Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/3855f
Jyoti, N. Goel, S. Prashar
Background: Road safety is a shared responsibility. Prompt first aid provision at the place of accidents can reverse unpleasant consequences of victim's health and life. Reducing risk in the world’s road traffic systems requires commitment and informed decision-making by all stakeholders- government, industry, non-governmental organizations and international agencies and the participation of people from all walks of life [1]. Methods: A cross- sectional, community- based, exploratory study was conducted for four months (Jan 2019 to Apr 2019) to assess the knowledge and practices of first aid among drivers and conductors of buses running through Tricity, Chandigarh. In this study, a total of 300 drivers and 300 conductors of buses of CTU, Haryana Roadways, Himachal Roadways and Punjab Roadways were interviewed in order to have a generalized idea about the level of awareness and practices of first aid in real-life circumstances by the government employees of buses. Results: Five hundred and seventy-five (95.8%) employees were aware of the prominent position of first aid box in buses and 197 (32.8%) employees felt safety of passenger as their foremost duty when bus meets an accident. Conclusion: The awareness and practices of first aid among drivers/conductors in saving the lives of passengers is seen comparatively more than the other studies conducted previously. But they still require more awareness and better practices to be followed.
{"title":"Investigation of the Knowledge and Practices of Drivers/Conductors Working in Government Buses Running Through Tricity, Chandigarh Regarding the Use of First Aid Kit","authors":"Jyoti, N. Goel, S. Prashar","doi":"10.9734/bpi/idhr/v3/3855f","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/3855f","url":null,"abstract":"Background: Road safety is a shared responsibility. Prompt first aid provision at the place of accidents can reverse unpleasant consequences of victim's health and life. Reducing risk in the world’s road traffic systems requires commitment and informed decision-making by all stakeholders- government, industry, non-governmental organizations and international agencies and the participation of people from all walks of life [1]. \u0000Methods: A cross- sectional, community- based, exploratory study was conducted for four months (Jan 2019 to Apr 2019) to assess the knowledge and practices of first aid among drivers and conductors of buses running through Tricity, Chandigarh. In this study, a total of 300 drivers and 300 conductors of buses of CTU, Haryana Roadways, Himachal Roadways and Punjab Roadways were interviewed in order to have a generalized idea about the level of awareness and practices of first aid in real-life circumstances by the government employees of buses. \u0000Results: Five hundred and seventy-five (95.8%) employees were aware of the prominent position of first aid box in buses and 197 (32.8%) employees felt safety of passenger as their foremost duty when bus meets an accident. \u0000Conclusion: The awareness and practices of first aid among drivers/conductors in saving the lives of passengers is seen comparatively more than the other studies conducted previously. But they still require more awareness and better practices to be followed.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134451225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/4079f
Won-Sang Jung, Hun-Young Park
Sarcopenic obesity is a physiological issue caused by ageing that worsens the elderly's quality of life by reducing bodily function, increasing body fat, and decreasing muscle mass. Furthermore, it leads to a variety of social and economic issues, including the progression and contraction of a chronic condition, increased health-care expenses, and a rise in the prevalence or mortality rate. It has an adverse influence on metabolic illness symptoms such as decreased body function and physical strength, blood lipids, and body inflammation and hormones. Exercise therapy is currently recommended as a treatment for elderly health concerns. Regular aerobic exercise is effective in increasing body function and muscle mass, and regular resistance exercise is effective in improving body function and muscle mass. Resistance exercise has recently been highlighted in obese elderly persons in order to improve muscular function and prevent falls. Resistance exercise, on the other hand, has several drawbacks, such as the risk of injury, the inability to exercise in a specific location, and the inability to reduce obesity, so a new exercise approach for the sarcopenic obese elderly should be offered. The circuit exercise with weight bearing offers a lower risk of injury, and it can be done in a group setting without regard to cost or location, and it can be done continuously with interest. Circuit training is also advised for the elderly because it improves body composition and a variety of physical characteristics in a very short period of time. Despite these positive effects, the studies reported so far are limited. Future research is needed to confirm the effects of different intensities, frequency, time, and duration of circuit exercise in sarcopenic obesity elderly. Therefore, this review summarizes recent research evidences suggesting that the improvement of muscle mass and body fat mass via circuit exercise program might be a valuable and viable “sarcopenic obesity therapeutic modality.
