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JOURNAL ARTICLE
Zahid Agaoglu, Atakan Tanacan, Goksun Ipek, Ayca Peker, Merve Ozturk Agaoglu, Ayse Gulcin Bastemur, Ozgur Kara, Dilek Sahin
PURPOSE: To examine the cerebro-placental-uterine ratio (CPUR) in pregnant women with pregestational diabetes and determine its role in predicting adverse prenatal outcomes. METHODS: This prospective, cohort study conducted at a tertiary hospital included 65 patients with pregestational diabetes (25 with type1 diabetes, 40 with type2 diabetes) and 130 low-risk patients in the control group. The cerebroplacental (CPR) ratio and the CPUR were calculated. Composite adverse perinatal outcome (CAPO) is defined as the presence of any of the following: (1) Neonatal intensive care unit (NICU) admission, (2) Apgar at 5 min <7, and (3) umbilical cord arterial pH <7...
April 24, 2024: Journal of Clinical Ultrasound: JCU
#2
REVIEW
Yulan Luo, Yaowen Jiang
Out-of-hospital cardiac arrest (OHCA) is a major cause of mortality worldwide, with a high incidence and low survival rate. Prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use are major contributors in the "chain of survival" for OHCA. the response of a community plays a key role in determining the outcomes in OHCA. The outcomes of OHCA are affected by health inequalities in bystander CPR and AED use, due to factors such as differences in sex, ethnicity, and socioeconomic status amongst others...
April 21, 2024: Current Problems in Cardiology
#3
REVIEW
Julia Petrovic, Jessica Mettler, Sohyun Cho, Nancy L Heath
Loving-kindness meditations involve sending feelings of kindness and care to a series of people including oneself, loved ones, strangers, and all beings. Loving-kindness interventions (LKIs), which include knowledge and/or practice related to loving-kindness, have been gaining attention as a potential intervention for improving mental health in adults. This meta-analysis synthesized the effects of LKIs on both positive (i.e., mindfulness, compassion, positive affect) and negative (i.e., negative affect, psychological symptoms) indices of mental health across comparison types (i...
April 16, 2024: Clinical Psychology Review
#4
REVIEW
T L Rutter, R P Hastings, C A Murray, N Enoch, S Johnson, C Stinton
We report a review examining the psychological wellbeing of parents of children with Down syndrome (DS) relative to that of parents of typically developing (TD) children. A systematic search identified 57 relevant studies, which were synthesised meta-analytically. Relative to their counterparts with TD children, mothers and fathers of children with DS reported higher levels of parenting stress (mothers: g = 0.57, 95% CI [0.33, 0.81]; fathers: g = 0.40, [0.24, 0.56]), depressive symptoms (mothers: g = 0...
April 6, 2024: Clinical Psychology Review
#5
JOURNAL ARTICLE
Tan Doan, Stuart Howell, Stephen Ball, Judith Finn, Peter Cameron, Emma Bosley, Bridget Dicker, Steven Faddy, Ziad Nehme, Natalie Heriot, Andy Swain, Melanie Thorrowgood, Andrew Thomas, Samuel Perillo, Mike McDermott, Tony Smith, Karen Smith, Jason Belcher, Janet Bray
AIM: This study aims to explore regional variation and identify regions within Australia with high incidence of out-of-hospital cardiac arrest (OHCA) and low rates of bystander cardiopulmonary resuscitation (CPR). METHOD: Adult OHCAs of presumed medical aetiology occurring across Australia between 2017 and 2019 were mapped onto local government areas (LGA) using the location of arrest coordinates. Bayesian spatial models were applied to provide "smoothed" estimates of OHCA incidence and bystander CPR rates (for bystander-witnessed OHCAs) for each LGA...
