CHRISMED Journal of Health and Research最新文献_第5页

Decision-making process in the selection of home hemodialysis treatment by adult patients with end-stage renal disease in the United Kingdom: A systematic literature review 英国成年终末期肾病患者家庭血液透析治疗选择的决策过程:系统文献综述

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_69_22

M. Ekpenyong, Stephen Alfred, Bosu-Arije Foluke, Oley Jallow, C. Manju, Nyashanu Mathew

{"title":"Decision-making process in the selection of home hemodialysis treatment by adult patients with end-stage renal disease in the United Kingdom: A systematic literature review","authors":"M. Ekpenyong, Stephen Alfred, Bosu-Arije Foluke, Oley Jallow, C. Manju, Nyashanu Mathew","doi":"10.4103/cjhr.cjhr_69_22","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_69_22","url":null,"abstract":"Introduction: In the UK, the number of people diagnosed with renal disease is on the increase. As a result, there will be more people in need of renal replacement therapy (RRT). Despite the mounting evidence showing that home hemodialysis (HHD) treatment is clinical and cost-effective as well as amendable to suit patients' lifestyle, the number of patients choosing this dialysis modality is low. The aim of this study is to explore factors influencing decision-making process in the selection of HHD treatment for adult patients with end-stage renal disease in the UK. Methods: A systematic literature review methodology was utilized to review, critique, and synthesize the literature on the low uptake of HHD among adult patients. Systematic searches involving the databases Google Scholar, EMBASE, MEDLINE, PsycINFO, and CINAHL were carried out for articles published from 2008 to 2021. A search was conducted from June 1 through December 23, 2020. Eight articles met the study inclusion criteria. We followed preferred Reporting Items for Systematic Reviews and Meta-analyses in designing the research and reporting. Results: This systematic review revealed that patient information needs, dialysis education, training and support, and patient decision-making preference were the major factors influencing decision-making of adult patients. Conclusion: Deciding over which dialysis modality to choose can be challenging for many adult patients. Dialysis education, training, and support should not stop at the predialysis stage but should continue during treatment.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"209 - 218"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44104993","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

A giant posterior mediastinal goiter 巨大的后纵隔甲状腺肿

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_86_22

Ajin Anto, Surjeet Dwivedi, Raj Mohan, Rakesh Jha

引用次数: 0

Evaluation of the analgesic effect of oral sucrose solution on neonates undergoing a minor painful procedure 口服蔗糖溶液对新生儿轻微疼痛手术的镇痛效果评价

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_14_22

Kallol Paul, P. Halder, Rituparna Das, Arpita Choudhury, Prerna Goenka, Sourav Roy

{"title":"Evaluation of the analgesic effect of oral sucrose solution on neonates undergoing a minor painful procedure","authors":"Kallol Paul, P. Halder, Rituparna Das, Arpita Choudhury, Prerna Goenka, Sourav Roy","doi":"10.4103/cjhr.cjhr_14_22","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_14_22","url":null,"abstract":"Background: Pacifying newborns by nonpharmacological methods during painful procedures is a frequent and difficult problem in routine practice. Purpose: The purpose of the study was to determine the analgesic effects of oral sucrose solution in comparison to placebo (sterile water) in neonates. Materials and Methods: A prospective, double-blinded study of 100 neonates who were divided into two groups after simple randomization, to give either 30% sucrose solution (group A) or sterile water (group B) during an intravenous catheterization. Assessment of pain by the Douleur Aigue Nouveau-ne scale (DAN) and changes in the heart rate (HR), respiratory rate (RR), or arterial oxygen saturation (SpO2) during peripheral vein catheterization were analyzed. Results: The mean change of HR, RR, and SpO2 was more in group B compared to group A. The mean DAN scores were 2.24 ± 2.026 and 6.92 ± 2.538 in group A and group B, respectively. None of these results were statistically significant (P > 0.05). Conclusion: There was a less prominent change in HR, RR, and SpO2 with response to noxious stimuli with oral sucrose administration in newborns when compared to placebo.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"258 - 261"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49086590","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

