keyword
https://read.qxmd.com/read/32767852/factors-associated-with-nurses-willingness-to-participate-in-care-of-patients-with-covid-19-a-survey-in-china
#1
Wu Bainv, Zhao Yun, Xu Dejing, Zhi Xiaoxu, Wang Yan, Niu Niu, Zhang Maomao, Zhu Ping, Meng Aifeng
AIM: The research aims to assess nurses' willingness to participate in care of patients with coronavirus disease 2019 (COVID-19) in China, and to identify its associated factors. BACKGROUND: Along with the increasing number of infections, the world has paid widespread attention to COVID-19. METHODS: This cross-sectional study used a convenience sampling method that included a demographics questionnaire and the Nurses' Perceived Professional Benefits Questionnaire...
August 7, 2020: Journal of Nursing Management
https://read.qxmd.com/read/32767830/infections-in-children-with-left-ventricular-assist-device
#2
Semra Şen, Zülal Ülger, Zümrüt Şahbudak Bal, Mustafa Özbaran
BACKGROUND: There are limited data about pediatric left ventricular assist device (VAD) infections in developing countries. This study aimed to investigate device postimplantation infectious complications and their pathogenic profile. METHODS: Data were analyzed from patient charts involving 27 patients with dilated cardiomyopathy who underwentleft VAD implantation at a leading tertiary care center in Turkey. RESULTS: The study included 17 boys and ten girls with a median age of 12...
August 7, 2020: Transplant Infectious Disease: An Official Journal of the Transplantation Society
https://read.qxmd.com/read/32767823/use-of-inhibitors-of-the-renin-angiotensin-system-in-hypertensive-patients-and-covid-19-severity-a-systematic-review-and-meta-analysis
#3
REVIEW
Jessica Barochiner, Rocío Martínez
WHAT IS KNOWN AND OBJECTIVE: Controversy has arisen in the scientific community on whether the use of renin-angiotensin system (RAS) inhibitors in the context of COVID-19 would be beneficial or harmful. A meta-analysis of eligible studies comparing the occurrence of severe and fatal COVID-19 in infected hypertensive patients who were under treatment with angiotensin-converting enzyme inhibitors (ACEI) or angiotensin receptor blockers (ARB) vs no treatment or other antihypertensives was conducted...
August 7, 2020: Journal of Clinical Pharmacy and Therapeutics
https://read.qxmd.com/read/32767649/outcomes-following-liver-transplantation-in-young-infants-data-from-the-split-registry
#4
Ajay K Jain, Ravinder Anand, Stacee Lerret, George Yanni, Jia-Yuh Chen, Saeed Mohammad, Majella Doyle, Greg Telega, Simon Horslen
Liver transplantation (LT) in young patients is being performed with greater frequency. We hypothesized that objective analysis of pre, intra and post-operative events would help understand contributors to successful outcomes and guide transplant decision processes. We queried SPLIT registry for pediatric transplants between 2011 and 2018. Outcomes were compared for age groups: 0-<3, 3-<6, 6-<12 months and 1-<3 years (Groups A, B, C, D respectively) and by weight categories: <5, 5-10, >10 kg...
August 7, 2020: American Journal of Transplantation
https://read.qxmd.com/read/32767642/sensitivity-and-specificity-of-general-movements-assessment-for-detecting-cerebral-palsy-in-an-australian-context-2-year-outcomes
#5
Traci-Anne Goyen, Catherine Morgan, Cathryn Crowle, Caroline Hardman, Rosemary Day, Iona Novak, Nadia Badawi
AIM: We previously reported sensitivity and specificity levels of the general movements assessment (GMA) to detect cerebral palsy (CP) at 1 year within a clinical setting and with the assistance of the New South Wales (NSW) Rater Network. The aim of this study was to determine whether similarly high levels of validity could be maintained in the same group at 2 years. METHODS: A prospective longitudinal cross-sectional study was conducted. GMA was blind-rated from conventional video by two independent certified raters, blinded to medical history...
August 7, 2020: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/32767575/influence-of-insurance-status-and-demographic-factors-on-outcomes-following-tracheostomy
#6
Rohini Bahethi, Christopher Park, Anthony Yang, Mingyang Gray, Kevin Wong, Alfred Iloreta, Mark Courey
OBJECTIVES/HYPOTHESIS: Little data exists regarding the relationship between socioeconomic and demographic factors and tracheostomy outcomes. The goal of this study was to determine associations between socioeconomic status (SES), demographic factors, and insurance status with hospital length of stay (LOS), intensive care unit (ICU) LOS, and mortality following tracheostomy. STUDY DESIGN: Retrospective cohort study. METHODS: A retrospective analysis of all patients who underwent tracheostomy at an urban tertiary-care academic hospital from 2016 to 2017 was performed...