2024: PloS One
#6
JOURNAL ARTICLE
Margot E Manning, Zachary Fricker
BACKGROUND: Cardiopulmonary resuscitation (CPR) outcomes among patients with cirrhosis are poor, but factors associated with outcomes and provider awareness remain under-evaluated. AIMS: We retrospectively investigated in-hospital CPR mortality among patients with cirrhosis, and, using these results, undertook an educational study among providers to improve knowledge of CPR outcomes and code status in patients with cirrhosis. METHODS: We identified patients with cirrhosis admitted from 2012 to 2022 who underwent CPR at our center; the primary outcome was survival-to-discharge...
April 23, 2024: Digestive Diseases and Sciences
#7
JOURNAL ARTICLE
Thijs S R Delnoij, Martje M Suverein, Brigitte A B Essers, Renicus C Hermanides, Luuk Otterspoor, Carlos V Elzo Kraemer, Alexander P J Vlaar, Joris J van der Heijden, Erik Scholten, Corstiaan den Uil, Sakir Akin, Jesse de Metz, Iwan C C van der Horst, Jos G Maessen, Roberto Lorusso, Marcel C G van de Poll
INTRODUCTION: When out-of-hospital cardiac arrest (OHCA) becomes refractory, extracorporeal cardiopulmonary resuscitation (ECPR) is a potential option to restore circulation and improve the patient's outcome. However, ECPR requires specific materials and highly skilled personnel, and it is unclear whether increased survival and health-related quality of life (HRQOL) justify these costs. METHODS: This cost-effectiveness study was part of the INCEPTION study, a multicenter, pragmatic randomized trial comparing hospital-based ECPR to conventional CPR (CCPR) in patients with refractory OHCA in 10 cardiosurgical centers in the Netherlands...
April 23, 2024: European Heart Journal. Acute Cardiovascular Care
#8
JOURNAL ARTICLE
Intraoperative trypan blue central landmark and its use in capsulotomy and capsulorhexis centration.
Pavel Stodulka, Richard Packard, David Mordaunt
PURPOSE: To compare 3 capsulotomy centration methods. SETTING: Private clinic, Zlin, Czech Republic. DESIGN: Prospective, consecutive case series. METHODS: 180 eyes undergoing cataract surgery had anterior capsule staining with microfiltered 0.4% trypan blue solution before selective laser capsulotomy. The first 60 eyes (Group 1) had mydriatic dilated pupil centered capsulotomies. The next 60 eyes (Group 2) were centered on the trypan blue central landmark (TCL)...
May 1, 2024: Journal of Cataract and Refractive Surgery
#9
JOURNAL ARTICLE
H A Mensink, A Desai, M Cvetkovic, M Davidson, A Hoskote, M O'Callaghan, T Thiruchelvam, P P Roeleveld
Extracorporeal Cardiopulmonary Resuscitation (ECPR) has potential benefits compared to conventional Cardiopulmonary Resuscitation (CCPR) in children. Although no randomised trials for paediatric ECPR have been conducted, there is extensive literature on survival, neurological outcome and risk factors for survival. Based on current literature and guidelines, we suggest recommendations for deployment of paediatric ECPR emphasising the requirement for protocols, training, and timely intervention to enhance patient outcomes...
April 2024: Perfusion
#10
JOURNAL ARTICLE
Akira Kawauchi, Yohei Okada, Makoto Aoki, Tomoko Ogasawara, Takashi Tagami, Nobuya Kitamura, Mitsunobu Nakamura
AIM: Selecting the appropriate candidates for extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) is challenging. Previously, the Extracorporeal Life Support Organization (ELSO) guidelines suggested the example of inclusion criteria. However, it is unclear whether patients who meet the inclusion criteria of the ELSO guidelines have more favorable outcomes. We aimed to evaluate the relationship between the outcomes and select inclusion criteria of the ELSO guidelines...
