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Expressed Breastfeeding: Knowledge and Attitude of Postnatal Women 表达性母乳喂养:产后妇女的知识与态度
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1766127
Mariamol Varghese, Minnu Sebastian, Muhammad Shanid, Taniya Varghese, R. D'Souza
Abstract Introduction  Breastfeeding is the most valuable thing that mother can offer to her child. Breast milk provides all the necessary nutrients that are necessary for the overall growth and development of the infant. Mothers can continue feeding their infants with expressed breast milk even if they have to get separated from the child for any reasons. Expressed breastfeeding is a less used option by mothers due to multiple reasons. Objective: The aim of this study was to assess the knowledge and attitude regarding expressed breastfeeding among postnatal women. Methodology  A descriptive survey design was adopted for the study. The nonprobability convenience sampling technique was adopted to select 80 postnatal women. A self-developed pretested knowledge questionnaire and structured attitude scale was used to collect the data from postnatal women. Result  Majority of postnatal women (73.8%) were in the age group of 21 to 30 years, 36.3% were with gravida and Para 2, 33.8% were having two children and most of them, 81.3%, were homemakers, and 66.3% were not practiced expressed breastfeeding. Satisfactory level of knowledge regarding expressed breastfeeding was found among 41.3%, while 40% had average knowledge. The mean knowledge score was 7.7 ± 4.20 with a maximum score of 15. Attitude toward expressed breastfeeding was unfavorable among 55 (68.75%) of the postnatal women, while 25 (31.25%) women had the favorable attitude. The mean attitude score was 46.96 ± 6.11 with a maximum possible score of 70. There was significant correlation between knowledge and attitude score with p -value is 0.03. The chi-squared computed between knowledge score and demographic variables revealed that there is significant association between knowledge score and age of postnatal women. Conclusion  The knowledge level was satisfactory among one-third of participants, but it was not adequate among the majority of participants. Attitude was not very favorable that indicates motivation of postnatal women by health workers is in very much need.
母乳喂养是母亲能给予孩子的最宝贵的东西。母乳为婴儿的整体成长和发育提供所有必需的营养。即使母亲因任何原因不得不与孩子分开,也可以继续用母乳喂养婴儿。由于多种原因,母乳喂养是母亲较少使用的选择。目的:了解产后妇女表达性母乳喂养的知识和态度。研究方法采用描述性调查设计。采用非概率方便抽样方法,选取80例产后妇女。采用自行设计的知识预测问卷和结构化态度量表对产后妇女进行数据收集。结果出生妇女以21 ~ 30岁年龄组为主(73.8%),怀孕及产后占36.3%,育有二孩占33.8%,家庭主妇占81.3%,未实行母乳喂养占66.3%。41.3%的人对表达母乳喂养的知识水平满意,40%的人对表达母乳喂养的知识水平一般。平均知识得分为7.7±4.20分,最高得分为15分。55名(68.75%)产后妇女对表达母乳喂养持不赞成态度,25名(31.25%)产后妇女对表达母乳喂养持赞成态度。平均态度得分为46.96±6.11分,满分为70分。知识与态度得分呈显著相关,p值为0.03。知识得分与人口统计学变量间的卡方计算显示,知识得分与产后妇女的年龄有显著的相关性。结论三分之一的参试者知识水平满意,但大多数参试者知识水平不高。态度不是很有利,这表明非常需要保健工作者激励产后妇女。
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引用次数: 0
Sialolith with Sialadenitis: A Case Study and a Proposal of a Diagnostic Algorithm Sialolith伴Sialadenitis:一个病例研究和诊断算法的提出
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1768590
Vinisha S. Pousya, U. Shetty, P. Shetty
Abstract Sialolithiasis along with sialadenitis is one of the commonly occurring salivary gland disorders. Sialadenitis is an inflammatory disease of the salivary glands. It usually occurs insidiously causing pain to the patient and may lead to development of fibrous mass of the salivary gland. The cause of sialadenitis is most commonly due to the salivary duct caliculi which is termed as sialolith or salivary stones which causes statis of saliva in the ducts. This condition is usually accompanied by pain and tenderness of the involved site. Therefore, we report a case of a male patient aged 60 years with pain in the floor of the mouth in the submandibular region which was diagnosed as submandibular sialolithiasis along with sialadenitis and propose a diagnostic algorithm.
