Ferat Buran, Zeynep Altın
This study aimed to investigate burnout among physicians during the first phase of the COVID-19 pandemic. This research was conducted in a pandemic hospital which is among the largest hospital complexes in Turkey. Internal medicine physicians actively working in many departments under the severe conditions in the diagnosis and treatment processes were included. Among the physicians constituting the study population, residents, attendings, and subspecialists from different fields were included. These physicians were working in the quarantine services, inpatient services, intensive care units, and polyclinics...
April 7, 2021: Legal Medicine
Michael J Balsan, Jeanne Burns, Fred Kimock, Emily Hirsch, Andrew Unger, Richard Telesco, Elisabeth Bloch-Salisbury
BACKGROUND: Loud noises in the neonatal intensive care unit (NICU) exacerbate patient cardiac and respiratory activity, disrupt sleep, and may contribute to hearing deficits, speech and language disorders, and neurodevelopmental delays among NICU graduates. AIMS: This study evaluated infant-patient tolerance and nurse ease of use of a novel frequency-selective hearing protection device, DREAMIES (NEATCap Medical, LLC). STUDY DESIGN AND SUBJECTS: Fifty neonates receiving care in a Level III NICU participated in a 2-phase prospective study...
March 26, 2021: Early Human Development
Mio Tanaka, Anna O Kildemoes, Evans Asena Chadeka, Benard Ngetich Cheruiyot, Miho Sassa, Taeko Moriyasu, Risa Nakamura, Mihoko Kikuchi, Yoshito Fujii, Claudia J de Dood, Paul L A M Corstjens, Satoshi Kaneko, Haruhiko Maruyama, Sammy M Njenga, Remco de Vrueh, Cornelis H Hokke, Shinjiro Hamano
Schistosomiasis remains a worldwide public health problem, especially in sub-Saharan Africa. The World Health Organization targets the goal for its elimination as a public health problem in the 2030 Neglected Tropical Diseases (NTD) Roadmap. Concerted action and agile responses to challenges will be necessary to achieve the targets. Better diagnostic tests can accelerate progress towards the elimination by monitoring disease trends and evaluating the effectiveness of interventions; however, current examinations such as Kato-Katz technique are of limited power to detect light-intensity infections...
April 12, 2021: Parasitology International
Lise Cremet, Anne-Gaëlle Leroy, Damien Muller, Sandie Delanou, Alexandra Burghelea, Alexis Broquet, Antoine Roquilly, Nathalie Caroff
We investigate the within-host heterogeneity of 66 P. aeruginosa populations from pneumonia in 51 critically ill ventilated patients, by examining 30 colonies per bronchoalveolar lavage (BAL). We observed differences in antibiotic susceptibility and quorum sensing (QS) phenotypes between the members of 14 (21.2%), and 10 (15.2%) populations, respectively. A significant association was found between QS deficiency and ceftazidime resistance. QS deficiency was associated with various lasR modifications, and observed in 25/51 (49...
April 12, 2021: International Journal of Antimicrobial Agents
Rudi Rocha, Rifat Atun, Adriano Massuda, Beatriz Rache, Paula Spinola, Letícia Nunes, Miguel Lago, Marcia C Castro
BACKGROUND: COVID-19 spread rapidly in Brazil despite the country's well established health and social protection systems. Understanding the relationships between health-system preparedness, responses to COVID-19, and the pattern of spread of the epidemic is particularly important in a country marked by wide inequalities in socioeconomic characteristics (eg, housing and employment status) and other health risks (age structure and burden of chronic disease). METHODS: From several publicly available sources in Brazil, we obtained data on health risk factors for severe COVID-19 (proportion of the population with chronic disease and proportion aged ≥60 years), socioeconomic vulnerability (proportions of the population with housing vulnerability or without formal work), health-system capacity (numbers of intensive care unit beds and physicians), coverage of health and social assistance, deaths from COVID-19, and state-level responses of government in terms of physical distancing policies...
April 12, 2021: Lancet Global Health
Raiko Blondonnet, Audrey Quinson, Céline Lambert, Jules Audard, Thomas Godet, Ruoyang Zhai, Bruno Pereira, Emmanuel Futier, Jean-Etienne Bazin, Jean-Michel Constantin, Matthieu Jabaudon
BACKGROUND: Current intensive care unit (ICU) sedation guidelines recommend strategies using non-benzodiazepine sedatives. This survey was undertaken to explore inhaled ICU sedation practice in France. METHODS: In this national survey, medical directors of French adult ICUs were contacted by phone or email between July and August 2019. ICU medical directors were questioned about the characteristics of their department, their knowledge on inhaled sedation, and practical aspects of inhaled sedation use in their department...
2021: PloS One
Adam Astrada, Gojiro Nakagami, Takeo Minematsu, Taichi Goto, Aya Kitamura, Yuko Mugita, Hiromi Sanada
OBJECTIVE: Wound biofilms delay healing of hard-to-heal wounds. Convenient biofilm identification tools for clinical settings are currently not available, hindering biofilm-based wound management. Wound blotting with biofilm staining is a potential tool for biofilm detection, owing to its convenience. Although predictive validity of wound blotting has been established, it is necessary to confirm its concurrent validity. Furthermore, current staining systems employing ruthenium red have some disadvantages for clinical use...