April 20, 2024: Resuscitation
#11
JOURNAL ARTICLE
Helena Brodska, Jana Smalcova, Petra Kavalkova, Danielle R Lavage, Milan Dusik, Jan Belohlavek, Tomas Drabek
BACKGROUND: Limited evidence exists for prognostic performance of biomarkers in patients resuscitated from out-of-hospital cardiac arrest (OHCA) with extracorporeal CPR (ECPR). We hypothesized that (1) the time course and (2) prognostic performance of biomarkers might differ between CPR and ECPR in a sub-analysis of Prague-OHCA study. METHODS: Patients received either CPR (n=164) or ECPR (n=92). The primary outcome was favorable neurologic survival at 180 days [cerebral performance category (CPC) 1-2]...
April 20, 2024: Resuscitation
#12
JOURNAL ARTICLE
Johannes Wittig, Bo Løfgren, Rasmus P Nielsen, Rikke Højbjerg, Kristian Krogh, Hans Kirkegaard, Robert A Berg, Vinay M Nadkarni, Kasper G Lauridsen
OBJECTIVE: We aimed to investigate the association of recent team leader simulation training (<6 months) and years of clinical experience (≥4 years) with chest compression quality during in-hospital cardiac arrest (IHCA). METHODS: This cohort study of IHCA in four Danish hospitals included cases with data on chest compression quality and team leader characteristics. We assessed the impact of recent simulation training and experienced team leaders on longest chest compression pause duration (primary outcome), chest compression fraction (CCF), and chest compression rates within guideline recommendations using mixed effects models...
April 20, 2024: Resuscitation
#13
JOURNAL ARTICLE
Mohammad Darwish, Neil R Bergman, Richard J Hiscock
INTRODUCTION: Total hip arthroplasty implant choice profoundly affects survivorship, complications, and failure modes. This study evaluates the long-term (average 18 year) outcomes of ceramic-on-ceramic hip arthroplasty using uncemented shells and stems. Despite an impressive 20-year cumulative percent revision (CPR) of 5.9%, the hydroxyapatite proximally coated femoral components evaluated in this study have seen declining use since 2003. METHODS: A review of 349 consecutive total hip arthroplasties from 1999 to 2007 were matched to 272 cases with registry data...
April 20, 2024: Journal of Arthroplasty
#14
JOURNAL ARTICLE
Carmela Protano, Vittoria Cammalleri, Stefano Zanni, Federica Valeriani, Giorgio Liguori, Vincenzo Romano Spica, Matteo Vitali, Francesca Gallè
INTRODUCTION: Cardiopulmonary resuscitation is fundamental to improve the outcomes of a life-threatening event. The correct knowledge of first aid actions to provide may guarantee the victim's survival. This study was aimed at evaluating the competence about cardiopulmonary resuscitation and its predictors in a sample of Italian undergraduate students. METHODS: Information on socio-demographic characteristics, first aid training, knowledge of stroke and heart attack symptoms and perceived ability to provide first aid, were collected through a web-based questionnaire...
April 12, 2024: Annali di Igiene: Medicina Preventiva e di Comunità
#15
JOURNAL ARTICLE
Moshumi Godbole, Samantha Olafson, Ryan B Cohen, Candace L Ward, Stephanie Sailes, Mia Sharlin, Afshin Parsikia, Benjamin J Moran, Pak Shan P Leung
Background Resuscitative thoracotomy (RT) is performed in severe trauma cases as a final lifesaving effort. Prominent, yet differing, practice management guidelines exist from Eastern Association for the Surgery of Trauma (EAST) and Western Trauma Association (WTA). This study evaluates all RTs performed from 2012 to 2019 at an urban Level 1 trauma center for management guideline indication and subsequent outcomes. Methods Our trauma registry was queried to identify RT cases from 2012 to 2019. Data was collected on patient demographics, prehospital presentation, cardiopulmonary resuscitation (CPR) requirements, and resuscitation provided...