August 7, 2020: Laryngoscope
https://read.qxmd.com/read/32767571/interventions-for-escalation-of-therapy-for-acute-exacerbations-of-asthma-in-children-an-overview-of-cochrane-reviews
#7
REVIEW
Simon S Craig, Stuart R Dalziel, Colin Ve Powell, Andis Graudins, Franz E Babl, Carole Lunny
BACKGROUND: Asthma is an illness that commonly affects adults and children, and it serves as a common reason for children to attend emergency departments. An asthma exacerbation is characterised by acute or subacute worsening of shortness of breath, cough, wheezing, and chest tightness and may be triggered by viral respiratory infection, poor compliance with usual medication, a change in the weather, or exposure to allergens or irritants. Most children with asthma have mild or moderate exacerbations and respond well to first-line therapy (inhaled short-acting beta-agonists and systemic corticosteroids)...
August 5, 2020: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/32767548/horses-for-courses-assessing-the-potential-value-of-a-surrogate-point-of-care-test-for-sars-cov-2-epidemic-control
#8
Sharif A Ismail, Catherine Huntley, Nathan Post, Samuel Rigby, Madhumita Shrotri, Sarah V Williams, Sharon J Peacock
Point-of-care tests (POCTs) offer considerable potential for improving clinical and public health management of COVID-19 by providing timely information to guide decision-making, but data on real-world performance are in short supply. Besides SARS-CoV-2-specific tests, there is growing interest in the role of surrogate (non-specific) tests such as FebriDx, a biochemical POCT which can be used to distinguish viral from bacterial infection in patients with influenza-like illnesses. This short report assesses what is currently known about FebriDx performance across settings and populations by comparison with some of the more intensively evaluated SARS-CoV-2-specific POCTs...
August 6, 2020: Influenza and Other Respiratory Viruses
https://read.qxmd.com/read/32767475/outcome-of-improved-care-bundle-in-acute-respiratory-failure-patients
#9
EDITORIAL
Chin-Ming Chen, Ai-Chin Cheng, Willy Chou, Padhmavathi Selvam, Chih Mei Cheng
BACKGROUND: Prolonged physical immobilization has negative effects on patients on mechanical ventilation (MV). AIMS: To introduce a quality improvement programme with early mobilization on the outcomes of patients on MV in the intensive care unit (ICU). We particularly studied the impact of the ABCDE (daily Awakening, Breathing trial, drug Co-ordination, Delirium survey and treatment, and Early mobilization) bundle on the outcome of MV patients with acute respiratory failure in the ICU...
August 6, 2020: Nursing in Critical Care
https://read.qxmd.com/read/32767461/etiologies-of-delayed-diagnosis-and-six-month-outcome-of-patients-with-newly-diagnosed-advanced-lung-cancer-with-respiratory-failure-at-initial-presentation
#10
How-Yang Tseng, Yi-Cheng Shen, Yen-Sung Lin, Chih-Yen Tu, Hung-Jen Chen
BACKGROUND: This study aimed to evaluate the characteristics of patients with newly diagnosed advanced lung cancer who initially presented with respiratory failure. METHODS: This was a retrospective study which analyzed patients in the intensive care unit (ICU) with newly diagnosed advanced lung cancer who were placed on mechanical ventilation (MV). We defined newly diagnosed lung cancer as pathological or molecular results for treatment decisions not yet determined when the patient was admitted to ICU...
August 6, 2020: Thoracic Cancer
https://read.qxmd.com/read/32767424/evaluation-of-the-occurrence-of-work-related-musculoskeletal-pain-among-anesthesiology-intensive-care-and-surgical-nurses-aa-observational-and-descriptive-study
#11
Łukasz Rypicz, Piotr Karniej, Izabela Witczak, Anna Kołcz
Clinical nurses can encounter musculoskeletal pain episodes stemming from regular exposure to workplace risk factors that contribute to overloads. This study aimed to evaluate the occurrence and location of work-related musculoskeletal pain among Polish nurses. An observational and descriptive survey study was conducted among 136 nurses working in the anesthesiology, intensive care, and surgery units. An extended version of the Nordic Musculoskeletal Questionnaire was used to investigate musculoskeletal pain...