{"title":"Circuit Training and Sarcopenic Obesity","authors":"Won-Sang Jung, Hun-Young Park","doi":"10.9734/bpi/idhr/v3/4079f","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/4079f","url":null,"abstract":"Sarcopenic obesity is a physiological issue caused by ageing that worsens the elderly's quality of life by reducing bodily function, increasing body fat, and decreasing muscle mass. Furthermore, it leads to a variety of social and economic issues, including the progression and contraction of a chronic condition, increased health-care expenses, and a rise in the prevalence or mortality rate. It has an adverse influence on metabolic illness symptoms such as decreased body function and physical strength, blood lipids, and body inflammation and hormones. Exercise therapy is currently recommended as a treatment for elderly health concerns. Regular aerobic exercise is effective in increasing body function and muscle mass, and regular resistance exercise is effective in improving body function and muscle mass. Resistance exercise has recently been highlighted in obese elderly persons in order to improve muscular function and prevent falls. Resistance exercise, on the other hand, has several drawbacks, such as the risk of injury, the inability to exercise in a specific location, and the inability to reduce obesity, so a new exercise approach for the sarcopenic obese elderly should be offered. The circuit exercise with weight bearing offers a lower risk of injury, and it can be done in a group setting without regard to cost or location, and it can be done continuously with interest. Circuit training is also advised for the elderly because it improves body composition and a variety of physical characteristics in a very short period of time. Despite these positive effects, the studies reported so far are limited. Future research is needed to confirm the effects of different intensities, frequency, time, and duration of circuit exercise in sarcopenic obesity elderly. Therefore, this review summarizes recent research evidences suggesting that the improvement of muscle mass and body fat mass via circuit exercise program might be a valuable and viable “sarcopenic obesity therapeutic modality.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115314219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/12547d
Sunantha Selvaraj, D. Jayachandran
Nanodentistry is the application of nanotechnology in dentistry. The arrival of 21st century, suddenly focused on dentistry a new paradigm regarding expected standard for state-of the- art-patient care. Over last few years truly remarkable progress has been made in such diverse areas as proteomics, gene therapy, vaccine development, stem cells, tissue engineering nanotechnology and drug development through combinatorial chemistry. Although much of this progress has been at the preclinical, translational research stage and some notable advances have already entered the clinic. Nanodentistry is the future of dentistry in which every procedure will be performed using equipment and devices based on nanotechnology. All diagnoses and treatments will be given using nanoscale-structured materials and nanorobots. These materials and devices will have the ability to accurately diagnose a problem and provide solution in the shortest possible time and precisely. Nanotechnology makes it possible to construct materials which have longer life and very close to nature. Nanoproducts made for various dental procedures has more hardness, elasticity and strength with increased shelf life than the ones which were used in conventional practice. Furthermore, they will have better appearance in terms of color, texture and esthetic appeal.
{"title":"Nanodontics- A New Horizon in Dentistry","authors":"Sunantha Selvaraj, D. Jayachandran","doi":"10.9734/bpi/idhr/v3/12547d","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/12547d","url":null,"abstract":"Nanodentistry is the application of nanotechnology in dentistry. The arrival of 21st century, suddenly focused on dentistry a new paradigm regarding expected standard for state-of the- art-patient care. Over last few years truly remarkable progress has been made in such diverse areas as proteomics, gene therapy, vaccine development, stem cells, tissue engineering nanotechnology and drug development through combinatorial chemistry. \u0000Although much of this progress has been at the preclinical, translational research stage and some notable advances have already entered the clinic. Nanodentistry is the future of dentistry in which every procedure will be performed using equipment and devices based on nanotechnology. All diagnoses and treatments will be given using nanoscale-structured materials and nanorobots. These materials and devices will have the ability to accurately diagnose a problem and provide solution in the shortest possible time and precisely. \u0000Nanotechnology makes it possible to construct materials which have longer life and very close to nature. Nanoproducts made for various dental procedures has more hardness, elasticity and strength with increased shelf life than the ones which were used in conventional practice. Furthermore, they will have better appearance in terms of color, texture and esthetic appeal.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127078599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/12128d
Yawo M Akrodou
Acetaminophen (APAP) (N-acetyl-p-aminophenol) is a chemical molecule used to relieve pain and lower fever in paracetamol medications. The Food and Drug Administration (FDA) advisory group warned in June 2009 about the risk of APAP overdose due to its side effects, which include drug-induced liver disease. In addition, the FDA has begun multicenter non-interventional case-control studies to collect data on APAP toxicity biomarkers in children and adolescents. The National Center for Toxicological Research (NCTR), which is part of the FDA, coordinates the execution of APAP clinical trials in collaboration with other health institutes (hospitals, universities, and clinical centres) around the United States. The goal of these clinical trials is to gather enough data to create a list of biomarkers connected to acetaminophen toxicity that can be matched with specific adduct proteins; this information can then be used to examine and predict future hazards in children who are taking acetaminophen.