April 1, 2021: Journal of Wound Care
Anna Bekiari, George Pappas-Gogos, Dimitrios Dimopoulos, Efthalia Priavali, Konstantina Gartzonika, Georgios K Glantzounis
OBJECTIVE: Surgical site infections (SSIs) are associated with protracted hospitalisation, antibiotics administration, and increased morbidity and mortality. This work investigated the incidence rate of SSIs in the Department of General Surgery at the University Hospital of Ioannina, Greece, the associated risk factors and pathogens responsible. METHOD: In this prospective cohort study, patients who underwent elective procedures under general anaesthesia were enrolled...
April 2, 2021: Journal of Wound Care
Dirk Wähnert, Christian Colcuc, Georg Beyer, Markus Kache, Adrian Komadinic, Thomas Vordemvenne
PURPOSE: The effects of the first pandemic wave on a German Level I Trauma Center should be evaluated to find ways to redistribute structural, personnel, and financial resources in a targeted manner in preparation for the assumed second pandemic wave. METHODS: We examined the repercussions of the first wave of the pandemic on the trauma surgery clinic of a Level I Trauma Center and compared the data with data from 58 other trauma clinics. The results could aid in orientating the distribution of structural, financial, and human resources (HR) during the second wave...
April 15, 2021: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Nicholas R Hess, Ibrahim Sultan, Yisi Wang, Floyd W Thoma, Arman Kilic
BACKGROUND: This study evaluates the impact of peak preoperative troponin level on outcomes of coronary artery bypass grafting (CABG) for non-ST-elevation myocardial infarction (NSTEMI). METHODS: This was a retrospective review of patients undergoing isolated CABG from 2011 to 2018 with the presentation of NSTEMI. Patients were stratified into low- and high-risk groups based on median preoperative peak troponin (1.95 ng/dl). Major adverse cardiac and cerebrovascular events (MACCE) and mortality were compared...
April 14, 2021: Journal of Cardiac Surgery
Yawen Jiang, Dan Cai, Daqin Chen, Shan Jiang, Lei Si, Jing Wu
OBJECTIVE: The present study aimed to evaluate the cost-effectiveness of the 5-day remdesivir regimen compared with standard of care (SoC) among severe COVID-19 patients in China, the evidence on which is essential to inform the necessity of securing access to remdesivir. METHODS: A dynamic transmission model that extended the susceptible-exposed-infected-recovered framework by incorporating asymptomatic, presymptomatic, and waiting-to-diagnosed patients was constructed to conduct the cost-effectiveness analysis from the healthcare system perspective...
April 14, 2021: British Journal of Clinical Pharmacology
Wasineenart Mongkolpun, Péter Bakos, Jean-Louis Vincent, Jacques Creteur
BACKGROUND: Continuous veno-venous hemofiltration (CVVH) can be used to reduce fluid overload and tissue edema, but excessive fluid removal may impair tissue perfusion. Skin blood flow (SBF) alters rapidly in shock, so its measurement may be useful to help monitor tissue perfusion. METHODS: In a prospective, observational study in a 35-bed department of intensive care, all patients with shock who required fluid removal with CVVH were considered for inclusion. SBF was measured on the index finger using skin laser Doppler (Periflux 5000, Perimed, Järfälla, Sweden) for 3 min at baseline (before starting fluid removal, T0), and 1, 3 and 6 h after starting fluid removal...
April 14, 2021: Annals of Intensive Care
Alfrina Hany, Ratih Arum Vatmasari
BACKGROUND: The number of people with heart failure significantly increases every year. One of the problems associated with the increase in the number of rehospitalization patients is the inadequate knowledge of self-care. Therefore, this study aims to determine the nurse-patient interaction capable of providing adequate care to post-treated heart failure patients in intensive care rooms. DESIGN AND METHODS: This is a cross-sectional study with the consecutive sampling method used to obtain data from 100 post-treatment heart failure patients in intensive care rooms...
April 14, 2021: Journal of Public Health Research
Alessandro Sionis, Jordi Sans-Rosello
No abstract text is available yet for this article.
April 14, 2021: European Heart Journal. Acute Cardiovascular Care
Falmata Laouan Brem, Hammam Rasras, Noha El Ouafi, Zakaria Bazid
Hypercoagulability state is common in patients with coronavirus disease 2019 (COVID-19), especially those requiring intensive care. Indeed, anticoagulation therapy is recommended for all hospitalized COVID-19-patients. Despite well-conducted thromboprophylaxis, so many patients have developed these life-threatening complications. However, these thrombotic events are not known to occur in asymptomatic COVID-19 patients or in those recovered from active severe acute respiratory syndrome coronavirus 2 infection...
March 12, 2021: Curēus
Daniel Agustin Godoy, Alejandro A Rabinstein
No abstract text is available yet for this article.
May 1, 2021: Critical Care Medicine
Johan Schmitt, Marc Danguy Des Deserts, Philippe Ariès, Christophe Giacardi
No abstract text is available yet for this article.
May 1, 2021: Critical Care Medicine
Chiara Robba, Paola Rebora, Geert Meyfroidt, Giuseppe Citerio
No abstract text is available yet for this article.
May 1, 2021: Critical Care Medicine
Patrick M Honore, Sebastien Redant, Keitiane Kaefer, Leonel Barreto Gutierrez, Luc Kugener, Rachid Attou, Andrea Gallerani, David De Bels
No abstract text is available yet for this article.
May 1, 2021: Critical Care Medicine
Merrick Miles, Kendall J Burdick, Yaping Shi, Matthew S Shotwell, Meghan Lane-Fall, Joseph J Schlesinger
No abstract text is available yet for this article.
May 1, 2021: Critical Care Medicine
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"