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https://www.readbyqxmd.com/read/29169177/acute-kidney-injury-in-elderly-population-a-prospective-observational-study
#1
Cássia Gomes da Silveira Santos, Rafael Fernandes Romani, Ricardo Benvenutti, João Otávio Ribas Zahdi, Miguel Carlos Riella, Marcelo Mazza do Nascimento
BACKGROUND/AIMS: Acute kidney injury (AKI) has been reported as a recognized condition among the elderly population; however, its clinical epidemiology is still poorly evaluated. We propose to evaluate the epidemiological profile of AKI in hospitalized elderly patients and the variables associated with renal replacement therapy (RRT) dependency at discharge after an episode of AKI. METHODS: This prospective observational study enrolled 286 elderly patients (aged ≥60 years), who had a diagnosis of AKI and were admitted to a tertiary care hospital...
November 23, 2017: Nephron
https://www.readbyqxmd.com/read/29169153/optimal-trough-concentration-of-teicoplanin-in-febrile-neutropenic-patients-with-hematological-malignancy
#2
Yuhki Sato, Kazufumi Hiramatsu, Yosuke Suzuki, Ryota Tanaka, Tetsuya Kaneko, Ko Nonoshita, Masao Ogata, Jun-Ichi Kadota, Hiroki Itoh
BACKGROUND: Teicoplanin is a glycopeptide antibiotic currently used for the treatment of methicillin-resistant Staphylococcus aureus. The need for therapeutic drug monitoring of teicoplanin has been increasingly highlighted as important. It is generally accepted that whereas a plasma trough concentration (Cmin) of ≥10 mg/L is appropriate for the majority of infections, it should exceed 20 mg/L for severe infections. The target Cmin of teicoplanin in patients with febrile neutropenia (FN) has not been reported...
November 24, 2017: Chemotherapy
https://www.readbyqxmd.com/read/29169099/exposure-to-arsenic-in-tap-water-and-gestational-diabetes-a-french-semi-ecological-study
#3
Cécile Marie, Stéphanie Léger, Aline Guttmann, Olivier Rivière, Nathalie Marchiset, Didier Lémery, Françoise Vendittelli, Marie-Pierre Sauvant-Rochat
INTRODUCTION: The increase in the prevalence of gestational diabetes mellitus (GDM) and its consequences for mother and children prompts research on their risk factors including environmental factors. Studies on exposure to arsenic (As) in tap water and the risk of GDM have not provided conclusive evidence, particularly when levels of exposure were low (from 10 to 50µg As/L). The main objective of this study was to assess the association between exposure to As in tap water and the risk of GDM...
November 20, 2017: Environmental Research
https://www.readbyqxmd.com/read/29169082/the-safety-and-efficacy-of-propofol-as-a-replacement-for-amobarbital-in-intracarotid-wada-testing-of-presurgical-patients-with-epilepsy
#4
Kaci McCleary, Joseph Barrash, Mark Granner, Kenneth Manzel, Audrey Greider, Robert Jones
OBJECTIVE: The intracarotid sodium amytal procedure (the "Wada test") has for many years been the gold standard for language and memory lateralization and remains an important part of presurgical analysis for patients with medically intractable seizures. Due to shortages in the key sedative (amobarbital), neuropsychologists have turned to alternatives such as propofol. Our aim was to investigate the safety and efficacy of propofol relative to amobarbital in the Wada test. METHODS: We performed a retrospective review of the 97 Wada procedures performed at University of Iowa Hospitals and Clinics from 2007 through mid-2015...