August 6, 2020: Nursing & Health Sciences
https://read.qxmd.com/read/32767403/persistent-inflammation-immunosuppression-and-catabolism-syndrome-pics-in-critically-ill-children-is-associated-with-clinical-outcomes-a-prospective-longitudinal-study
#12
D B Hauschild, L D A Oliveira, J C Ventura, M S Farias, E Barbosa, N L Bresolin, Y M F Moreno
BACKGROUND: Persistent inflammation, immunosuppression and catabolism syndrome (PICS) has been described in critically ill adults and may contribute to unfavourable outcomes. The present study aimed to describe and characterise PICS in critically ill children (PICS-ped) and to verify its association with clinical outcomes. METHODS: A prospective longitudinal study was conducted in a paediatric intensive care unit (PICU) with children aged between 3 months and 15 years...
August 7, 2020: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://read.qxmd.com/read/32767350/hospital-reengineering-against-covid-19-outbreak-1-month-experience-of-an-italian-tertiary-care-center
#13
A Tosoni, G Rizzatti, N Nicolotti, S Di Giambenedetto, G Addolorato, F Franceschi, L Zileri Dal Verme
OBJECTIVE: The recent outbreak of SARS-CoV-2 infection in Italy has resulted in a sudden and massive flow of patients into emergency rooms, and a high number of hospitalizations with the need for respiratory isolation. Massive admission of patients to the Policlinico "Agostino Gemelli" Foundation of Rome, Italy, determined the need for reengineering the entire hospital. MATERIALS AND METHODS: In this article, we consider some of the structural and organizational changes that have been necessary to deal with the emergency, with particular reference to non-intensive medicine wards, and the preventive measures aimed at limiting the spread of SARS-CoV-2 infection among hospital staff and patients themselves...
August 2020: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/32767335/a-standard-technique-with-potential-diagnostic-value-for-estimating-the-quadriceps-muscle-strength-of-critically-ill-patients
#14
J-L Wang, Y Qin, S-R Shi, Y-L Fu, S-J Huang, Z-Y Tian
OBJECTIVE: Intensive care unit-acquired weakness (ICUAW) is common, and so far, there is no digital technology with a standard procedure to estimate the muscle strength of these patients. Quadriceps maximal isometric voluntary contraction (QMVC) is a precise and reliable procedure to detect quadriceps muscle strength. Therefore, this research aimed to explore whether QMVC measurements can be used in critically ill patients at the bedside as a potential diagnostic method. PATIENTS AND METHODS: Tailor-made computerized equipment was designed to measure the QMVC of critically ill patients at the bedside, following a standard procedure...
August 2020: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/32767301/mesenchymal-stem-stromal-cells-therapy-for-sepsis-and-acute-respiratory-distress-syndrome
#15
Declan Byrnes, Claire H Masterson, Antonio Artigas, John G Laffey
Sepsis and acute respiratory distress syndrome (ARDS) constitute devastating conditions with high morbidity and mortality. Sepsis results from abnormal host immune response, with evidence for both pro- and anti-inflammatory activation present from the earliest phases. The "proinflammatory" response predominates initially causing host injury, with later-phase sepsis characterized by immune cell hypofunction and opportunistic superinfection. ARDS is characterized by inflammation and disruption of the alveolar-capillary membrane leading to injury and lung dysfunction...
August 6, 2020: Seminars in Respiratory and Critical Care Medicine
https://read.qxmd.com/read/32767300/influence-of-sonographic-fetal-weight-estimation-inaccuracies-in-macrosomia-on-perinatal-outcome
#16
Jutta Pretscher, Sven Kehl, Patrick Stelzl, Florian Matthias Stumpfe, Andreas Mayr, Matthias Schmid, Christian Staerk, Ralf Schild, Matthias W Beckmann, Florian Faschingbauer
OBJECTIVE:  To evaluate the influence of inaccurate sonographic fetal weight estimation in macrosomia on the mode of delivery and neonatal outcome (NO). METHODS:  In 14 633 pregnancies between 2002 and 2016, this retrospective study evaluated the association between sonographic fetal weight estimation, true birth weight (BW), mode of delivery (primary cesarean section [pCS], secondary cesarean section, vaginal delivery, and operative vaginal delivery rates) and NO parameters (5-min Apgar < 7, pH < 7...
