study. Data were collected throughout the course by administering self-reported questionnaires about eating habits and lifestyles, weight, and height to calculate their BMI and place of residence throughout the course. Data were analyzed using statistical analysis (Mann–Whitney, chi-square, Student’s t-test, repeated-measures analysis of variance, and least significant difference tests). (3) Results: We found that the mean BMI increases significantly throughout the course among all students regardless of sex, age, eating habits, or where they live during the course. At the beginning of the course, the mean BMI was 22.10 ± 3.64. The mean difference between the beginning of the course and the middle has a value of p-value < 0.015 and between the middle of the course and the end a p-value < 0.009. The group that increased the most is found among students who continue to live in the family nucleus rather than those who live alone or in residence. Students significantly changed their eating and health habits, especially those who live alone or in residence. (4) Conclusions: There is an increase in BMI among students. It is necessary to carry out seminars or talks that can help students understand the importance of good eating practices and healthy habits to maintain their weight and, therefore, their health, in the short, medium, and long term and acquire a good quality of life.

scholarly journals Nutrition status of pregnant women in selected internally displaced persons camp in Delta state, Nigeria

2021 ◽  
Vol 7 (2) ◽  
pp. 30-34
Author(s):  
Enifome Akpotu ◽  
Faith Diorgu
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Pregnant Women ◽  
P Value ◽  
Internally Displaced Persons ◽  
Chi Square ◽  
Internally Displaced ◽  
Poor Nutritional Status ◽  
The Mean ◽  
Internally Displaced Person

Introduction: The recent flood situation in Nigeria has contributed to the upsurge in the percentage of Internally Displace Persons particularly in the Delta State. Children and pregnant women are more venerable. Poor Nutritional status internally displaced person is a major occurrence. This has a serious implication for pregnant women in Nigeria. Assessing nutritional status of pregnant women will help in prioritizing need and intervention problems for internally displaced person, therefore this study will assess a Nutritional status of pregnant women in Selected internally displaced persons camps in Delta state Methods: A cross sectional study was conducted among pregnant women in four selected internally displaced person camps in Delta State, November 2019. A total of 99 pregnant women were randomly selected from each camp. A structured questionnaire was used to collect socio-demographic data from respondents, Body mass index and mid upper arm circumference with assessed result were compared with standard criteria for nutritional status. Data was clean and entered into SPSS Version 22. Descriptive statistics was used and inferential statistic, chi square and logistic regression was use for predicting variables after adjusting for confounders. Result: The mean body mass index of respondent was 23.5 (±3.9) which indicate a good nutritional health status, however 9.3% had poor nutritional status with BMI (>18.5). Also the mean distribution of MUAC was 27.5(±3.6) cm indicating good nutritional status of (<23cm), although 27.8% had poor nutritional status with (MUAC ≥23cm). chi square test, economic status (X2=9.794, (P=0.020<0.05), antenatal visit of at least twice in present ( X2=5.946, P=0.015) and pregnancy and present trimester (X2=12.939, P=0.002<0.05) were significantly associated with nutritional status of pregnant women. On regression analysis only ANC visit (OR= 3.134, Cl=1.226-8.013, p-value=0.17) and present trimester of pregnant women (OR=0.75,Cl=0.016-0.352, p-value=0.01) were significant Conclusion and recommendation: Poor nutritional status among pregnant women in this study is high, there is need to develop programs that focuses on educating mothers on the need of good nutrition in Nigeria.

scholarly journals Job Satisfaction among Hemodialysis and Labour Ward Nurses: A Comparative Descriptive Study

2021 ◽  
pp. 48-56
Author(s):  
Monisayo Olayemi Komolafe
Keyword(s):  
Job Satisfaction ◽  
Work Environment ◽  
Statistical Significance ◽  
Descriptive Study ◽  
P Value ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Dialysis Unit ◽  
The Mean ◽  
Labour Ward

Introduction: Increasing CKD cases means higher demands for haemodialysis nurses. Haemodialysis nurses are required to fulfil many demanding roles such as advocate, caregiver, educator, mentor and technician while patients attend a dialysis unit. The complexities of the role that are performed by these nurses along with organization factors within the work environment have led to haemodialysis nurses experiencing high levels of burnout thus impacting on satisfaction derived from job done. Objectives: To compare job satisfaction among haemodialysis nurses with that of labour ward nurses and determine if the type of patient managed affects job satisfaction of nurses. Methodology: The multidimensional Job satisfaction scale designed and validated by Murat Ozpehlivan and Zafer Acar was used to determine job satisfaction among sixty-six hemodialysis nurses and sixty-four labour ward nurses in a cross sectional comparative descriptive study. Statistical significance difference between the two group of nurses attributed to events with a p-value lower than 5% (p < 0.05). Results: The overall mean job satisfaction score was higher among the labour ward nurses 67.95 ± 13.39 compared to the mean score among renal nurses 65.07 ± 14.24 (T= 1.81, p = 0.240). The mean score of labour ward nurses regarding satisfaction based on patient managed 74.51 ± 14.96 is higher than the mean score among renal participants of 71.21 ± 14.70 (T= 1.27, p = 0.201). Conclusion: Hemodialysis nurses in Nigeria are satisfied with the job they do and this is comparable to that of nurses in labour ward.