November 20, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29169075/maternal-intention-to-exclusively-breast-feed-among-mainland-chinese-mothers-a-cross-sectional-study
#5
Xiao Yang, Wan-Yim Ip, Ling-Ling Gao
OBJECTIVE: to examine postpartum maternal recall of their intentions to exclusively breast feed among breastfeeding women and identify its predictors. DESIGN AND SETTING: a cross-sectional descriptive study was conducted in a regional teaching hospital at Guangzhou, China between April 1 and July 14, 2014. PARTICIPANTS: 571 mothers who were within four days after delivery were recruited to the study. MEASUREMENTS: data were collected by four research assistants with maternal intention to breast feed data sheet, the Network Support for Breastfeeding Scale (NSBS), and a socio-demographic data sheet...
November 10, 2017: Midwifery
https://www.readbyqxmd.com/read/29169073/difficulty-of-confining-recalcitrant-tuberculosis-patients-in-isolation-wards-in-japan-2013-2014
#6
Y Nagata, M Ota, E Saito
OBJECTIVES: In Japan, approximately 7000 smear-positive tuberculosis (TB) cases were reported in 2014. According to the law, such patients must be isolated in a TB ward until they become at least sputum smear-negative. However, there are some recalcitrant patients who are difficult to isolate because of problematic behaviors. This study was conducted to characterize recalcitrant TB patients and determine why they left the hospitals and how they were followed up after they left. STUDY DESIGN: Cross-sectional study...
November 20, 2017: Public Health
https://www.readbyqxmd.com/read/29169068/effects-of-a-service-earning-experience-on-confidence-and-clinical-skills-in-baccalaureate-nursing-students
#7
Jennifer Saylor, Lindsey Hertsenberg, Malissa McQuillan, Ashley O'Connell, Kimberly Shoe, Christina J Calamaro
BACKGROUND: Camp programs yield positive and lasting benefits for children. Integrating a summer camp into a nurse course with a service learning design fosters learning beyond the classroom and enhances community engagement. OBJECTIVE: The purpose of this study is to describe the nursing students' experience and perceived confidence after completing a service learning nursing course. DESIGN: This is a descriptive, qualitative research study that used reflection and a perceived confidence questionnaire...
November 20, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29169030/lipoprotein-associated-phospholipase-a2-and-risk-of-incident-peripheral-arterial-disease-findings-from-the-atherosclerosis-risk-in-communities-study-aric
#8
Parveen K Garg, Faye L Norby, Linda M Polfus, Eric Boerwinkle, Richard A Gibbs, Megan L Grove, Aaron R Folsom, Pranav S Garimella, Kunihiro Matsushita, Ron C Hoogeveen, Christie M Ballantyne
BACKGROUND AND AIMS: Results from prospective studies evaluating the relationship between elevated lipoprotein-associated phospholipase A2 (Lp-PLA2) activity and incident peripheral arterial disease (PAD) have been mixed. We investigated whether higher Lp-PLA2 levels are associated with increased risk of incident PAD and whether PLA2G7 gene variants, which result in lower Lp-PLA2 levels, are associated with reduced risk of incident PAD. METHODS: Our analysis included 9922 participants (56% female; 21% African-American; mean age 63 years) without baseline PAD at ARIC Visit 4 (1996-1998), who had Lp-PLA2 activity measured and were subsequently followed for the development of PAD, defined by occurrence of a PAD-related hospitalization, through 2012...
November 14, 2017: Atherosclerosis
https://www.readbyqxmd.com/read/29169028/relationships-of-depression-and-anxiety-symptoms-with-seizure-frequency-results-from-a-multicenter-follow-up-study
#9
Lorenz B Dehn, Margarete Pfäfflin, Sabine Brückner, Martin T Lutz, Bernhard J Steinhoff, Thomas Mayer, Christian G Bien, Fridtjof W Nussbeck, Theodor W May
PURPOSE: Depressive and anxiety disorders are frequent among people with epilepsies. There are, however, only few longitudinal studies, which examine the relationship between these comorbid psychiatric disorders and epilepsy-related variables. Thus, we investigated the interrelationships of depression and anxiety symptoms with seizure frequency across time. METHODS: Before admittance to an epilepsy center (T1) and six months after discharge (T2), patients (n=198) with mainly difficult-to-treat epilepsies completed the Hospital Anxiety and Depression Scale (HADS)...