{"title":"NRCT Clinical Study in to Identify Acetaminophen-Induced Liver Injury Mechanism","authors":"Yawo M Akrodou","doi":"10.9734/bpi/idhr/v3/12128d","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/12128d","url":null,"abstract":"Acetaminophen (APAP) (N-acetyl-p-aminophenol) is a chemical molecule used to relieve pain and lower fever in paracetamol medications. The Food and Drug Administration (FDA) advisory group warned in June 2009 about the risk of APAP overdose due to its side effects, which include drug-induced liver disease. In addition, the FDA has begun multicenter non-interventional case-control studies to collect data on APAP toxicity biomarkers in children and adolescents. The National Center for Toxicological Research (NCTR), which is part of the FDA, coordinates the execution of APAP clinical trials in collaboration with other health institutes (hospitals, universities, and clinical centres) around the United States. The goal of these clinical trials is to gather enough data to create a list of biomarkers connected to acetaminophen toxicity that can be matched with specific adduct proteins; this information can then be used to examine and predict future hazards in children who are taking acetaminophen.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132048269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/12003d
I. Marincu, Iulia Vidican, F. Bratosin, O. Suciu, L. Ţîrnea
Background: The advancement of HIV infection is linked to a great deal of psychological discomfort. The goal of this study was to see if there was a correlation between psychological distress, depression, coping style, and immunological activation in HIV-positive patients. Objectives: In this study, we analyzed current understandings of depression as well as psychological distress among HIV-infected individuals in West Romania. Materials and Methods: A total of 110 HIV-positive individuals from Timisoara's Clinic of Infectious Diseases took part in the study. Each patient performed a self-report that included the Beck depression inventory (BDI), the perceived stress scale (PSS), and the brief orienting to the problems experienced (Brief- COPE) scale.CD4 cell counts and viral load were used to track immune activation (VL). Results: BDI scores indicating moderate depression were found in 26% of the study participants, whereas severe depression was found in 3%. Furthermore, 24.5 percent of the patients had PSS values above 10.Higher levels of depression correlated with lower CD4 cells counts (r = 0.275, p<0.004) and with higher VL (r = 0.211, p < 0.027). Self-blaming had a negative relationship with CD4, whereas behavioural disengagement had a good relationship with VL. Conclusion: Increased depression, combined with increased levels of perceived psychological distress, leads to maladaptive coping patterns linked to HIV infection progression.
{"title":"Description of Psychological Distress and Coping Style in HIV-infected Patients","authors":"I. Marincu, Iulia Vidican, F. Bratosin, O. Suciu, L. Ţîrnea","doi":"10.9734/bpi/idhr/v3/12003d","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/12003d","url":null,"abstract":"Background: The advancement of HIV infection is linked to a great deal of psychological discomfort. The goal of this study was to see if there was a correlation between psychological distress, depression, coping style, and immunological activation in HIV-positive patients. \u0000Objectives: In this study, we analyzed current understandings of depression as well as psychological distress among HIV-infected individuals in West Romania. \u0000Materials and Methods: A total of 110 HIV-positive individuals from Timisoara's Clinic of Infectious Diseases took part in the study. Each patient performed a self-report that included the Beck depression inventory (BDI), the perceived stress scale (PSS), and the brief orienting to the problems experienced (Brief- COPE) scale.CD4 cell counts and viral load were used to track immune activation (VL). \u0000Results: BDI scores indicating moderate depression were found in 26% of the study participants, whereas severe depression was found in 3%. Furthermore, 24.5 percent of the patients had PSS values above 10.Higher levels of depression correlated with lower CD4 cells counts (r = 0.275, p<0.004) and with higher VL (r = 0.211, p < 0.027). Self-blaming had a negative relationship with CD4, whereas behavioural disengagement had a good relationship with VL. \u0000Conclusion: Increased depression, combined with increased levels of perceived psychological distress, leads to maladaptive coping patterns linked to HIV infection progression.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116777662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/3966f
Shyi-Min Lu
In this article, the optimization of energy-saving and carbon reducing measures are addressed and discussed. Transportation is one of the most important sources of income and labor for a country's economy. The progressive depletion of fossil fuels and the looming threat of global warming have had an impact on human civilizations and ecosystems in recent years. The primary goal of on-land transportation is to transport people. According to data, the total energy consumption of all passenger cars in Taiwan accounts for 70% of total on-land transport energy consumption and 50% of total energy consumption in the transportation sector.
