keyword
https://read.qxmd.com/read/38524093/economic-hardships-in-managing-covid-19-patients-in-the-intensive-care-unit-a-retrospective-observational-study-at-a-tertiary-care-hospital-in-north-india
#21
JOURNAL ARTICLE
S L Vig, Pooja Goyal, Shipra Saini, Mitasha Singh, Jagdish Prasad, Lokesh Parashar
BACKGROUND: The information on healthcare expenditure is crucial to know the impact of the pandemic on public health budgets, thereby correctly managing the ongoing crisis and preparing for subsequent waves. OBJECTIVE: To estimate the length of stay and cost incurred on COVID-19 patients who died in the ICU. METHODS: It is a record-based descriptive study conducted on 76 deceased COVID-19 patients admitted to the ICU of a dedicated COVID-19 hospital (DCH) between April and October 2020...
February 2024: Curēus
https://read.qxmd.com/read/38523875/a-re-audit-of-the-management-of-diabetic-ketoacidosis-dka-the-importance-of-the-seven-day-working-inpatient-diabetes-specialist-nurse-service
#22
JOURNAL ARTICLE
Roobala K Periyasami, Andrew Pei Wern Lim, Dineth C Jayatilake, Samson O Oyibo
Background Diabetic ketoacidosis (DKA) is a life-threatening metabolic emergency due to insulin deficiency in patients with diabetes mellitus. The United Kingdom national survey and local audits of the management of DKA have revealed several areas of suboptimal care, and room for improvement, necessitating the need for intensified education, updating local guidelines, and increased recruitment of seven-day working inpatient diabetes specialist nurses. Therefore, this project aimed to re-audit our adherence to the DKA treatment guidelines...
March 2024: Curēus
https://read.qxmd.com/read/38523697/the-lure-of-the-foreign-stage-chronicles-of-italian-mobility-to-france-in-the-long-eighteenth-century
#23
JOURNAL ARTICLE
Elisa Cazzato
This article investigates the migration of three Italian-born artists working in France in the field of ephemeral entertainment and argues that their stories were part of a broader process of cultural history and artistic mobility of the long eighteenth century. These artists are the firework makers Ruggieri brothers, the circus performer Antonio Franconi and his family and the stage designer Ignazio Degotti. They left their home country at different points (1730s, 1750s and 1790 respectively), settling in Paris under different socio-political circumstances...
2024: Open Res Eur
https://read.qxmd.com/read/38520927/epidemiological-profile-of-stroke-in-qatar-insights-from-a-seven-year-observational-study
#24
JOURNAL ARTICLE
Zain A Bhutta, Naveed Akhtar, Sameer A Pathan, Maaret Castren, Tim Harris, Gowrii S Ganesan, Saadat Kamran, Stephen H Thomas, Peter A Cameron, Aftab M Azad, Tuukka Puolakka
OBJECTIVES: Stroke prevalence is progressively increasing in developing countries due to increased vascular risk factors. This study aims to describe the epidemiology, prevalent risk factors, and outcomes of stroke in a multi-ethnic society of Qatar. MATERIALS AND METHODS: We conducted a retrospective analysis of all patients with suspected stroke admitted to stroke services between January 2014 and September 2020. RESULTS: A total of 11,892 patients were admitted during this period with suspected stroke...
March 21, 2024: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/38520657/nutrition-considerations-for-patients-with-persistent-critical-illness-a-narrative-review
#25
REVIEW
Elizabeth Viner Smith, Kate Lambell, Oana A Tatucu-Babet, Emma Ridley, Lee-Anne Chapple
Critically ill patients experience high rates of malnutrition and significant muscle loss during their intensive care unit (ICU) admission, impacting recovery. Nutrition is likely to play an important role in mitigating the development and progression of malnutrition and muscle loss observed in ICU, yet definitive clinical trials of nutrition interventions in ICU have failed to show benefit. As improvements in the quality of medical care mean that sicker patients are able to survive the initial insult, combined with an aging and increasingly comorbid population, it is anticipated that ICU length of stay will continue to increase...