摘要唾液腺炎是常见的唾液腺疾病之一。唾液腺炎是一种唾液腺炎症性疾病。它通常是隐性发生的,会给患者带来疼痛,并可能导致唾液腺纤维团的发展。唾液腺炎的病因最常见的是唾液管杯状,称为唾液结石或唾液结石,导致唾液在唾液管中积聚。这种情况通常伴有受累部位的疼痛和压痛。因此,我们报告了一例60岁的男性患者,他患有下颌下区的口腔底部疼痛,被诊断为下颌下唾液结石和唾液腺炎,并提出了一种诊断算法。
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引用次数: 0
An Experimental Prospective Study on Effectiveness of Brief Heartfulness-Based Start ‘U’p Program on Anxiety and Perceived Stress in Allied Health Students 基于“U”启动计划对联合健康学生焦虑和感知压力有效性的前瞻性实验研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-05-01 DOI: 10.1055/s-0043-1768588
Sanjana T. Philip, Jayaram Thimmapuram, Himanshu Gupta, Tahreem Fatima, Subodh Rahate, Neelam Yeram, Kapil Thakur, Mansee Thakur
Abstract Aim and Objectives  Health care education is an important issue in the development of countries. Stress and anxiety among health care students and workers are an area of increasing concern worldwide. Meditative practices have been shown to improve overall wellness. The aim of this study was to determine the efficacy and feasibility of a brief Heartfulness-Based Start ‘U’p program to reduce anxiety and perceived stress in allied health students of Mahatma Gandhi Mission School of Biomedical Sciences (MGMSBS), Mahatma Gandhi Mission Institute of Health Sciences (MGMIHS), Navi Mumbai, Maharashtra, India. The objective of this study was first to study the prevalence of anxiety and perceived stress in allied health students of MGMSBS, MGMIHS, Navi Mumbai, and then to study the effect of heartfulness meditation on measures of said emotional wellness. Methods  Seven sessions of Start ‘U’p Heartfulness Meditation of 2-hour duration once in every week was held over the course of 7 weeks. Two hundred and three participants enrolled for the heartfulness intervention. Changes in stress levels, anxiety levels, and mindfulness skills were assessed. Three self-reporting questionnaire tools—Beck Anxiety Inventory (BAI), Perceived Stress Scale (PSS), and Five Facet Mindfulness Questionnaire (FFMQ)—were used to determine the categorical scales (low, medium, and high) for anxiety and stress among students from baseline to post-intervention. Results  Our study revealed an improvement in anxiety and perceived stress post-intervention of brief Heartfulness-Based Start ‘U’p Program. Out of 203 students in this study, 75.86% were female and 24.14% were male. Students' BAI scores dropped an average of 2.91 points, whereas PSS scores dropped an average of 1.61 points. The largest increase in mindfulness was seen for nonjudging, with an average increase of 2.1 points ( p ≤ 0.05) in categorical data from pre- to post-intervention based on the FFMQ tool. Conclusion  Our results indicate that heartfulness meditation practice offers an accessible and efficient method by which students' anxiety and stress can be improved. This may also improve their engagement in learning-oriented approaches and class activities.
