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Thais Helena de Pontes Ellery, Helena Alves de Carvalho Sampaio, Antônio Augusto Ferreira Carioca, Bruna Yhang da Costa Silva, Júlio Augusto Gurgel Alves, Fabrício Da Silva Costa, Edward Araujo Júnior, Maria Luísa Pereira de Melo
OBJECTIVE:  To assess the association between dietary glycemic index (GI) and excess weight in pregnant women in the first trimester of pregnancy. METHODS:  A cross-sectional study in a sample of 217 pregnant women was conducted at the maternal-fetal outpatient clinic of the Hospital Geral de Fortaleza, Fortaleza, state of Ceará, Brazil, for routine ultrasound examinations in the period between 11 and 13 weeks + 6 days of gestation. Weight and height were measured and the gestational body mass index (BMI) was calculated...
December 12, 2018: Revista Brasileira de Ginecologia e Obstetrícia
Bibian van der Voorn, Jonneke J Hollanders, Noera Kieviet, Koert M Dolman, Yolanda B de Rijke, Elisabeth F C van Rossum, Joost Rotteveel, Adriaan Honig, Martijn J J Finken
BACKGROUND: Hair glucocorticoids (GCs) offer a retrospective view on chronic GC exposure. We assessed whether maternal pre- and postnatal stress was associated with neonatal and maternal hair GCs postpartum (pp). METHODS: On the first day pp 172 mother-infant pairs donated hair, of whom 67 had consulted a centre of expertise for psychiatric disorders during pregnancy. Maternal stress was scored on the Hospital Anxiety and Depression Scale during the first/second (n = 46), third trimester (n = 57), and pp (n = 172)...
December 12, 2018: Hormone Research in Pædiatrics
Tomoaki Yatabe, Moritoki Egi, Masahiko Sakaguchi, Takashi Ito, Nobuhiro Inagaki, Hiromi Kato, Jun Kaminohara, Amane Konishi, Michiko Takahashi, Hiroomi Tatsumi, Masaru Tobe, Ikue Nakashima, Naoki Nakamoto, Takeshi Nishimura, Masakazu Nitta, Masaji Nishimura
BACKGROUND: There is lack of evidence regarding nutritional management among intensive care unit (ICU) patients in a population with relatively low body mass index. Therefore, we conducted an observational study to assess the nutritional management in Japanese ICUs. Also, we investigated the impact of nutritional management and rehabilitation on physical outcome. METHODS: The study population comprised 389 consecutive patients who received mechanical ventilation for at least 24 h and those admitted to the ICU for > 72 h in 13 hospitals...
December 12, 2018: Annals of Nutrition & Metabolism
Ann-Kathrin Lederer, Dominic Haffa, Verena Martini, Roman Huber, Frank Makowiec, Stefan Fichtner-Feigl, Lampros Kousoulas
BACKGROUND: Due to the increasing number of patients after kidney transplantation, elective and emergency surgery of transplanted patients is becoming a relevant challenge in clinical routine. The current data on complication rate of patients after kidney transplantation, which must undergo another elective or emergency abdominal surgery, is inhomogeneous. Therefore, the aim of our study was to evaluate the outcome of renal transplant patients undergoing abdominal and abdominal wall surgery...
December 9, 2018: International Journal of Surgery
Ying-Cheng Huang, Chun-Yu Chen, Kai-Cheng Lin, Shang-Wei Yang, Yih-Wen Tarng, Wei-Ning Chang
Wide-awake local anesthesia no tourniquet (WALANT) is used for various hand surgeries, but there are no reports of its use for distal radius fractures. The authors compared perioperative variables and clinical outcomes for volar plating for distal radius fractures with WALANT vs general anesthesia with tourniquet. This retrospective study included 47 patients who presented with distal radius fractures between January 2015 and February 2017. Twenty-one underwent surgical volar plating with WALANT, and 26 underwent surgical volar plating with general anesthesia with tourniquet...
December 11, 2018: Orthopedics
Francesca Mataloni, Paola Colais, Claudia Galassi, Marina Davoli, Danilo Fusco
BACKGROUND AND AIMS: Patients who leave Emergency Department before physician's visit (LWBS) or during treatment (LDT) represent a useful indicator of the emergency care's quality. The profile of patients LWBS was described: they are generally males, young, with lower urgency triage allocation and longer waiting time. They have a greater risk of ED re-admission compared to discharged patients, but effect on hospitalization and mortality are more controversial. The aims of this study are to identify determinants and adverse short term outcomes for LWBS and LDT patients...
2018: PloS One
Stije J Leopold, Aniruddha Ghose, Katherine A Plewes, Subash Mazumder, Luigi Pisani, Hugh W F Kingston, Sujat Paul, Anupam Barua, M Abdus Sattar, Michaëla A M Huson, Andrew P Walden, Patricia C Henwood, Elisabeth D Riviello, Marcus J Schultz, Nicholas P J Day, Asok Kumar Dutta, Nicholas J White, Arjen M Dondorp
INTRODUCTION: Patients with severe malaria or sepsis are at risk of developing life-threatening acute respiratory distress syndrome (ARDS). The objective of this study was to evaluate point-of-care lung ultrasound as a novel tool to determine the prevalence and early signs of ARDS in a resource-limited setting among patients with severe malaria or sepsis. MATERIALS AND METHODS: Serial point-of-care lung ultrasound studies were performed on four consecutive days in a planned sub study of an observational cohort of patients with malaria or sepsis in Bangladesh...