March 23, 2024: JPEN. Journal of Parenteral and Enteral Nutrition
https://read.qxmd.com/read/38520517/autologous-slings-in-female-stress-urinary-incontinence-treatment-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#26
REVIEW
Bagrat Grigoryan, George Kasyan, Dmitry Pushkar
INTRODUCTION AND HYPOTHESIS: The aim of this study is to evaluate the efficacy and safety of autologous fascial slings (AFS) compared with other surgical methods for female stress urinary incontinence (SUI) treatment. METHODS: The search was performed on studies published before September 2023 to identify articles assessing the effectiveness and safety of AFS compared with other surgical methods in female SUI. Inclusion criteria were randomized controlled trials (RCTs) and adult women with SUI...
March 23, 2024: International Urogynecology Journal
https://read.qxmd.com/read/38520158/social-determinants-of-health-and-covid-19-recovery-after-inpatient-rehabilitation
#27
JOURNAL ARTICLE
Hannah Martin, Christopher Lewis, Sean Dreyer, Juliana Couri, Sanchita Sen, Prakash Jayabalan
BACKGROUND: Neighborhoods with more social determinants of health (SDOH) risk factors have higher rates of infectivity, morbidity, and mortality from COVID-19. Patients with severe COVID-19 infection can have long-term functional deficits leading to lower quality of life (QoL) and independence measures. Research shows that these patients benefit greatly from inpatient rehabilitation facilities (IRF) admission, but there remains a lack of studies investigating long-term benefits of rehabilitation once patients are returned to their home environment...
March 23, 2024: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/38519538/development-and-validation-of-a-novel-risk-classification-tool-for-predicting-long-length-of-stay-in-nicu-blood-transfusion-infants
#28
JOURNAL ARTICLE
Nurbiya Arkin, Ting Zhao, Yanqing Yang, Le Wang
Newborns are as the primary recipients of blood transfusions. There is a possibility of an association between blood transfusion and unfavorable outcomes. Such complications not only imperil the lives of newborns but also cause long hospitalization. Our objective is to explore the predictor variables that may lead to extended hospital stays in neonatal intensive care unit (NICU) patients who have undergone blood transfusions and develop a predictive nomogram. A retrospective review of 539 neonates who underwent blood transfusion was conducted using median and interquartile ranges to describe their length of stay (LOS)...
March 22, 2024: Scientific Reports
https://read.qxmd.com/read/38519269/epidemiology-and-risk-factors-of-early-bacterial-infections-after-pediatric-living-donor-liver-transplantation
#29
JOURNAL ARTICLE
Itsuko Chih-Yi Chen, Leona Bettina P Dungca, Chih-Che Lin, Chee-Chien Yong, Chao-Long Chen
BACKGROUND: Advancements in surgical techniques, immunosuppression regimens, and peri-operative and postoperative care have resulted in marked improvement in outcomes after pediatric living donor liver transplantation (PLDLT). Despite these developments, infectious complications remain a major cause of morbidity and mortality. METHODS: This is a retrospective cohort analysis of pediatric recipients from January 2004 to December 2018. Patients were classified into infected and non-infected groups based on the occurrence of bacterial infection during the first 3 months after transplant...
March 21, 2024: Transplantation Proceedings
https://read.qxmd.com/read/38518080/intentional-wedge-resection-versus-segmentectomy-for-%C3%A2-2-cm-ground-glass-opacity-dominant-non-small-cell-lung-cancer-a-real-world-study-using-inverse-probability-of-treatment-weighting
#30
JOURNAL ARTICLE
Chengwu Liu, Zhenyu Yang, Yiming Li, Chenglin Guo, Liang Xia, Weiheng Zhang, Congjia Xiao, Jiandong Mei, Hu Liao, Yunke Zhu, Feng Lin, Lin Ma, Qiang Pu, Lunxu Liu
BACKGROUND: Whether wedge resection is oncological suitable for ground glass opacity (GGO)-dominant non-small cell lung cancer (NSCLC) ≤2 cm is still debatable. The aim of this study is to investigate the short-term and long-term outcomes of intentional wedge resection and segmentectomy for those patients. MATERIALS AND METHODS: This was a real-world study from one of the largest thoracic surgery centers in XX. Patients who underwent intentional wedge resection or segmentectomy for ≤2 cm CTR(consolidation-to-tumor)≤0...