November 13, 2017: Seizure: the Journal of the British Epilepsy Association
https://www.readbyqxmd.com/read/29169012/methicillin-resistant-staphylococcus-aureus-isolated-from-an-intensive-care-unit-in-minas-gerais-brazil-over-a-six-year-period
#10
Thiago C Nascimento, Cláudio G Diniz, Vânia L Silva, Alessandra B Ferreira-Machado, Marina O Fajardo, Tamara Lopes R de Oliveira, Dennis de C Ferreira, Fernanda S Cavalcante, Kátia R Netto Dos Santos
To characterize methicillin-resistant Staphylococcus aureus (MRSA) isolates from an intensive care unit of a tertiary-care teaching hospital, between 2005 and 2010. A total of 45 MRSA isolates were recovered from patients admitted to the ICU in the study period. Resistance rates higher than 80% were found for clindamycin (100%), erythromycin (100%), levofloxacin (100%), azithromycin (97.7%), rifampin (88.8%), and gentamycin (86.6%). The SCCmec typing revealed that the isolates harbored the types III (66.7%), II (17...
November 20, 2017: Brazilian Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29169009/serious-incidents-after-death-content-analysis-of-incidents-reported-to-a-national-database
#11
Iain E Yardley, Andrew Carson-Stevens, Liam J Donaldson
Objectives To describe serious incidents occurring in the management of patient remains after their death. Design Incidents occurring after patient deaths were analysed using content analysis to determine what happened, why it happened and the outcome. Setting The Strategic Executive Information System database of serious incidents requiring investigation occurring in the National Health Service in England. Participants All cases describing an incident that occurred following death, regardless of the age of the patient...
January 1, 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/29169003/growing-old-in-the-emergency-department
#12
P Liston, G Conyngham, M Brady, P J Byrne, P Gilligan
The research team were concerned that older patients requiring emergency admission seemed to wait longer for a hospital bed, and as such were disproportionately affected by Emergency Department overcrowding. To investigate this theory and explore any changes over time, a ten year dataset (2005-2014 inclusive) was extracted from the information systems at Beaumont Hospital, Dublin. This research examines the changing age profile of ED patients, identifies the relationship between age and the total time spent in the Emergency Department (Patient Experience Time (PET)), and examines the public belief that EDs are busiest in winter when reports of overcrowding and elderly patients waiting on trolleys get most media attention...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29169000/hidradenitis-suppurativa-and-crohn-s-disease-a-case-series
#13
S Kirthi, R Hellen, R O'Connor, M Connolly, A M Tobin, D McNamara
Hidradenitis Suppurativa (HS) is characterized by chronic recurrent abscesses, nodules and draining sinus tracts with scar formation. Cutaneous Crohn's Disease (CD) may also present similarly. We wished to identify and describe an Irish cohort with combined HS and CD, with a view to a better recognition of clinical manifestations and understanding of the pathophysiology underlying these two overlapping conditions. Cases were identified using the HIPE Code at Tallaght Hospital from 1990-2014 and retrospective review was performed...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168999/investigating-the-perceived-benefits-barriers-and-beliefs-towards-physical-activity-in-pregnancy-among-women-with-gestational-diabetes-mellitus
#14
C Hurst, C Flannery, M Byrne, P M Kearney, F Dunne, M O'Riordan, J C Walsh
Gestational Diabetes Mellitus (GDM) is a growing concern and poses serious health risks to both mother and child1. The current study explores the psychological determinants of exercise behaviour in a sample of pregnant women with GDM. A cross-sectional survey design was employed to examine exercise behaviour, illness perceptions, perceived barriers and benefits, exercise beliefs, and exercise self-efficacy using validated questionnaires. A sample of 46 pregnant women was recruited from University College Hospital Galway, Letterkenny General Hospital, Cork University Hospital and Mayo General Hospital in Castlebar...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168997/a-retrospective-audit-of-in-hospital-30-day-mortality-from-acute-myocardial-infarction-in-connolly-hospital-blanchardstown