Complexities of Covishield Vaccine on COVID-Positive History Family in India after the Second (Booster) Dose Covishield疫苗在第二剂（加强剂）接种后对印度新冠肺炎阳性史家族的复杂性

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_50_22

P. Jamdade, S. Jamdade

引用次数: 0

Cost of care and impact on quality of life of upper urinary tract infections in South India with a focus on diabetics and extended-spectrum beta-lactam producing organisms 南印度上尿路感染的护理成本和对生活质量的影响，重点关注糖尿病患者和广谱β-内酰胺产生菌

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_105_22

Ebenezer Daniel, B. Yadav, L. Jeyaseelan, M. Babu, Selvin Raj Mani, A. Mathuram, S. Sathyendra, S. Hansdak, R. Iyyadurai, R. Sahni, T. Sudarsanam

{"title":"Cost of care and impact on quality of life of upper urinary tract infections in South India with a focus on diabetics and extended-spectrum beta-lactam producing organisms","authors":"Ebenezer Daniel, B. Yadav, L. Jeyaseelan, M. Babu, Selvin Raj Mani, A. Mathuram, S. Sathyendra, S. Hansdak, R. Iyyadurai, R. Sahni, T. Sudarsanam","doi":"10.4103/cjhr.cjhr_105_22","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_105_22","url":null,"abstract":"Background and Objectives: Upper urinary tract infections (UTIs) that require in-patient care can be expensive. Comorbid conditions such as diabetes as well as UTI due to extended-spectrum beta-lactamase (ESBL) producing bacteria may affect costs. The quality of life of patients with this condition has not been described. Methods: This was a cost of illness study that prospectively evaluated patients admitted with upper UTI to a medical ward in a tertiary care hospital. Direct medical and nonmedical costs, indirect costs were collected to make the total cost per admission. Quality of life was assessed using the World Health Organization Quality of Life-BREF score. We also compared costs between those with and without diabetes or ESBL infection. Results: Between March 2016 and July 2017, 92 eligible patients were included in the study. The average age was 55.8 years; two thirds were diabetics. The mean overall cost of a single admission for upper UTI was INR.88, 330.2 (1370.4 USD). This was INR.96, 193.0 (1492.6 USD) and INR.1, 03,154.9 (1600.4 USD) among those with diabetes mellitus and ESBL infection, respectively. The cost was higher among those with diabetes and ESBL than those without; this difference reached statistically significance for the ESBL group. The quality of life was affected in all domains; the psychological being most affected among diabetics and ESBL infected. Conclusions: The mean total cost of admission for an upper UTI in a tertiary care hospital in South India was INR 88,330 (1370.4 USD). This is higher if the patient has diabetes or ESBL organism causing the UTI. Quality of life is clearly reduced especially in the psychological domain.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"223 - 230"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42860294","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

Viral isolates in pediatric ventilator-associated pneumonia 小儿呼吸机相关性肺炎的病毒分离株

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_30_22

Bhawani Parihar, R. Agrawal, Vijendra Garg, Jagdish Singh, A. Goyal, Raj Gupta, S. Gothwal