March 21, 2024: International Journal of Surgery
https://read.qxmd.com/read/38515418/-clinical-observation-of-different-intramedullary-fixation-methods-for-the-treatment-of-intertrochanteric-fracture
#31
JOURNAL ARTICLE
Li-Kun Jin, Ye Li, Jie Zhang, Yan-Xu Dong, Yue-Feng Qi
OBJECTIVE: To explore clinical efficacy of proximal femoral nail anti-rotation(PFNA),InterTan and proximal femoral bionic intramedullary nail (PFBN) in treating femoral intertrochanteric fracture. METHODS: Clinical data of 120 patients with intertrochanteric fracture who were underwent closed reduction intramedullary nail-internal fixation from January 2020 to January 2021 were retrospectively analyzed. According to methods of internal fixation,patients were divided into 3 groups...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515409/-clinical-study-on-the-treatment-of-postoperative-recurrence-of-lumbar-disc-herniation-with-intervertebral-fusion
#32
JOURNAL ARTICLE
Lian-Sheng Zheng, Xue-Min Li, Yu-Long Li
OBJECTIVE: To explore clinical effect of different intervertebral fusion devices (cage) in treating postoperative recurrent lumbar disc herniation (LDH). METHODS: One hundred and forty-two LDH patients with recurrence after simple intervertebral disc nucleus pulpoideectomy from January 2019 to January 2021 were retrospectively analyzed. All patients were treated with combined underchannel fixation and interbody fusion and divided into a single anatomical group,two-anatomical group and a single banana group according to types and numbers of implanted cage...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515334/new-onset-mental-illness-and-long-term-survival-in-survivors-of-critical-illness-population-based-cohort-study-in-south-korea
#33
JOURNAL ARTICLE
Tak Kyu Oh, Hye Yoon Park, In-Ae Song
BACKGROUND: Critical care unit (CCU) survivors have a high risk of developing mental illness. AIMS: We aimed to examine the incidence and associated factors of newly developed mental illness among CCU survivors of critical illness. Moreover, we examined the association between newly developed mental illness and 2-year all-cause mortality. METHOD: All adult patients (≥20 years) who were admitted to the CCU during hospitalisation between 2010 and 2018 and survived for 1 year were defined as CCU survivors and were included in this nationwide population-based cohort study...
March 22, 2024: BJPsych Open
https://read.qxmd.com/read/38515197/clinical-efficacy-analysis-of-surgical-treatment-for-spinal-metastasis-under-the-multidisciplinary-team-using-the-noms-decision-system-combined-with-the-revised-tokuhashi-scoring-system-a-randomized-controlled-study
#34
JOURNAL ARTICLE
Xiao-Bing Xiang, Kai-Yin Gao, Wei-Wei Zhang, Cheng-Peng Li, Kai-Kai Feng, Guang-Ru Cao
OBJECTIVE: Despite advancements in spinal metastasis surgery techniques and the rapid development of multidisciplinary treatment models, we aimed to explore the clinical efficacy of spinal metastasis surgery performed by a combined NOMS decision system-utilizing multidisciplinary team and Revised Tokuhashi scoring system, compared with the Revised Tokuhashi scoring system. METHODS: Clinical data from 102 patients with spinal metastases who underwent surgery at three affiliated hospitals of Zunyi Medical University from December 2017 to June 2022 were analysed...
March 21, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38514910/close-collaboration-with-parents-implementation-and-effectiveness
#35
REVIEW
Sari Ahlqvist-Björkroth, Anna Axelin, Liisa Lehtonen
AIM: There has been a need to develop programs to facilitate family-centered care. This paper describes the content of a program called Close Collaboration with Parents, its implementation, and research on its effectiveness. METHODS: The program is a systematic training with a focus on staff communication and observation skills and skills to support parenting. The primary implementation strategy is mentoring. Staff engage in bedside practices and reflections with mentors covering all four phases of the program...
March 21, 2024: Acta Paediatrica
https://read.qxmd.com/read/38513525/impact-of-preoperative-sarcopenia-on-postoperative-complications-and-prognosis-in-patients-undergoing-robotic-gastric-cancer-surgery-a-propensity-score-matching-study
#36
JOURNAL ARTICLE
Ping'an Ding, Haotian Wu, Tongkun Li, Jiaxiang Wu, Li Yang, Jiaxuan Yang, Honghai Guo, Yuan Tian, Peigang Yang, Lingjiao Meng, Qun Zhao
BACKGROUND: Sarcopenia, defined as decreased muscle mass and function, correlates with postoperative morbidity and mortality in cancer surgery. However, sarcopenia's impact specifically following robotic gastrectomy for gastric cancer has not been clearly defined. This study aimed to determine the influence of sarcopenia on short- and long-term clinical outcomes after robotic gastrectomy for gastric cancer. METHODS: This retrospective study analyzed 381 gastric cancer patients undergoing robotic gastrectomy...