2018: PloS One
Kangkang Yan, Meiling Xue, Dan Ye, Caijun Yang, Jie Chang, Minghuan Jiang, Mingyue Zhao, Hongli Zhang, Yu Fang
INTRODUCTION: The irrational use of antibiotics is a major driver of antimicrobial resistance. This study aimed to explore how antibiotics were used in secondary and tertiary hospitals in Shaanxi Province, western China from 2013 to 2015. METHOD: A retrospective study was conducted with a sample of 16 hospitals in Shaanxi Province (2 tertiary and 14 secondary hospitals; 8 public and 8 private hospitals) using a stratified random sampling method. All of the macro data from these hospitals from 2013 to 2015 were analyzed...
2018: PloS One
Jorge A Gallardo-Cartagena, Alfredo J Chiappe-Gonzalez, Lilian M Astocondor-Salazar, Blanca N Salazar-Mesones, Jenny A Narcizo Susanibar, Carolina Cucho-Espinoza, Luz María Huaroto-Valdivia, Eduardo R Ticona-Chávez
Non-O1, non-O139 Vibrio cholerae (NOVC) strains are an uncommon cause of gastroenteritis. However, they have been recently associated with severe extraintestinal infections in immunocompromised hosts. Among them, bacteremia in cirrhotic patients is noteworthy. We present the case of a 58-year-old woman with cirrhosis that developed septic shock, multiple organ failure and died four days after admission. Blood cultures yielded Gram-negative rods identified as Vibrio cholerae. Further serogrouping by slide agglutination and a negative PCR for ctxA gen confirmed the strain to be NOVC...
July 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Bertha Cárdenas Ramírez, P Martin Padilla-Machaca, Omar Mantilla Cruzatti, José Rivera Romaní, Carlos Rondón Leyva, José-Carlos Chaman Ortiz
INTRODUCTION: Hepatopulmonary syndrome (HPS) is a serious complication of liver disease, which is characterized by the presence of intrapulmonary vasodilation and progressive hypoxemia. Liver transplantation is the only effective treatment. OBJECTIVE: To show our results of patients with hepatopulmonary syndrome undergoing liver transplantation. MATERIALS AND METHODS: Retrospective, descriptive and cross-sectional study. From March 2000 to December 2016; 226 liver transplants were performed...
July 2018: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Karen Zaghiyan, Brian Mendelson, Matthew Eng, Gayane Ovsepyan, James Mirocha, Phillip Fleshner
BACKGROUND: Transversus abdominis plane block may improve analgesia after colorectal surgery; however, techniques remain unstandardized and results are conflicting. OBJECTIVE: The purpose of this study was to compare laparoscopic and ultrasound-guided transversus abdominis plane block with no block in minimally invasive colorectal surgery. DESIGN: This was a randomized controlled trial. SETTINGS: The study was conducted at an urban teaching hospital...
November 28, 2018: Diseases of the Colon and Rectum
Paolo Verdecchia, Antonio D'Onofrio, Vincenzo Russo, Francesco Fedele, Francesco Adamo, Giulia Benedetti, Fabio Ferrante, Corrado Lodigiani, Francesco Paciullo, Adolfo Aita, Claudia Bartolini, Maria Gabriella Molini, Andrea Di Lenarda, Carmine Mazzone, Lorenza Scotti, Elena Paola Lanati, Arianna Iorio
AIMS: Real-world data on treatment persistence, safety and effectiveness of non-Vitamin K antagonist oral anticoagulants (NOACs) play an important role in the assessment of risks and benefits of these drugs. Our aim was to evaluate persistence on treatment, incidence of major bleeding and incidence of a composite endpoint of major events, including all-cause death, myocardial infarction, stroke and systemic thromboembolism, during treatment with apixaban in a cohort of patients with nonvalvular atrial fibrillation (NVAF)...
December 11, 2018: Journal of Cardiovascular Medicine
Monica U Skarin, David A Rice, Peter J McNair, Michal T Kluger
BACKGROUND: Early postoperative mobilisation is important for enhanced recovery, but can be hindered by orthostatic intolerance, characterised by dizziness, nausea, vomiting, feeling of heat, blurred vision and ultimately syncope. Although the incidence of orthostatic intolerance following total hip arthroplasty has been identified, few studies have yet investigated potential risk factors for developing orthostatic intolerance after hip arthroplasty. OBJECTIVES: The aim of this study was to assess the incidence of orthostatic intolerance on the first postoperative day after total hip arthroplasty, potential predisposing risk factors for developing orthostatic intolerance and its effect on length of stay...