#15
M Hensey, M Cronin, E Keelan, J O'Neill, J Galvin
In 2015, The Department of Health published the first annual report of the "National Healthcare Quality Reporting System." Connolly Hospital was reported to a mortality rate within 30 days post-Acute Myocardial Infarction (AMI) of 9.87 per 100 cases which was statistically significantly higher than the national rate. We carried out a retrospective audit of patients who were HIPE-coded as having died within 30 days of AMI from 2011-2013 and identified 42 patients. On review, only 23 patients (54.8%) were confirmed as having had an AMI...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168995/hospital-resource-utilisation-by-patients-with-community-acquired-pneumonia
#16
H McCarthy, S O'Donnell, R W Costello, H Humphreys
Little data is available on the resource utilisation of patients admitted with Community-Acquired Pneumonia (CAP) in Ireland. A retrospective review of 50 randomly-selected patients admitted to Beaumont Hospital with CAP was undertaken. The mean length of stay of patients with CAP was 12 days (+/- 16 days). All patients were emergency admissions, all had a chest x-ray, a C-reactive protein blood test, and occupied a public bed at some point during admission. Common antimicrobial therapies were intravenous (IV) amoxicillin/clavulanic acid and oral clarithromycin; 60% received physiotherapy...
August 12, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/29168943/flagging-up-flu-vaccination
#17
Sam Foster
Sam Foster, Chief Nurse, Oxford University Hospitals, considers the campaign for staff flu vaccination, ways to promote uptake and the thorny issue of opt-out.
November 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29168938/high-dependency-care-experiences-of-the-psychosocial-work-environment
#18
Hanif Abdul Rahman, Lin Naing, Khadizah Abdul-Mumin
AIM: to explore high-dependency care nurses' experiences of their psychosocial work environment. METHODS: four focus groups were conducted with 23 emergency and critical care hospital nurses in Brunei. All sessions were recorded, transcribed verbatim and analysed using inductive-approach thematic analysis. FINDINGS: three major themes were identified. 'Specialisation/specific skills' explained a fundamental requirement for the high-dependency care nurses to work effectively and efficiently in their workplace...
November 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29168911/pre-operative-parameters-do-not-reliably-identify-post-operative-respiratory-risk-in-children-undergoing-adenotonsillectomy
#19
Surendran Thavagnanam, Saou Y Cheong, Karuthan Chinna, Anna M Nathan, Jessie A de Bruyne
AIM: Adenotonsillectomy is performed in children with recurrent tonsillitis or obstructive sleep apnoea. Children at risk of post-operative respiratory complications are recommended to be monitored in paediatric intensive care unit (PICU). The aim of the study is to review the risk factors for post-operative complications and admissions to PICU. METHODS: A review of medical records of children who underwent adenotonsillectomy between January 2011 and December 2014 was performed...
November 23, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29168910/parental-immunisation-needs-and-attitudes-survey-in-paediatric-hospital-clinics-and-community-maternal-and-child-health-centres-in-melbourne-australia
#20
Jessica C Costa-Pinto, Harold W Willaby, Julie Leask, Monsurul Hoq, Tibor Schuster, Alice Ghazarian, Jacinta O'Keefe, Margie H Danchin
AIM: Despite Australia's high vaccination rates, an estimated 3.3% of children are under-vaccinated due to vaccine refusal and the proportion of parents with concerns is unclear. Amongst Australian parents, we aimed to determine the prevalence of vaccine concerns, resources and health-care providers (HCPs) accessed and satisfaction with these resources in two different settings. We also aimed to identify relationships between the level of vaccine concern, socio-economic status and vaccine uptake...
November 23, 2017: Journal of Paediatrics and Child Health
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