February 21, 2024: Nutrition
https://read.qxmd.com/read/38513372/the-effect-of-enhanced-recovery-after-surgery-on-oncologic-outcome-following-radical-cystectomy-for-urothelial-bladder-carcinoma
#37
JOURNAL ARTICLE
Runzhuo Ma, Farshad Sheybaee Moghaddam, Alireza Ghoreifi, Sanam Ladi-Seyedian, Jie Cai, Gus Miranda, Monish Aron, Anne Schuckman, Mihir Desai, Inderbir Gill, Siamak Daneshmand, Hooman Djaladat
INTRODUCTION: Limited data are available regarding the effect of enhanced recovery after surgery (ERAS) protocols on the long-term outcomes of radical cystectomy (RC) in bladder cancer patients. The aim of this study is to evaluate the oncological outcomes in patients who underwent RC with ERAS protocol. METHODS: We reviewed the records of patients who underwent RC for primary urothelial bladder carcinoma with curative intent from January 2003 to August 2022. The primary and secondary outcomes were recurrence-free (RFS) and overall survival (OS)...
March 8, 2024: Surgical Oncology
https://read.qxmd.com/read/38512824/validation-of-the-prevalence-to-incidence-conversion-method-for-healthcare-associated-infections-in-long-term-care-facilities
#38
JOURNAL ARTICLE
Costanza Vicentini, Enrico Ricchizzi, Antonino Russotto, Stefano Bazzolo, Catia Bedosti, Valentina Blengini, Dario Ceccarelli, Elisa Fabbri, Dario Gamba, Anna Maddaleno, Edoardo Rolfini, Margherita Tancredi, Carla Maria Zotti
INTRODUCTION: Residents of long-term care facilities (LTCFs) are a population at high risk of developing severe healthcare associated infections (HAIs). In the assessment of HAIs in acute-care hospitals, selection bias can occur due to cases being over-represented: patients developing HAIs usually have longer lengths of stays compared to controls, and therefore have an increased probability of being sampled in PPS, leading to an overestimation of HAI prevalence. Our hypothesis was that in LTCFs, the opposite may occur: residents developing HAIs either may have a greater chance of being transferred to acute-care facilities or of dying, and therefore could be under-represented in PPS, leading to an underestimation of HAI prevalence...
2024: PloS One
https://read.qxmd.com/read/38512419/epidemiologic-analysis-and-mortality-outcome-of-firearm-injuries-in-french-guiana-2016-2019
#39
JOURNAL ARTICLE
Alexis Fremery, Elliott Beguinot, Angélique Franchi, Mathilde Douchet, Victor Tertre, Karim Hamiche, Antoine Adenis, Jean Marc Pujo, Hatem Kallel
BACKGROUND: French Guiana (FG) is a French territory located in South America with the highest rate of armed assaults. FG presents a poorly developed road system and a young and precarious population that makes the geographical and socio-demographic characteristics specific. No data concerning the firearm injury management are available in this country. Studying thesis trauma could permit to improve the management of victims. The objective of this study is to investigate the epidemiology of firearm injuries in FG, to define characteristics of the victims, and to assess factors associated with death...
March 21, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38512000/the-effect-of-psychiatric-decision-unit-services-on-inpatient-admissions-and-mental-health-presentations-in-emergency-departments-an-interrupted-time-series-analysis-from-two-cities-and-one-rural-area-in-england
#40
JOURNAL ARTICLE
J G Smith, K Anderson, G Clarke, C Crowe, L P Goldsmith, H Jarman, S Johnson, J Lomani, D McDaid, A L Park, K Turner, S Gillard
AIMS: High-quality evidence is lacking for the impact on healthcare utilisation of short-stay alternatives to psychiatric inpatient services for people experiencing acute and/or complex mental health crises (known in England as psychiatric decision units [PDUs]). We assessed the extent to which changes in psychiatric hospital and emergency department (ED) activity were explained by implementation of PDUs in England using a quasi-experimental approach. METHODS: We conducted an interrupted time series (ITS) analysis of weekly aggregated data pre- and post-PDU implementation in one rural and two urban sites using segmented regression, adjusting for temporal and seasonal trends...
March 21, 2024: Epidemiology and Psychiatric Sciences
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