卫生保健教育是各国发展中的一个重要问题。卫生保健专业学生和工作人员的压力和焦虑是全世界日益关注的一个领域。冥想练习已被证明可以改善整体健康。本研究的目的是确定一个简短的以心为基础的Start ' U ' p计划的有效性和可行性,以减少印度马哈拉施特拉邦孟买圣雄甘地生物医学学院(MGMSBS)、圣雄甘地健康科学研究所(MGMIHS)的联合健康学生的焦虑和感知压力。本研究的目的是首先研究MGMSBS, MGMIHS, Navi Mumbai联合健康学生的焦虑和感知压力的患病率,然后研究心念冥想对所述情绪健康措施的影响。方法在7周的时间内,每周进行1次,每次2小时的Start ' U ' p正念冥想,共7次。203名参与者参加了“用心干预”。评估了压力水平、焦虑水平和正念技能的变化。采用贝克焦虑量表(BAI)、感知压力量表(PSS)和五面正念问卷(FFMQ)三种自我报告问卷工具,确定学生从基线到干预后的焦虑和压力的分类量表(低、中、高)。结果我们的研究揭示了短暂的以心为基础的“U”计划干预后焦虑和感知压力的改善。本次研究的203名学生中,女生占75.86%,男生占24.14%。高考成绩平均下降2.91分,而高考成绩平均下降1.61分。基于FFMQ工具的分类数据显示,非评判组的正念增加最大,从干预前到干预后平均增加2.1点(p≤0.05)。结论正念禅修是改善学生焦虑和压力的有效方法。这也可以提高他们在以学习为导向的方法和课堂活动中的参与度。
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引用次数: 0
Dental Professionals' Awareness on Updated Guidelines for Basic Life Support in COVID-19 Patients 牙科专业人员对COVID-19患者基本生命支持更新指南的认识
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-24 DOI: 10.1055/s-0043-1768153
K. Abhilasha, D. Jayanthi, Lalith Vivekananda
Abstract Background  Members of dental fraternity have a duty of care to provide safe services to the patients. The satisfactory performance in a medical emergency in dental practice has wide-range implications. But, in the current scenario, the challenge is to ensure that patients with or without coronavirus disease 2019 (COVID-19), who undergo any medical emergency, get the best possible chance of survival without compromising the safety of rescuers, who will be needed to take care for future patients. Aim  This article assesses the awareness and knowledge on interim guidelines for Basic Life Support in adults with suspected or confirmed COVID-19 among various dental health care professionals. Materials and Methods  An online questionnaire-based survey was conducted; framed in Google Forms and sent to various dental health care professionals through WhatsApp, email, and other means. Results were then analyzed and are presented in the form of frequency and percentage. Results  In the study, 224 responders were included comprising undergraduates, postgraduates, and dental practitioners. Dismally, none of them had complete knowledge on the interim guidance for Basic Life Support for suspected or confirmed COVID-19 patients. Conclusion  The study suggests that updated interim guidelines were unknown to maximum percentage of dental professionals which implies that there is need to keep ourselves up-to-date to provide safe services.
摘要背景牙科协会成员有义务为患者提供安全的服务。在医疗紧急情况下令人满意的表现在牙科实践具有广泛的意义。但是,在目前的情况下,面临的挑战是确保患有或不患有2019冠状病毒病(COVID-19)的患者在经历任何医疗紧急情况时,在不损害救援人员安全的情况下获得最大的生存机会,因为救援人员将需要照顾未来的患者。目的评估各类口腔卫生专业人员对疑似或确诊成人COVID-19基本生命支持临时指南的认知和知识。资料与方法采用在线问卷调查法;以谷歌表格的形式,通过WhatsApp、电子邮件和其他方式发送给各种牙科保健专业人员。然后对结果进行分析,并以频率和百分比的形式呈现。结果调查对象包括本科生、研究生和牙科从业人员共224人。令人沮丧的是,他们中没有一个人完全了解《新冠肺炎疑似或确诊患者基本生命支持暂行指南》。结论大部分牙科专业人员不知道最新的临时指南,这意味着我们需要保持最新的指南以提供安全的服务。
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引用次数: 0
Color Deconvolution as a Simple and Rapid Tool in Quantitative Biomedical Research 颜色反褶积是定量生物医学研究中一种简单快速的工具
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-24 DOI: 10.1055/s-0043-1768067
R. Nucci, W. Jacob-Filho, R. D. de Souza, L. Maifrino
1Department of Pathology, University of São Paulo, São Paulo, Brazil 2Division of Geriatrics, University of São, São Paulo, Brazil 3Department of Anatomy, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil 4Department of Anatomy, Nove de Julho University (UNINOVE), São Paulo, Brazil 5 Laboratory of Clinical Analysis, Faculty of Medicine of the ABC District, Av. Lauro Gomes, 2000 Vila Sacadura Cabral, Santo André, Brazil 6Dante Pazzanese Institute of Cardiology, São Paulo, Brazil
1巴西圣保罗大学病理学系2巴西圣保罗大学老年医学部3巴西圣保罗圣保罗大学生物医学科学研究所解剖部4巴西圣保罗新朱霍大学解剖部5美国哥伦比亚广播公司地区医学院临床分析实验室。Lauro Gomes,2000年,Vila Sacadura Cabral,Santo André,巴西;6Dante Pazzanese心脏病学研究所,巴西圣保罗
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引用次数: 1
Alterations in Sleep Cycle among Nonhospitalized COVID-19-Affected Population during the Pandemic in Karnataka State—A Web-Based Study. 卡纳塔克邦大流行期间未住院的covid -19影响人群睡眠周期的变化——基于网络的研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-21 DOI: 10.1055/s-0043-1766123
A. Ramesh, Ivaturi Sri Sai Meghana, Rahul Bhandary, Mamatha Shetty, S. Shetty