{"title":"The Energy-saving Measurements of On-land Transportation in Taiwan: An Advanced Study","authors":"Shyi-Min Lu","doi":"10.9734/bpi/idhr/v3/3966f","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/3966f","url":null,"abstract":"In this article, the optimization of energy-saving and carbon reducing measures are addressed and discussed. Transportation is one of the most important sources of income and labor for a country's economy. The progressive depletion of fossil fuels and the looming threat of global warming have had an impact on human civilizations and ecosystems in recent years. The primary goal of on-land transportation is to transport people. According to data, the total energy consumption of all passenger cars in Taiwan accounts for 70% of total on-land transport energy consumption and 50% of total energy consumption in the transportation sector.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129908333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/3854f
J. Varghese
The health service has emerged as a critical one in both its social and economic consequences. The development of this sector thus requires a focus on personnel competence and social health needs. This study aims to achieve these goals through the introduction of case based learning methodology in dealing with protein energy malnutrition related cases. This study aims to quantify improvements in subject knowledge retention as well as attitudes. This study divides students into 2 groups with one receiving traditional lecture based learning and the other being introduced to CBL methodology, results pertaining to the impact of CBL on the latter group are obtained through statistical methods like unpaired t-test and have been presented in tabular form. Overall improvement has been shown in both subject knowledge retention of students and attitudes of both students and teachers towards CBL methodology. This study aims to contribute towards revitalizing the nursing education curriculum in both teaching methodology and in directing greater attention towards social crisis points like Protein energy malnutrition care.
{"title":"Implementation of the Case-Based Learning (CBL) Method on Protein Energy Malnutrition in Third-Year Basic B. Sc Students of Nursing","authors":"J. Varghese","doi":"10.9734/bpi/idhr/v3/3854f","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/3854f","url":null,"abstract":"The health service has emerged as a critical one in both its social and economic consequences. The development of this sector thus requires a focus on personnel competence and social health needs. This study aims to achieve these goals through the introduction of case based learning methodology in dealing with protein energy malnutrition related cases. This study aims to quantify improvements in subject knowledge retention as well as attitudes. This study divides students into 2 groups with one receiving traditional lecture based learning and the other being introduced to CBL methodology, results pertaining to the impact of CBL on the latter group are obtained through statistical methods like unpaired t-test and have been presented in tabular form. Overall improvement has been shown in both subject knowledge retention of students and attitudes of both students and teachers towards CBL methodology. This study aims to contribute towards revitalizing the nursing education curriculum in both teaching methodology and in directing greater attention towards social crisis points like Protein energy malnutrition care.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134557638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/3963f
Yawo M Akrodou
Genome sequencing is one of the latest technologies to be introduced into medical practices for disease diagnostic and clinical trials for drugs discovery. It is often used in the practices of genomic medicine, to process and analyze genes and markers information to diagnose and treat disease. Specifically, genomic medicine uses DNA and RNA platform sequencing technologies to analyze human genome to detect, mutation, molecular abnormalities with clear clinical significances that may be associated to rare genetic diseases. The Human Genome Sequencing Project, which found around 35,000 genes in sequences of more than 3 billion human DNA and RNA chemical bases, was completed in 2003 with the use of these genomic sequencing platforms (first- and second-generation sequencing technologies). This cleared the door for genomic medicine, allowing researchers to conduct translational genomic clinical trials, which have advanced the clinical trial process in a variety of ways.