scholarly journals The Role of Sleeve Gastrectomy on Preventing Type 2 Diabetes Mellitus

2017 ◽  
Vol 5 (3) ◽  
pp. 316-318 ◽  
Author(s):  
Serdar Olt ◽  
Sabri ÖzdaÅŸ ◽  
Mehmet Åžirik
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Body Mass Index ◽  
Type 2 Diabetes Mellitus ◽  
Body Mass ◽  
P Value ◽  
Obese Patients ◽  
The Mean

AIM: To investigate the effect of bariatric surgery on HbA1c and serum cortisol levels in morbidly obese patients without type 2 diabetes mellitus.MATERIALS AND METHODS: Twenty-nine patients who underwent sleeve gastrectomy and whose body mass index was> 40 were included in the present study. Patients' files were reviewed retrospectively. Those with diabetes mellitus and those with age <18 were excluded from the study. Pre-operative and 1-year post operative data were documented. The obtained data were analysed by SPSS statistical program.RESULTS: The mean age of the patients was 27.4 ± 8.4. 5 of the patients were male, and 24 were female. The mean body mass index of the patients was 44 ± 2.3. 1 patient [3.4%] had hypertension. Four patients [13.7%] had gastroesophageal reflux disease. The number of smokers was 7 [24.1%], and the number of alcohol users was 3 [10.3%]. There was a statistically significant decrease in HbA1c, body mass index values after operation [p value <0.01], but cortisol was not different [p value = 0.72].CONCLUSION: In this present study we found that bariatric surgery caused a significant decrease in HbA1c levels in non-diabetic patients, suggesting that bariatric surgery may prevent Type 2 Diabetes Mellitus in obese patients.

scholarly journals Evaluation of the intensity and discomfort of perioperative thirst

2018 ◽  
Vol 22 (3) ◽  
Author(s):  
Isadora Pierotti ◽  
Isabela Fernanda Larios Fracarolli ◽  
Lígia Fahl Fonseca ◽  
Patrícia Aroni
Keyword(s):  
Descriptive Study ◽  
P Value ◽  
Related Factors ◽  
Cross Sectional ◽  
Recovery Method ◽  
Mean Intensity ◽  
Numerical Scale ◽  
Study Results ◽  
Spearman Coefficient ◽  
The Mean

Abstract Objective: To evaluate the intensity and discomfort of perioperative thirst and related factors during anesthesia recovery. Method: This is a quantitative, cross-sectional, descriptive study. Results: Of the 203 participants, 182 (89.6%) reported they were thirsty. The mean intensity of thirst was 6.9 measured using a verbal numerical scale of 0 to 10 and discomfort was 7.3 on a scale of 0 to 14. All attributes evaluated by the scale were cited including dry mouth and desire to drink water (87.3%), dry lips (79.1%), thick tongue feeling (43.4%), thick saliva (56.5%), dry throat (75.2%) and bad taste in the mouth (63.1%). There was a positive correlation between the intensity of thirst and discomfort assessed by the scale (Spearman coefficient: 0.474; p-value: <0.05). No correlation was found between age, length of fasting and use of opioids with the intensity of thirst and discomfort. Conclusion and implication in the clinical practice: Discomfort arising from the attributes of thirst is evidenced as the intensity of thirst increases.

scholarly journals Evaluation of opinion of the Yazd dental graduates about training on the composite restorations in the year 2017

2019 ◽  
Author(s):  
Abdolrahim Davari ◽  
Ali reza Daneshkazemi ◽  
Zahra Sedaghati Jahromi3
Keyword(s):  
Descriptive Study ◽  
Dental School ◽  
P Value ◽  
Practical Training ◽  
Composite Restorations ◽  
Significant Difference ◽  
Field Information ◽  
The Mean ◽  
Knowledge And Attitude

Introduction: Today, the use of dental-colored composites has become very popular. Understanding the basics and technical sensitivity has led to the use of these materials with many challenges. The purpose of this study was to evaluate the viewpoints of Yazd dental graduates regarding the training of composite restorations in 2017. Methods: In this descriptive study, field information was distributed through a questionnaire among 202 graduates of Yazd Shahid Sadoughi Dental School that graduated in the last three years. The collected data were analyzed by SPSS 16 software using Kruskal–Wallis and Mann-Whitney exact tests. Results: Out of 202 distributed questionnaires, 181 graduates answer to them and the mean score of awareness among the participants was 8.50 from the total score of 16. The mean score of attitude was 16.96 ± 4.51 from the total score of 30. The mean scores of knowledge and attitude among different groups based on the year of graduation, age and input quota was done. There was no statistically significant difference among the mentioned groups (P-value> 0.05). The main problem of the participants was isolation composite restorations (60%) and proper proximal contact (49%). Conclusion The results of this study indicate that the newly graduated students are not satisfied with the quantity and quality of theoretical and practical training in the field of composite restorations. Also, in the field of practical problems during dentists' treatment, major problems were related to inappropriate proximal contacts, marginal edentulous fractures, and restored tooth sensitivity.  

