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2022 ◽  
Vol 21 (1) ◽  
pp. 1-42
Author(s):  
Priscila Brandão ◽  
Thais Duarte da Costa De Luna ◽  
Thamara Rodrigues Bazilio ◽  
Simon Ching LAM ◽  
Fernanda Garcia Bezerra Góes ◽  
...  

Objective: To assess compliance with standard precautions by health professionals in two hospitals.Method: This is a descriptive study, with a quantitative approach, conducted in two hospitals in the State of Rio de Janeiro. The sample is composed of health professionals who work in health care. Study developed in the period between February 2019 and February 2020. In order to collect data, the we used: 1- Individual and professional information form; 2- Brazilian Portuguese version of the Compliance with Standard Precautions Scale. Data were analyzed using descriptive statistics and hypothesis tests.Results: The study was attended by 366 (100.0%) health professionals. The overall score of compliance with standard precautions was 13.4 (66.8%), ranging from 4 to 20. As for the average of the scores between the institutions, the professionals from hospital 1 had an average of 12.6 and those from hospital 2 showed a compliance of 13.6.Conclusions: Compliance with standard precautions among health professionals did not happen in its entirety Objetivo: Evaluar el cumplimiento de las precauciones estándar por parte de los profesionales de la salud en dos hospitales.Método: Se trata de un estudio descriptivo, con abordaje cuantitativo, realizado en dos hospitales del Estado de Rio de Janeiro. La muestra está compuesta por profesionales de la salud que trabajan en la asistencia. Estudio desarrollado en el período comprendido entre febrero de 2019 y febrero de 2020. Para la recolección de datos se utilizó lo siguiente: 1- Formulario de información individual y profesional; 2- Versión en portugués brasileño de la Escala de Cumplimiento de Precauciones Estándar. Los datos se analizaron mediante estadística descriptiva y pruebas de hipótesis.Resultados: El estudio incluyó a 366 (100,0%) profesionales de la salud. La puntuación global de cumplimiento de las precauciones estándar fue de 13,4 (66,8%), con un rango de 4 a 20. En cuanto a la media de las puntuaciones entre las instituciones, los profesionales del hospital 1 tuvieron una media de 12,6 y el hospital 2 mostró un cumplimiento de 13,6.Conclusiones: El cumplimiento de las precauciones estándar entre los profesionales de la salud no se produjo en su totalidad. Objetivo: Avaliar o cumprimento às precauções-padrão por profissionais de saúde de dois hospitais. Método: Trata-se de um estudo descritivo, de abordagem quantitativa, realizado em dois hospitais do Estado do Rio de Janeiro. A amostra é composta por profissionais de saúde que atuam na assistência. Estudo desenvolvido no período entre fevereiro de 2019 até fevereiro de 2020. Para a coleta de dados foram utilizados: 1- Formulário de informações individuais e profissionais; 2- Versão para o Português do Brasil da Compliance with Standard Precautions Scale. Os dados foram analisados utilizando estatística descritiva e testes de hipótese. Resultados: Participaram do estudo 366 (100,0%) profissionais de saúde. O escore geral de cumprimento das precauções-padrão foi de 13,4 (66,8%) variando entre 4 e 20. Quanto a média dos escores entre as instituições, os profissionais do hospital 1 obtiveram uma média de 12,6 e o hospital 2 apresentou 13,6 de cumprimento.Conclusões: O cumprimento às precauções-padrão entre profissionais de saúde não aconteceu em sua totalidade.


2021 ◽  
pp. neurintsurg-2021-017935
Author(s):  
Victor Dumas ◽  
Johannes Kaesmacher ◽  
Julien Ognard ◽  
Géraud Forestier ◽  
Cyril Dargazanli ◽  
...  

BackgroundIn acute ischemic stroke due to anterior large vessel occlusion (AIS-LVO), accessing the target occluded vessel for mechanical thrombectomy (MT) is sometimes impossible through the femoral approach. We aimed to evaluate the safety and efficacy of direct carotid artery puncture (DCP) for MT in patients with failed alternative vascular access.MethodsWe retrospectively analyzed data from 45 stroke centers in France, Switzerland and Germany through two research networks from January 2015 to July 2019. We collected physician-centered data on DCP practices and baseline characteristics, procedural variables and clinical outcome after DCP. Uni- and multivariable models were conducted to assess risk factors for complications.ResultsFrom January 2015 to July 2019, 28 149 MT were performed, of which 108 (0.39%) resulted in DCP due to unsuccessful vascular access. After DCP, 77 patients (71.3%) had successful reperfusion (modified Thrombolysis In Cerebral Infarction (mTICI) score ≥2b) and 28 (25.9%) were independent (modified Rankin Scale (mRS) score 0–2) at 3 months. 20 complications (18.5%) attributed to DCP occurred, all of them during or within 1 hour of the procedure. Complications led to extension of the intubation time in the intensive care unit in 7 patients (6.4%) and resulted in death in 3 (2.8%). The absence of use of a hemostatic closure device was associated with a higher complication risk (OR 3.04, 95% CI 1.03 to 8.97; p=0043).ConclusionIn this large multicentric study, DCP was scantly performed for vascular access to perform MT (0.39%) in patients with AIS-LVO and had a high rate of complications (18.5%). Our results provide arguments for not closing the cervical access by manual compression after MT.