March 2024: Curēus
#16
JOURNAL ARTICLE
Tomás Barry, Alice Kasemiire, Martin Quinn, Conor Deasy, Gerard Bury, Siobhan Masterson, Ricardo Segurado, Andrew W Murphy
AIM: To explore potential predictors of national out-of-hospital cardiac arrest (OHCA) survival, including health system developments and the COVID pandemic in Ireland. METHODS: National level OHCA registry data from 2012 through to 2020, relating to unwitnessed, and bystander witnessed OHCA were interrogated. Logistic regression models were built by including predictors through stepwise variable selection and enhancing the models by adding pairwise interactions that improved fit...
June 2024: Resuscitation plus
#17
JOURNAL ARTICLE
Alfredo Echarri Sucunza, Patricia Fernández Del Valle, Jose Antonio Iglesias Vázquez, Youcef Azeli, Jose María Navalpotro Pascual, Juan Valenciano Rodriguez, Cristian Fernández Barreras, Sonia Royo Embid, Carmen Gutiérrez-García, María Isabel Ceniceros Rozalén, Cesar Manuel Guerra García, Carmen Del Pozo Pérez, María José Luque-Hernández, Silvia Sola Muñoz, Ana Belén Forner Canos, María Isabel Herrera Maíllo, Marcos Juanes García, Natividad Ramos García, Belén Muñoz Isabel, Junior Jose García Mendoza, José Antonio Cortés Ramas, Faustino Redondo Revilla, Inmaculada Mateo-Rodríguez, Félix Rivera Sanz, Emily Knox, Antonio Daponte Codina, José Ignacio Ruiz Azpiazu, Fernando Rosell Ortiz
INTRODUCTION: Recent data are not available on ongoing CPR for emergency services with an onboard physician. The aim of the present study was to identify factors associated with the decision to transport patients to hospital with ongoing CPR and examine their survival to hospital discharge with good neurological status. METHODS: An observational study based on a registry of out-of-hospital cardiac arrests attended to by emergency services with an onboard physician...
June 2024: Resuscitation plus
#18
JOURNAL ARTICLE
Jan Wnent, Jan-Thorsten Gräsner, Matthias Fischer, Alexandra Ramshorn-Zimmer, Andreas Bohn, Berthold Bein, Stephan Seewald
INTRODUCTION: The German Resuscitation Registry was started in 2007 and collects data on out-of-hospital as well as in-hospital cardiac arrest and resuscitation. It has collected more than 400.000 datasets till today. METHODS: The German Resuscitation Registry (GRR) is a voluntary quality improvement tool and research tool for out-of-hospital and in-hospital resuscitation as well as in-hospital emergency treatment. It collects data for initial treatment, in-hospital care as well as long-term outcome in an online database...
June 2024: Resuscitation plus
#19
JOURNAL ARTICLE
Reiko Okada, Yasutaka Murakami, Ayami Machiyama, Jyunki Jinno, Makoto Hideshima, Hideaki Kanki
A 46-year-old man with neck pain and impaired physical mobility called for emergency medical services. The patient was able to communicate with the emergency medical team upon their arrival. However, he went into cardiopulmonary arrest 5 minutes later. Cardiopulmonary resuscitation was immediately performed, and the patient was admitted to our hospital with a Glasgow Coma Scale score of E1V1M1. His respiratory rate was 5 breaths/minute and his partial pressure of carbon dioxide in arterial blood (PaCO2 ) was 127 mmHg, necessitating intubation and ventilation...
April 20, 2024: Rinshō Shinkeigaku, Clinical Neurology
#20
REVIEW
Sunita Bayyavarapu Bapuji, Ashlyn Hansen, Miriam H Marembo, Patrick Olivier, Marie Bee Hui Yap
Parental factors play a major role in youth mental health and many youth in high-income countries have at least one overseas-born parent. It is, hence, important to understand how immigrant parenting is associated with youth mental health in high-income countries. Following PRISMA guidelines, this review sought to identify modifiable parental factors to inform parenting interventions to prevent mental health problems in youth aged 0-18 years whose parents migrated voluntarily for economic reasons from low and middle-income countries to high-income countries...
April 9, 2024: Clinical Psychology Review
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