{"title":"Study on Genome Sequencing Practices as Driving Force of Clinical Research Modernization in the Future","authors":"Yawo M Akrodou","doi":"10.9734/bpi/idhr/v3/3963f","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/3963f","url":null,"abstract":"Genome sequencing is one of the latest technologies to be introduced into medical practices for disease diagnostic and clinical trials for drugs discovery. It is often used in the practices of genomic medicine, to process and analyze genes and markers information to diagnose and treat disease. Specifically, genomic medicine uses DNA and RNA platform sequencing technologies to analyze human genome to detect, mutation, molecular abnormalities with clear clinical significances that may be associated to rare genetic diseases. The Human Genome Sequencing Project, which found around 35,000 genes in sequences of more than 3 billion human DNA and RNA chemical bases, was completed in 2003 with the use of these genomic sequencing platforms (first- and second-generation sequencing technologies). This cleared the door for genomic medicine, allowing researchers to conduct translational genomic clinical trials, which have advanced the clinical trial process in a variety of ways.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134174106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.9734/bpi/idhr/v3/12530d
A. M. Júnior, Marcelo de Freitas Ribeiro
Aortic valve replacement is a routine procedure with acceptable risk. In some cases, mortality is high, contraindicating the procedure. The minimally invasive transcatheter aortic valve implantation seems to be an alternative, reducing morbidity and mortality. In this procedure, a bioprosthetic valve is introduced through a catheter and fixed within the injured native aortic valve. Even though the technique is considered comparatively safe, the risks of complications exist and they that have been established by individuals after the technique, for example new-onset permanent left bundle branch block (LBBB) and the need for permanent cardiac pacing implantation. A systematic review of literature of PUBMED was carried out using “10 years” and “free full texts” as filters, containing the terms “TAVI,” “pacing,” and “complications,” finding a total of eight articles. Other databases, such as SCIELO, Google Scholar and MEDLINE were used to give background, consistency, and profundity to the text. The implantation of aortic valve prosthesis per catheter seems to be a valid modality for high–surgical risk patients with aortic stenosis. The results of this series of patients suggest that the need for a definitive pacemaker after endovascular treatment is not inexorable and is not easily predicted by the risk factors described so far. TAVI is the procedure of choice considered feasible and safe. Since the site of implantation of the valve prosthesis is close to septal cardiac structures with important function, conduction disorders are frequent, requiring cautious surveillance for at least seven days after the procedure. A lack of consensus and large variability in the management of conduction disturbances post-TAVR exists. Future studies need to validate the proposed algorithm and determine the role of EP studies, ambulatory continuous ECG monitoring, and prophylactic pacemaker in the management of conduction disturbance in post-TAVR patients.
{"title":"Conduction Disturbances and Permanent Cardiac Pacing after Transcatheter Aortic Implantation (TAVI) - An Update Overview","authors":"A. M. Júnior, Marcelo de Freitas Ribeiro","doi":"10.9734/bpi/idhr/v3/12530d","DOIUrl":"https://doi.org/10.9734/bpi/idhr/v3/12530d","url":null,"abstract":"Aortic valve replacement is a routine procedure with acceptable risk. In some cases, mortality is high, contraindicating the procedure. The minimally invasive transcatheter aortic valve implantation seems to be an alternative, reducing morbidity and mortality. In this procedure, a bioprosthetic valve is introduced through a catheter and fixed within the injured native aortic valve. Even though the technique is considered comparatively safe, the risks of complications exist and they that have been established by individuals after the technique, for example new-onset permanent left bundle branch block (LBBB) and the need for permanent cardiac pacing implantation. A systematic review of literature of PUBMED was carried out using “10 years” and “free full texts” as filters, containing the terms “TAVI,” “pacing,” and “complications,” finding a total of eight articles. Other databases, such as SCIELO, Google Scholar and MEDLINE were used to give background, consistency, and profundity to the text. The implantation of aortic valve prosthesis per catheter seems to be a valid modality for high–surgical risk patients with aortic stenosis. The results of this series of patients suggest that the need for a definitive pacemaker after endovascular treatment is not inexorable and is not easily predicted by the risk factors described so far. TAVI is the procedure of choice considered feasible and safe. Since the site of implantation of the valve prosthesis is close to septal cardiac structures with important function, conduction disorders are frequent, requiring cautious surveillance for at least seven days after the procedure. A lack of consensus and large variability in the management of conduction disturbances post-TAVR exists. Future studies need to validate the proposed algorithm and determine the role of EP studies, ambulatory continuous ECG monitoring, and prophylactic pacemaker in the management of conduction disturbance in post-TAVR patients.","PeriodicalId":250257,"journal":{"name":"Issues and Development in Health Research Vol. 3","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114556745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：