{"title":"Viral isolates in pediatric ventilator-associated pneumonia","authors":"Bhawani Parihar, R. Agrawal, Vijendra Garg, Jagdish Singh, A. Goyal, Raj Gupta, S. Gothwal","doi":"10.4103/cjhr.cjhr_30_22","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_30_22","url":null,"abstract":"Introduction: Although ventilator-associated pneumonia (VAP) mostly has bacterial etiology, many cases have viral etiology. The present study aimed at determining the proportion of viral VAP and any associated factors and identifying the viral isolates in pediatric VAP. Materials and Methods: A descriptive observational study was conducted at pediatric intensive care unit of tertiary referral center including 120 VAP cases aged 1–18 years. Endotracheal aspiration samples from these patients were tested for viral etiology. Results: Most VAP cases were males (66.7%). Virus was isolated in 14.2% of cases of VAP. Human adenovirus (29%), respiratory syncytial virus (29%), and herpes simplex virus (24%) were the most common viruses identified. Viral VAP was significantly associated with age, primary disease, and total leukocyte count. Neutrophil count decreased and lymphocyte count increased significantly after viral VAP. Conclusion: Viral etiology should be considered in VAP patients, especially in patients not responding to antibiotics as proper diagnosis and timely initiation of appropriate antiviral could be lifesaving. Prevalent viruses may vary geographically; hence, hospitals should try to identify the common viruses causing VAP in their settings to guide appropriate battery of tests and antiviral drugs.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"268 - 272"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44035850","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

Effect of injection bleomycin on lymphangioma circumscriptum with keloid formation and secondary infection 注射博来霉素治疗瘢痕形成伴继发感染的周边淋巴管瘤

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_84_22

A. Thomas, E. Thomas, Abhilasha Williams

引用次数: 0

Bacteriological Profile and antibiotic susceptibility pattern of tracheal secretions isolates among intensive care unit patients at tertiary care hospital 三级医院重症监护病房患者气管分泌物分离株的细菌学特征和耐药性

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_9_22

Bhavin Prajapati, P. Gohel, Atit Shah, H. Shah, Kaival K Kothari, Jayshri Pethani

{"title":"Bacteriological Profile and antibiotic susceptibility pattern of tracheal secretions isolates among intensive care unit patients at tertiary care hospital","authors":"Bhavin Prajapati, P. Gohel, Atit Shah, H. Shah, Kaival K Kothari, Jayshri Pethani","doi":"10.4103/cjhr.cjhr_9_22","DOIUrl":"https://doi.org/10.4103/cjhr.cjhr_9_22","url":null,"abstract":"Introduction: Respiratory infections are associated with high morbidity and mortality, especially in critically ill patients. The excessive use of broad-spectrum antibiotics has led to the development of drug resistance, thus resulting in the emergence of pathogens which are difficult to treat. Materials and Methods: A total of 632 tracheal secretions were received in the Bacteriology section of the microbiology department of a tertiary care hospital from November 2019 to February 2020. Tracheal secretions were processed for culture according to standard operating procedures. Identification, phenotype detection, and antibiotic sensitivity testing were performed by automated VITEK-2 Compact system. Results: In total, 632 tracheal secretions were received during the study period, 559 cultures yielded significant pathogens and no organisms were isolated in 73 cultures. Among the Gram-negative organism 540 (97%), Klebsiella pneumoniae (30%) was the most common isolates. Gram-positive organisms 12 (2%) and Candida spp. 7 (1%) were isolated. The most common phenotype detected in Escherichia coli and K. pneumoniae was extended-spectrum beta-lactamase producer. Conclusions: K. pneumoniae was the most common isolate from tracheal secretion among intensive care unit patients. Colistin, followed by tigecycline, was found to be the most susceptible antibiotics. K. pneumoniae was found to be sensitive to tigecycline (69%) with minimum inhibitory concentrations of ≤ 1. 0.6%. K. pneumoniae was colistin resistant.","PeriodicalId":10321,"journal":{"name":"CHRISMED Journal of Health and Research","volume":"9 1","pages":"262 - 267"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41719320","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

Transgender reproductive medicine: Need for the near future 跨性别生殖医学：近期需要

CHRISMED Journal of Health and Research Pub Date : 2022-10-01 DOI: 10.4103/cjhr.cjhr_35_22

R. Baid

引用次数: 0

An unprecedented presentation of foreign body 异物的空前呈现

CHRISMED Journal of Health and Research Pub Date : 2022-07-01 DOI: 10.4103/cjhr.cjhr_115_21

R. Kadni, M. Mathews

引用次数: 0