Abstract Objectives  The psychological and physiological distress and social isolation could adversely affect sleep. As sleep disturbances may persist and deteriorate health, it is important to assess prevalence and related factors of sleep disturbances among the residents of Karnataka state during the coronavirus disease 2019 (COVID-19) infection. Methods  In this study, 250 responders across the state of Karnataka accessed the survey voluntarily during September 2021 and January 2022. Pittsburgh Sleep Quality Index, Insomnia Severity Index scales, features that are related to sleep quality, and some hypothesized risk factors of sleep disturbances in context of COVID-19 infection are employed to format a self-reported questionnaire. Results  In this study, females 27(19.1%) experienced more sleep disturbances than males 9 (8.3%). The study revealed the participants who received both the doses of vaccination (126; 54.3%) had better sleep. The participants who reported themselves to be stressed (182; 72.8%) had more disturbances in sleep. A total number of 45 participants (18.4%) experienced difficulty in breathing and out of all the responders 11 (47.8%) were actually worried about their current sleep problem. Conclusion  COVID-19 infection and changes imposed during the pandemic have led to a surge in individuals reporting sleep problems across the globe. The findings raise the need to screen for worsening sleep patterns to create more awareness about the secondary consequences of COVID-19 infection.
【摘要】目的心理和生理困扰及社会孤立会对睡眠产生不利影响。由于睡眠障碍可能持续存在并损害健康,因此在2019年冠状病毒病(COVID-19)感染期间,评估卡纳塔克邦居民睡眠障碍的患病率及其相关因素非常重要。在这项研究中,来自卡纳塔克邦的250名应答者在2021年9月至2022年1月期间自愿参与了调查。采用匹兹堡睡眠质量指数、失眠严重程度指数量表、与睡眠质量相关的特征,以及COVID-19感染背景下睡眠障碍的一些假设危险因素,形成自我报告问卷。结果女性27例(19.1%)睡眠障碍发生率高于男性9例(8.3%)。该研究揭示了接受两种剂量疫苗接种的参与者(126;(54.3%)睡眠较好。报告自己有压力的参与者(182;72.8%)有更多的睡眠障碍。共有45名参与者(18.4%)经历过呼吸困难,在所有应答者中,有11人(47.8%)实际上担心他们目前的睡眠问题。COVID-19感染和疫情期间的变化导致全球报告睡眠问题的人数激增。研究结果提出了筛查睡眠模式恶化的必要性,以提高人们对COVID-19感染的继发性后果的认识。
{"title":"Alterations in Sleep Cycle among Nonhospitalized COVID-19-Affected Population during the Pandemic in Karnataka State—A Web-Based Study.","authors":"A. Ramesh, Ivaturi Sri Sai Meghana, Rahul Bhandary, Mamatha Shetty, S. Shetty","doi":"10.1055/s-0043-1766123","DOIUrl":"https://doi.org/10.1055/s-0043-1766123","url":null,"abstract":"Abstract Objectives  The psychological and physiological distress and social isolation could adversely affect sleep. As sleep disturbances may persist and deteriorate health, it is important to assess prevalence and related factors of sleep disturbances among the residents of Karnataka state during the coronavirus disease 2019 (COVID-19) infection. Methods  In this study, 250 responders across the state of Karnataka accessed the survey voluntarily during September 2021 and January 2022. Pittsburgh Sleep Quality Index, Insomnia Severity Index scales, features that are related to sleep quality, and some hypothesized risk factors of sleep disturbances in context of COVID-19 infection are employed to format a self-reported questionnaire. Results  In this study, females 27(19.1%) experienced more sleep disturbances than males 9 (8.3%). The study revealed the participants who received both the doses of vaccination (126; 54.3%) had better sleep. The participants who reported themselves to be stressed (182; 72.8%) had more disturbances in sleep. A total number of 45 participants (18.4%) experienced difficulty in breathing and out of all the responders 11 (47.8%) were actually worried about their current sleep problem. Conclusion  COVID-19 infection and changes imposed during the pandemic have led to a surge in individuals reporting sleep problems across the globe. The findings raise the need to screen for worsening sleep patterns to create more awareness about the secondary consequences of COVID-19 infection.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42896431","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}
引用次数: 0
Management of Oral Parafunctional Habits: A Case Report 口腔副功能习惯的管理:一例报告
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-18 DOI: 10.1055/s-0043-1764358
Murali Ps, S. Achalli, Sandeep Chandragiri, Sameep S. Shetty
Abstract One of the most common problems seen in dental practice is oral parafunctional habits. Thumb sucking and tongue thrusting habits are by far the most common ones encountered. These have adverse effects on the dentition and the orofacial structure. Habit breaking appliances can be used to stop these habits and give best results if used at an early stage. Here we present two cases, one each of digit sucking and tongue thrusting treated effectively with habit breaking appliance.
