Journal of intensive and critical care最新文献

Challenges of Maternal and Prenatal Care in Nigeria 尼日利亚孕产妇和产前护理的挑战

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100125

U. S. Ekpenyong, C. Bond, D. Matheson

{"title":"Challenges of Maternal and Prenatal Care in Nigeria","authors":"U. S. Ekpenyong, C. Bond, D. Matheson","doi":"10.21767/2471-8505.100125","DOIUrl":"https://doi.org/10.21767/2471-8505.100125","url":null,"abstract":"Background and aim: Evidence in the literature indicates that maternal health care by a skilled birth attendant is one of the key strategies for maternal survival. However, the rate of maternity care utilization and reduction of maternal death is very low in Nigeria. This study was designed to explored factors influencing women utilization of maternal and prenatal care in Nigeria. Hence, the need to understand factors that serves as barriers to accessing maternal and prenatal care in Nigeria using the Socio-ecological Model (SEM). Methods: A mixed method was employed for this study. Data collection used questionnaires and in-depth interviews. Questionnaires were distributed to 330 respondents of which 318 of them were retrieved and qualitative in-depth interviews were conducted for 6 participants. The study was conducted in one of the tertiary health facilities in Nigeria, amongst mothers aged 15-45 years. Statistical Package for Social Sciences (SPSS) was used in analyzing the quantitative data whilst a qualitative content analysis was done for the qualitative data. Results: The study established that education, income level, costs associated with seeking care, distance and time taken to travel were significantly associated with maternity health care services utilization. The study concludes that; costs of treatment, distance and time, income level, staff attitude and women’s autonomy were critical in determining women utilization of maternity care services.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73489937","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: 10

Associated Microorganisms in Clinical Specimens from Neurology Intensive Care Unit of A Tertiary Care Hospital In Adana, Turkey 土耳其阿达纳一家三级医院神经内科重症监护病房临床标本中的相关微生物

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100126

A. Sonmezler, Aakir ozgür Keaykek

引用次数: 0

Transient Coronary Vasospasm in a Newborn Due to Maternal Cannabis Use during Pregnancy 怀孕期间母亲使用大麻引起的新生儿短暂性冠状动脉痉挛

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100121

H. Solğun, Isa Ozyilmaz

引用次数: 0

Dysphagia in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital 三级医院急性缺血性脑卒中患者的吞咽困难

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100127

A. Sönmezler, Åakir Özgür KeÅkek

{"title":"Dysphagia in Patients with Acute Ischemic Stroke in a Tertiary Care Hospital","authors":"A. Sönmezler, Åakir Özgür KeÅkek","doi":"10.21767/2471-8505.100127","DOIUrl":"https://doi.org/10.21767/2471-8505.100127","url":null,"abstract":"Objective: The aim of this study was to investigate the frequency of dysphagia in acute ischemic stroke and relation with Glasgow Coma Score (GCS). Methods: The data of 54 patients with acute ischemic stroke were retrospectively analyzed. Glasgow Coma Scores were recorded. Modified Massey Bedside Swallow Screen (MBSS) was used for the diagnosis of dysphagia. For statistical evaluation MedCalc 15.8 software program (MedCalcBelgium) was used. Results: Fifty-four patients (n: 54) with acute ischemic stroke who were admitted to the study were followed up in our hospital Neurology Intensive Care Unit (NICU). Fortynine of the patients were alive, transferred to our service, then discharged. Twenty-six patients had dysphagia (48.1%) while 28 patients did not have dysphagia (51.9%). Glasgow Coma Scores were lower in patients with dysphagia (r=-0.628, p<0.0001. Moreover, survival was inversely correlated with dysphagia (r=-0.331, p= 0.014). Conclusions: Swallowing disorders can be associated with adverse clinical outcomes in patients with acute ischemic stroke in intensive care unit. It is also associated with survival and GCS. Dysphagia is common in ICU patients and should be carefully diagnosed since it can be an independent predictor of death.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76927826","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

Engerix-B Vaccine Induced Transient Hepatitis B Surface Antigenemia: A Case Report and Review of the Literature Engerix-B疫苗致短暂性乙型肝炎表面抗原血症1例报告及文献复习

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100124

Sam, ika Saparamadu Aadn, Joanne Lee, Lui Tt, Choong-Weng Lam

引用次数: 2

Low Serum Phosphorus Levels and Acute Ischemic Stroke 低血磷水平与急性缺血性中风

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100122

A. Sönmezler, Åakir Özgür KeÅkek

引用次数: 0

Developing Nursing Standards for Maintaining Fluid and Electrolyte Balance for Critically Ill Patients in Intensive Care Units 制定重症监护病房重症病人维持体液和电解质平衡的护理标准

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100123

Mona Abdel Ghany Leilah, K. NahedAttia, Eel, A. Shebl, H. Mansour

{"title":"Developing Nursing Standards for Maintaining Fluid and Electrolyte Balance for Critically Ill Patients in Intensive Care Units","authors":"Mona Abdel Ghany Leilah, K. NahedAttia, Eel, A. Shebl, H. Mansour","doi":"10.21767/2471-8505.100123","DOIUrl":"https://doi.org/10.21767/2471-8505.100123","url":null,"abstract":"Abstract Background: Fluid and electrolyte disturbances are the most frequently reported problems in intensive care units (ICUs). These disturbances are associated with high morbidity and mortality rate among critically ill patients. Early detection and management of fluid and electrolyte imbalance can improve patients' outcome, decrease the length of intensive care stay and reduce the cost of health care services. Purpose: To develop nursing standard for maintaining fluid and electrolyte balance for critically ill patients in ICUs of Mansoura University Emergency Hospital. Method: The study has a descriptive exploratory design. The study included a convenience sample of 40 critical care nurses who were involved in providing direct care for critically ill patients in the study setting. Additionally, 15 experts from the field of critical care were recruited in the study to evaluate the validity of data collection tools. Results: The majority of the studied nurses had got somewhat a satisfactory practice level for fluid and electrolyte assessment and management in the study setting. No significant correlation was found between nurses' practices scores and their socio demographic characteristics. Most items of the proposed nursing standard for maintaining fluid and electrolyte balance for critically ill patients were agreed upon by the expert group. Conclusion: Nursing practice for maintaining fluid and electrolyte balance for critically ill patient in the studied setting was somewhat acceptable. The developed nursing standard can be used as a base for enhancing nursing practice and consequently improve patient outcome. Further research is needed to evaluate the effectiveness of the developed nursing standard in maintaining fluid and electrolyte balance for critically ill patients in ICUs.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80953099","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: 5