scholarly journals A comparative study to determine the role of pre and post-operative antibiotic therapy versus only pre-operative antibiotic therapy in patients of non-perforated acute appendicitis

2020 ◽  
Vol 7 (10) ◽  
pp. 3305
Author(s):  
Goutam K. Chowdegowda ◽  
Satya V. Arya ◽  
Ashok K. Sharma ◽  
Dheer Singh Kalwaniya ◽  
Jaspreet Singh Bajwa
Keyword(s):  
Acute Appendicitis ◽  
Antibiotic Therapy ◽  
P Value ◽  
New Delhi ◽  
Medical College ◽  
The People ◽  
Minimum Number ◽  
Group A ◽  
The Mean ◽  
Group B

Background: If properly used in appendicitis, antibiotics can reduce the rate of infection by 50%. The use of post-operative antibiotics for preventing infective complications in non-perforated cases is still controversial.Methods: A randomised prospective study was conducted in the Department of Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi with patients who presented acute appendicitis. A minimum number of 30 patients each in group A (pre-operative and post-operative antibiotics) and group B (only pre-operative antibiotics) were evaluated for 18 months, from January 2018 to June 2019.Results: The mean age of group A is 29.9±15.16 years and in group B is 25.97±9.470 years (p value=0.122, insignificant). There was male preponderance. The seroma formation in both the groups was 10.00% and no patients developed intra-abdominal abscess. The incidence of local site oedema was 10% in both the groups A and B and their p value is insignificant. In both the groups A and B, 10% of the people developed pus discharge from the stitch line and the p value is insignificant. In group A, 6.67% of the patients and in group B 10.00% of the patients developed stitch line inflammatory changes and the p value insignificant. In group A, 13.3% and in group B, 10.00% of the patients developed fever and their p value is 1. The mean length of hospital in case 1.23±0.5 days (group A) and is 1.17±0.45 days (group B) (p value=0.508).Conclusions: Hence we can conclude that a well-chosen and adequately-timed pre-operative antibiotics are adequate in preventing post-operative complications and post-operative antibiotics do not affect the same.

Abstract 210: Coronary Artery Luminal Diameter, False Positive Stress Myocardial Perfusion Imaging and Body Mass Index: Is There an Association?

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Puja Sitwala ◽  
Ashraf Abusara ◽  
Vatsal Ladia ◽  
Pablo Lopez ◽  
Timir Paul
Keyword(s):  
Body Mass Index ◽  
Coronary Artery ◽  
Myocardial Perfusion Imaging ◽  
False Positive ◽  
Stress Test ◽  
P Value ◽  
Stress Tests ◽  
Chi Square ◽  
Luminal Diameter ◽  
The Mean

Background: Single Photon Emission Computerized Tomography Myocardial Perfusion Imaging (MPI) stress test is a widely used test to evaluate patients with suspected CAD with relatively higher false positive rate. There is a paucity of data on the association of false positive MPI, coronary artery diameter particularly focusing on left anterior descending artery (LAD) and body mass index (BMI). Methods: An institutional review board approved, retrospective study included female patients with abnormal MPI stress tests showing reversible ischemia in the anterior walls but without any disease in LAD arteries as assessed by coronary angiography within 3 months of the stress tests. Two qualified physicians reviewed the cine-angiograms and LAD diameter was categorized into two groups 3 mm and 3 mm. Categorical and continuous variables were analyzed using chi -square test and analysis of variance test respectively with a p value for significance as < 0.05. Results: A total of 251 female patients who had both false positive MPI stress test and normal coronary angiograms were analyzed. The mean (±SD) age, BMI and left ventricular ejection fraction (LVEF) was 59.9±12.3 years, 34.1±9.5 kg/m 2 and 59.4±7.2 % respectively. There was 76% of the patients had LAD diameter of ≥3 mm and 24% had < 3 mm. There was no statistically significant difference in mean age, BMI and LVEF between the two groups of the vessel sizes. The mean age was 60.5±12.5 vs 58.1±11.7 years (p = 0.20) and mean BMI was 33.5±9.3 vs 35.7±10.2 kg/m2 (p = 0.12) in ≥3 mm vs < 3 mm vessels. There was no statistically significant association noted between BMI categories and vessel diameters. When BMI was categorized as < 24.9, 25-29.9, 30-39.9 and > 40, there was 17.6% vs 15.5 %; 22.5% vs 17.2%; 36.4% vs 39.7% and 23.5% vs 27.6% patients had ≥ 3 vs < 3 mm vessels respectively (Chi-square p value = 0.77). Conclusion: There is no association between the luminal diameter of LAD and false positive MPI. Additionally, vessel diameter does not depend upon BMI. Further studies are needed to assess these observations.

Sign in / Sign up

Export Citation Format

Share Document