摘要牙科实践中最常见的问题之一是口腔多功能习惯。吸吮拇指和吐舌头的习惯是迄今为止最常见的。这些对牙列和口腔面部结构有不利影响。打破习惯的器具可以用来阻止这些习惯,如果在早期使用,效果最好。本文报告两个病例,分别用洁癖器有效治疗手指吸吮和舌头刺入。
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引用次数: 0
Cone Beam Computed Tomography and Virtual Cloning: A Review 锥束计算机断层扫描和虚拟克隆:综述
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-18 DOI: 10.1055/s-0043-1764357
Anand Shankar Sarkar, Shruthi S Hegde, Vidya Ajila, D. Darwin
Abstract With the use of technologies, dental office workflow is moving toward a more efficient and cost-effective approach. Digitalization of dental records and computer-assisted imaging techniques have simplified workflow. Innovation and introduction of cone beam computed tomography, proface (facial three-dimensional [3D] soft-tissue capture), intraoral scan, planning software, and 3D printers has changed the dental profession. Clinical practice uses virtual workflows, and digital dentistry is a new development. The purpose of this article is to update the dental professionals with different available technologies for the creation of a virtual patient and digital tools that can be used for diagnosis, treatment planning, and follow-up of patients. The advantages of digital dentistry and future scope are highlighted in this article.
随着技术的应用,牙科诊所的工作流程正朝着更高效、更经济的方向发展。牙科记录的数字化和计算机辅助成像技术简化了工作流程。锥形束计算机断层扫描、表面(面部三维软组织捕获)、口内扫描、规划软件和3D打印机的创新和引入改变了牙科行业。临床实践使用虚拟工作流程,数字牙科是一个新的发展。本文的目的是用不同的可用技术来更新牙科专业人员,以创建虚拟患者和可用于诊断、治疗计划和患者随访的数字工具。本文强调了数字牙科的优势和未来的发展范围。
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引用次数: 0
Urinary Bladder Mullerianosis Causing Recurrent Abdominal Pain: A Rare Case Report and Review of the Literature 引起复发性腹痛的膀胱多毛细胞增多症:一例罕见病例报告及文献复习
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-18 DOI: 10.1055/s-0043-1764360
Manjeet Kumar, K. Barwal, G. Sharma, K. Mardi, Pamposh Raina, Sanjeev Sharma
Abstract Mullerianosis of the urinary bladder is a rare bladder lesion with fewer than 30 cases reported in the literature. It describes the ectopic presence of endocervical, endometrium, and endosalpingial tissues inside the urinary bladder. It is diagnosed when at least two of three Mullerian tissues, endometriosis, endocervicosis, and endosalpingiosis, are identified. Mullerianosis presents in females of the reproductive age group, especially after pelvic surgery. Treatment involves resection of the bladder mass and ruling out malignant pathology. Follow-up of Mullerianosis is vital, as recurrence is common. Medical therapy is also indicated when a diagnosis is established after the histopathological examination of the tumor. We report a 31-year-old female presenting with recurrent lower abdominal pain. Cystoscopy showed a mass of 3 × 3 cm in the urinary bladder. Transurethral resection of bladder tumor was resected, and histopathology suggested a combination of endometriosis, endocervicosis, and endosalpingiosis. Pain was resolved after surgery, but the lesion recurred at 3 months, which was subsequently resected.