2021 ◽  
Vol 13 (23) ◽  
pp. 13376
Author(s):  
Maksym Gaiduk ◽  
Ralf Seepold ◽  
Natividad Martínez Madrid ◽  
Juan Antonio Ortega

Sustainable technologies are being increasingly used in various areas of human life. While they have a multitude of benefits, they are especially useful in health monitoring, especially for certain groups of people, such as the elderly. However, there are still several issues that need to be addressed before its use becomes widespread. This work aims to clarify the aspects that are of great importance for increasing the acceptance of the use of this type of technology in the elderly. In addition, we aim to clarify whether the technologies that are already available are able to ensure acceptable accuracy and whether they could replace some of the manual approaches that are currently being used. A two-week study with people 65 years of age and over was conducted to address the questions posed here, and the results were evaluated. It was demonstrated that simplicity of use and automatic functioning play a crucial role. It was also concluded that technology cannot yet completely replace traditional methods such as questionnaires in some areas. Although the technologies that were tested were classified as being “easy to use”, the elderly population in the current study indicated that they were not sure that they would use these technologies regularly in the long term because the added value is not always clear, among other issues. Therefore, awareness-raising must take place in parallel with the development of technologies and services.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Jared Gresh ◽  
Harold Kisner ◽  
Brian DuChateau

Abstract Background Testing individuals suspected of severe acute respiratory syndrome–like coronavirus 2 (SARS-CoV-2) infection is essential to reduce the spread of disease. The purpose of this retrospective study was to determine the false negativity rate of the LumiraDx SARS-CoV-2 Ag Test when utilized for testing individuals suspected of SARS-CoV-2 infection. Methods Concurrent swab samples were collected from patients suspected of SARS-CoV-2 infection by their healthcare provider within two different urgent care centers located in Easton, MA, USA and East Bridgewater, MA, USA. One swab was tested using the LumiraDx SARS-CoV-2 Ag Test. Negative results in patients considered at moderate to high risk of SARS-CoV-2 infection were confirmed at a regional reference laboratory by polymerase chain reaction (PCR) using the additional swab sample. The data included in this study was collected retrospectively as an analysis of routine clinical practice. Results From October 19, 2020 to January 3, 2021, a total of 2241 tests were performed using the LumiraDx SARS-CoV-2 Ag Test, with 549 (24.5%) testing positive and 1692 (75.5%) testing negative. A subset (800) of the samples rendering a negative LumiraDx SARS-CoV-2 Ag Test was also tested using a PCR-based test for SARS-CoV-2. Of this subset, 770 (96.3%) tested negative, and 30 (3.8%) tested positive. Negative results obtained with the LumiraDx SARS-CoV-2 Ag test demonstrated 96.3% agreement with PCR-based tests (CI 95%, 94.7–97.4%). A cycle threshold (CT) was available for 17 of the 30 specimens that yielded discordant results, with an average CT value of 31.2, an SD of 3.0, and a range of 25.2–36.3. CT was > 30.0 in 11/17 specimens (64.7%). Conclusions This study demonstrates that the LumiraDx SARS-CoV-2 Ag Test had a low false-negative rate of 3.8% when used in a community-based setting.


Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Can Can Xue ◽  
Li Qin Gao ◽  
Jing Cui ◽  
Chun Zhang ◽  
Dong Ning Chen ◽  
...  

2021 ◽  
Vol 110 ◽  
pp. 106551
Author(s):  
Samantha M. McKetchnie ◽  
Conall O'Cleirigh ◽  
Heidi M. Crane ◽  
Samantha V. Hill ◽  
David Prior ◽  
...  

Author(s):  
Bryony Alderman ◽  
Lindsey Allan ◽  
Koji Amano ◽  
Carole Bouleuc ◽  
Mellar Davis ◽  
...  

Abstract Purpose The pro vision of clinically assisted nutrition (CAN) in patients with advanced cancer is controversial, and there is a paucity of specific guidance, and so a diversity in clinical practice. Consequently, the Palliative Care Study Group of the Multinational Association of Supportive Care in Cancer (MASCC) formed a Subgroup to develop evidence-based guidance on the use CAN in patients with advanced cancer. Methods This guidance was developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews/trials respectively. The outcomes of the review were categorised by the level of evidence, and a “category of guideline” based on the level of evidence (i.e. “recommendation”, “suggestion”, or “no guideline possible”). Results The Subgroup produced 11 suggestions, and 1 recommendation (due to the paucity of evidence). These outcomes relate to assessment of patients, indications for CAN, contraindications for CAN, procedures for initiating CAN, and re-assessment of patients. Conclusions This guidance provides a framework for the use of CAN in advanced cancer, although every patient needs individualised management.


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