Prognostic Value of Serum Cholesterol and Triglyceride in Septic and Non-septic Patients: Randomized Double-blinded Study 血清胆固醇和甘油三酯在脓毒症和非脓毒症患者中的预后价值:随机双盲研究

Journal of intensive and critical care Pub Date : 2019-01-01 DOI: 10.21767/2471-8505.100120

D. Rashwan, S. Rashwan, W. Hassan, Doaa Moaz Sayem

{"title":"Prognostic Value of Serum Cholesterol and Triglyceride in Septic and Non-septic Patients: Randomized Double-blinded Study","authors":"D. Rashwan, S. Rashwan, W. Hassan, Doaa Moaz Sayem","doi":"10.21767/2471-8505.100120","DOIUrl":"https://doi.org/10.21767/2471-8505.100120","url":null,"abstract":"Aims: Is to evaluate the difference between the level of serum cholesterol and triglyceride in septic and non-septic patients and to find a correlation between the level of cholesterol and triglyceride and Acute Physiology and Chronic Health Evaluation Score and quick Sequential Organ Failure Assessment score. Materials and Methods: 95 patients admitted to the SICU, septic patients (group S, n=50) or non-septic patients (NS, n=45). Main outcome measures: length of ICU stay, 28-day mortality, days on mechanical ventilation, (APACHE II) scores, (qSOFA) scores, serum cholesterol, and triglyceride on days 0 and on 1st, 3rd, 7th,10th and 14th day. Result: Cholesterol level (mg/dL) Day 0: It was statistically significant lower in septic group (S) compared to the non-septic group (NS); it was 119.4 ± 29.33 versus 131.2 ± 35.37 (p value=0.037). Day 1: It was statistically significantly lower in the septic group (S): 103.6 ± 29.19 than the non-septic group (NS):123.56 ± 36.50 (p value E0.001). Day 3: It was statistically significantly lower in the septic group (S) 80.7 ± 26.87 than in the non-septic group (NS) 124.84 ± 32.4 (p value <0.001). Triglyceride level (mg/dL): Day 1: Was statistically significantly higher in the septic group (S): 151.5 ± 54.79, than the non-septic group (NS): 112.14 ± 33.02, (p value <0.001). Day 3: It was statistically significant higher in the septic group (S):185.1 ± 43.1 than the non-septic group (NS): 113.5 ± 39.56), (p value <0.001). Conclusion: Cholesterol levels decreased markedly and triglyceride levels increased in patients with sepsis compared to non-septic patients, in the septic patients there was increasing in length of ICU stay, higher qSOFA, and APACHE II scores.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83110968","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: 1

Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention 病例报告:桡动脉导管横断需手术治疗

Journal of intensive and critical care Pub Date : 2018-02-01 DOI: 10.21767/2471-8505.100106

L. Tollinche, Jacob C. Jackson, Melvin La, D. Desiderio, Cindy B. Yeoh

{"title":"Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention","authors":"L. Tollinche, Jacob C. Jackson, Melvin La, D. Desiderio, Cindy B. Yeoh","doi":"10.21767/2471-8505.100106","DOIUrl":"https://doi.org/10.21767/2471-8505.100106","url":null,"abstract":"We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient’s intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient’s postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient’s radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84705770","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: 2

Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention. 病例报告:桡动脉导管横断需手术治疗。

Journal of intensive and critical care Pub Date : 2018-01-01 Epub Date: 2018-02-01

Luis Tollinche, Jacob Jackson, Melvin La, Dawn Desiderio, Cindy Yeoh

{"title":"Case Report: Transection of Radial Arterial Catheter Requiring Surgical Intervention.","authors":"Luis Tollinche, Jacob Jackson, Melvin La, Dawn Desiderio, Cindy Yeoh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a case in which a radial arterial line was placed prior to induction of general anaesthesia in a 76 year old male with prostate cancer and multiple co-morbidities who presented for thoracoscopic resection of a right lower lobe carcinoid lung tumor. The patient's intra-operative course was complicated by acute blood loss requiring conversion to an open procedure. A subsequent injury to the superior vena cava resulted in the need for immediate re-exploration at the conclusion of surgery. While the arterial line was still indicated in this patient's postoperative course in the ICU, malfunction on post-operative day one resulted in removal of the catheter. The catheter was secured by stay sutures and during the attempt to cut these sutures, the arterial catheter was inadvertently severed and a fragment remained within the patient's radial artery. Surgical intervention was required to remove the retained catheter and the patient recovered without evidence of residual injury or deficit to the artery and extremity. Literature review reveals only one other case report of a retained catheter in a radial artery caused by accidental transection during removal. We review indications for arterial line placement, complications, as well as methods for securing arterial catheters.</p>","PeriodicalId":91546,"journal":{"name":"Journal of intensive and critical care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/f4/nihms939213.PMC5954833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36115481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0