摘要膀胱苗勒菌病是一种罕见的膀胱病变,文献报道的病例不到30例。它描述了膀胱内子宫颈、子宫内膜和输卵管内膜组织的异位存在。当三种穆勒管组织中至少有两种被发现时,子宫内膜异位症、子宫颈管内病和输卵管内血管病就会被诊断出来。Mullerianosis出现在育龄女性中,尤其是在骨盆手术后。治疗包括切除膀胱肿块并排除恶性病理。Mullerianosis的随访是至关重要的,因为复发很常见。当在肿瘤的组织病理学检查后确定诊断时,也需要进行药物治疗。我们报告一位31岁的女性,表现为复发性下腹疼痛。膀胱镜检查显示3个肿块 × 3. cm。经尿道切除膀胱肿瘤,组织病理学提示子宫内膜异位症、子宫颈管炎和输卵管内血管病合并。手术后疼痛得到缓解,但病变在3个月时复发,随后切除。
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引用次数: 0
Factors Associated with Recurrence in Chronic Subdural Hematoma following Surgery 慢性硬膜下血肿术后复发的相关因素
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-18 DOI: 10.1055/s-0043-1764359
Kritsada Buakate, Thara Tunthanathip
Abstract Background  Recurrence is a frequent complication after surgery in a chronic subdural hematoma (CSDH). This study aimed to describe the recurrent rate of CSDH after surgery. In addition, a secondary objective aimed to explore factors associated with the recurrence of CSDH after surgery. Methods  A total of 141 surgical CSDH patients were analyzed in this retrospective study. The Cox regression method was used to conduct both univariate and multivariate analyses of variables associated with recurrence. As a result, the cumulative incidence of recurrence for each covariate survival curve was built after the final model. Results  Twenty-two percent of the patients showed evidence of recurrence. Initially, four variables (Glasgow coma scale score 3–8, clopidogrel, operative time, and amount of irrigated saline) had potential factors in univariate analysis but only clopidogrel and amount of saline irrigation were significantly associated with CSDH recurrence. Conclusion  Preoperative clopidogrel and the amount of saline irrigation were found to be associated with the recurrence rate. Factors associated with CSDH recurrence should be developed and validated as the clinical prediction tool for implication in general practice.
摘要背景 复发是慢性硬膜下血肿(CSDH)手术后的常见并发症。本研究旨在描述术后CSDH的复发率。此外,第二个目的旨在探讨术后CSDH复发的相关因素。方法 本回顾性研究共分析了141例外科CSDH患者。Cox回归方法用于对与复发相关的变量进行单变量和多变量分析。因此,在最终模型之后建立了每个协变量生存曲线的累积复发发生率。后果 22%的患者有复发的迹象。最初,四个变量(格拉斯哥昏迷量表评分3-8、氯吡格雷、手术时间和盐水灌注量)在单变量分析中具有潜在因素,但只有氯吡格雷和盐水冲洗量与CSDH复发显著相关。结论 术前氯吡格雷和生理盐水冲洗量与复发率相关。应开发和验证与CSDH复发相关的因素,将其作为临床预测工具,用于全科实践。
{"title":"Factors Associated with Recurrence in Chronic Subdural Hematoma following Surgery","authors":"Kritsada Buakate, Thara Tunthanathip","doi":"10.1055/s-0043-1764359","DOIUrl":"https://doi.org/10.1055/s-0043-1764359","url":null,"abstract":"Abstract Background  Recurrence is a frequent complication after surgery in a chronic subdural hematoma (CSDH). This study aimed to describe the recurrent rate of CSDH after surgery. In addition, a secondary objective aimed to explore factors associated with the recurrence of CSDH after surgery. Methods  A total of 141 surgical CSDH patients were analyzed in this retrospective study. The Cox regression method was used to conduct both univariate and multivariate analyses of variables associated with recurrence. As a result, the cumulative incidence of recurrence for each covariate survival curve was built after the final model. Results  Twenty-two percent of the patients showed evidence of recurrence. Initially, four variables (Glasgow coma scale score 3–8, clopidogrel, operative time, and amount of irrigated saline) had potential factors in univariate analysis but only clopidogrel and amount of saline irrigation were significantly associated with CSDH recurrence. Conclusion  Preoperative clopidogrel and the amount of saline irrigation were found to be associated with the recurrence rate. Factors associated with CSDH recurrence should be developed and validated as the clinical prediction tool for implication in general practice.","PeriodicalId":40092,"journal":{"name":"Journal of Health and Allied Sciences NU","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44641204","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}
引用次数: 0
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