December 11, 2018: European Journal of Anaesthesiology
Nickolas K Christidis, Stephanie A Fox, Stuart A Swinamer, Rodrigo Bagur, Kumar Sridhar, Shahar Lavi, Ivan Iglesias, Daniel Bainbridge, Philip M Jones, Christopher C Harle, Michael W A Chu, Patrick Teefy, Bob B Kiaii
OBJECTIVE: Conversion to sternotomy is a primary bailout method for robotically assisted coronary artery bypass grafting procedures. The aims of this study were to identify the primary reasons for conversion from robotically assisted coronary artery bypass grafting to sternotomy and to evaluate the in-hospital outcomes in such patients. METHODS: Prospectively collected data from February 2004 to April 2017 were reviewed for 72 patients (56 men; mean age = 63.8 years) who required conversion to sternotomy during a robotically assisted coronary artery bypass grafting procedure with planned endoscopic left internal thoracic artery harvest and anastomosis to the left anterior descending on the beating heart...
December 5, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Kuo-Shu Hung, Szu-Han Chen, Wei-Chen Chen, Wan-Ling Tseng, Yao-Chou Lee
BACKGROUND: Use of the anterolateral thigh (ALT) flap has gained popularity in head and neck reconstruction. However, donor sites that cannot achieve primary closure are reported to have poorer functional and aesthetic outcomes. Therefore, we propose an algorithm to facilitate primary closure of the donor site. METHODS: Since May 2013, when an attempt at donor site direct closure failed, we have used a VY advancement flap or a propeller flap for primary closure of the donor site, using the remnant lateral thigh perforator or nearby medial thigh perforator...
December 6, 2018: Annals of Plastic Surgery
Wayne A Ray, C Michael Stein, Katherine T Murray, D Catherine Fuchs, Stephen W Patrick, James Daugherty, Kathi Hall, William O Cooper
Importance: Children and youths who are prescribed antipsychotic medications have multiple, potentially fatal, dose-related cardiovascular, metabolic, and other adverse events, but whether or not these medications are associated with an increased risk of death is unknown. Objective: To compare the risk of unexpected death among children and youths who are beginning treatment with antipsychotic or control medications. Design, Setting, and Participants: This retrospective cohort study was conducted from 1999 through 2014 and included Medicaid enrollees aged 5 to 24 years in Tennessee who had no diagnosis of severe somatic illness, schizophrenia or related psychoses, or Tourette syndrome or chronic tic disorder...
December 12, 2018: JAMA Psychiatry
Talita Wérica Borges Figueiredo, Nen Nalú Alves das Mercês, Maria Ribeiro Lacerda, Ana Paula Hermann
OBJECTIVE: to report the use experience of convergent healthcare research for developing a nursing care protocol. METHOD: convergent care research developed in university hospital, from July to December 2016, with 27 participants. RESULTS: the stages of the research and its results are described in the steps: conception, instrumentation, screening and analysis. The end result was the nursing care protocol in day zero of hematopoietic stem cell transplantation...
2018: Revista Brasileira de Enfermagem
Irene Duarte Souza, Jéssica de Aquino Pereira, Eliete Maria Silva
OBJECTIVE: to investigate the care provided by family female caregivers of elderly dependents who have been monitored by public home care and its social repercussions, discussing the facets between State, society and families. METHOD: descriptive cross-sectional study, with 45 caregivers of elderly patients accompanied by Home Care Services. Data were collected by means of a structured script. The discussion was elaborated in light of the works "Cuidado e cuidadoras: as várias faces do trabalho do 'care'" (Care and female caregivers: the several faces of the care work) and "Gênero e trabalho na França e no Brasil" (Gender and work in France and Brazil)...
2018: Revista Brasileira de Enfermagem
Nelson Adami Andreollo, Giovanni de Carvalho Beraldo, Iuri Pedreira Filardi Alves, Valdir Tercioti-Junior, José Antonio Possato Ferrer, João de Souza Coelho-Neto, Luiz Roberto Lopes
BACKGROUND: Esophageal squamous cell carcinoma is an aggressive neoplasia that requires a multidisciplinary treatment in which survival and prognosis are still not satisfactory. The complete pathologic response to neoadjuvant chemotherapy and radiotherapy is considered a good prognosis factor, and esophagectomy is indicated. AIM: Survival analysis of cases with pathologic complete response (ypT0 ypN0) to neoadjuvant chemotherapy and/or radiotherapy, submmitted to esophagectomy...
December 6, 2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Giovanna Artioli, Chiara Foà, Chiara Taffurelli, Chiara Cosentino
BACKGROUND AND AIM: The nursing diagnosis can based on two different approaches: the standard diagnosis, searching for regularities that can fall within pre-existing categories identified by the nurse, as the expert of the disease; the narrative diagnosis, based on personal meaning attributed to the illness, of which only the patient is the expert. The aim of this work is to underline the usefulness of integration between standard diagnosis and narrative diagnosis, through the Integrated Personalized Nursing Diagnosis (IPND)...
December 7, 2018: Acta Bio-medica: Atenei Parmensis
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