August 6, 2020: Ultraschall in der Medizin
https://read.qxmd.com/read/32767296/-effects-of-the-sars-cov-2-pandemic-on-the-otorhinolaryngology-university-hospitals-in-the-field-of-medical-care
#17
T Stöver, S Dazert, T K Hoffmann, S K Plontke, P Ambrosch, C Arens, C Betz, D Beutner, C Bohr, K-L Bruchhage, M Canis, A Dietz, O Guntinas-Lichius, R Hagen, W Hosemann, H Iro, J-P Klussmann, A Knopf, S Kramer, S Lang, M Leinung, T Lenarz, H Löwenheim, C Matthias, R Mlynski, H Olze, J Park, P Plinkert, A Radeloff, N Rotter, C Rudack, A Bozzato, J Schipper, M Schrader, S Strieth, B A Stuck, S Volkenstein, M Westhofen, G Wolf, B Wollenberg, T Zahnert, J Zenk
INTRODUCTION:  Since December 2019, the SARS-CoV-2 virus has been rapidly spreading worldwide. In Germany, an exponential increase in the number of infections was registered at the beginning of March 2020 and led to a call of the Ministry of Health to create more capacity for intensive medical treatment in hospitals. The aim of the present study was to determine the effects of the SARS-CoV-2 pandemic on Oto-Rhino-Laryngology (ORL) university hospitals regarding patient care. MATERIALS AND METHODS:  An online survey was sent out to all chairmen of the 39 ORL university hospitals in Germany...
August 6, 2020: Laryngo- Rhino- Otologie
https://read.qxmd.com/read/32767265/respiratory-support-in-severely-or-critically-ill-icu-patients-with-covid-19-in-wuhan-china
#18
Hong-Tao Hu, Shen Xu, Jing Wang, Xin Rao
This case series aimed to describe the clinical characteristics of severely or critically ill patients with COVID-19 and compare the clinical characteristics of patients who received invasive respiratory support with those of patients who received noninvasive respiratory support. We included all confirmed severe or critical illness cases of COVID-19 admitted to the Intensive Care Unit (ICU) of Zhongnan Hospital of Wuhan University, a COVID-19-designated hospital, from January 8 to March 12, 2020. Cases were analyzed for epidemiological, demographic, clinical, APACHE II, SOFA, radiological features and laboratory data...
August 7, 2020: Current Medical Science
https://read.qxmd.com/read/32767192/comparison-of-postprandial-90th-minute-plasma-glucose-level-with-60th-and-120th-minute-levels-in-patients-with-gestational-diabetes-a-prospective-cohort-study
#19
Ozge Sever, Kemal Sarsmaz, A S Ozgu-Erdinc, Aykan Yucel
PURPOSE: The objective of the present study is to compare postprandial 90th-minute plasma glucose measurement with fasting, postprandial 60 and 120 min in gestational diabetes mellitus (GDM). METHODS: One hundred and thirty-one pregnant women with GDM were hospitalized for regulation of maternal plasma glucose levels. Plasma glucose levels were daily recorded for every patient and treatment option arranged without considering the 90th-minute plasma glucose level...
August 7, 2020: Endocrine
https://read.qxmd.com/read/32767137/universal-screening-of-high-risk-neonates-parents-and-staff-at-a-neonatal-intensive-care-unit-during-the-sars-cov-2-pandemic
#20
Maria Elena Cavicchiolo, Daniele Trevisanuto, Elisabetta Lolli, Veronica Mardegan, Anna Maria Saieva, Elisa Franchin, Mario Plebani, Daniele Donato, Eugenio Baraldi
Since February 21, 2020, SARS-CoV-2 has spread exponentially worldwide. Neonatal patients needing intensive care are considered a vulnerable population. To report the results of a policy based on multi-timepoint surveillance for SARS-CoV-2 of all neonates admitted to the neonatal intensive care unit (NICU), their parents, and all healthcare providers in a part of Italy with a high prevalence of the infection. Observational study conducted from 21 February to 21 April 2020. Intervention consisted of (a) parental triage on arrival at the neonatal ward; (b) universal testing with nasopharyngeal swabs and blood testing for SARS-CoV-2 IgM and IgG antibodies; (c) use of continuous personal protective equipment at the NICU by parents and staff...
August 7, 2020: European Journal of Pediatrics
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