Search results for "Patients"

Ethical challenges in care for older patients who resist help

2014

Background: Situations where patients resist necessary help can be professionally and ethically challenging for health professionals, and the risk of paternalism, abuse and coercion are present. Research question: The purpose of this study was to examine ethical challenges in situations where the patient resists healthcare. Research design: The method used was clinical application research. Academic staff and clinical co-researchers collaborated in a hermeneutical process to shed light on situations and create a basis for new action. Participants and research context: Four research groups were established. Each group consisted of six to eight clinical co-researchers, all employees with diff…

Testing international techniques for the radiographic assessment of third molar maturation

2021

Background To assess the radiographic third molar maturation with internationally developed techniques for age estimation. Material and Methods The study analyzed 1,062 panoramic radiographs of patients treated at the School of Dentistry of the University of Passo Fundo/RS/Brazil, between 2009 and 2020. The patients were separated into ages between 15.00 and 23.99 years and, for each radiograph, the third molars were classified into stages from 1 to 10, with the subsequent application of one of the formulae proposed by Gunst et al. A dichotomous variable indicating whether each individual was younger or older than 18 was calculated from the chronological age of the individuals. A logistic r…

Resuscitation at the place of accident and during transportation

1968

Personal experiences in 200 emergency calls with different types of ambulance gave a chance to evaluate the modern possibilities of resuscitation at the place of accident and during transportation. The emergency ambulance of the future should have sufficient space in the rear compartment for the treatment of the patient.

Ejaculation Disorders in Male Patients with Cancer: A Systematic Review and Meta-Analysis of Prevalence

2021

PURPOSE: Ejaculatory dysfunction (EjD) and erectile dysfunction after cancer treatment are clinically important complications, but their exact prevalence by various kinds of cancer site and type of treatment is unknown. The aim of this systematic review and meta-analysis was to examine the available evidence and provide pooled estimates for prevalence of EjD and erectile dysfunction in relation to all cancer sites and identify characteristics associated with EjD in cancer patients. MATERIALS AND METHODS: We performed a systematic review and meta-analysis of cross-sectional and case-control studies. We searched 4 electronic databases (Medline®, CINAHL, PsychInfo and Embase®) until July 22, 2…

Specific short and long term prognostic value of admission HbA(1c) and plasma glucose in non-diabetic patients with acute myocardial infarction: data…

2018

The impact of deep vein thrombosis in critically ill patients: a meta-analysis of major clinical outcomes

2015

Background. Critically ill patients appear to be at high risk of developing deep vein thrombosis (DVT) and pulmonary embolism during their stay in the intensive care unit (ICU). However, little is known about the clinical course of venous thromboembolism in the ICU setting. We therefore evaluated, through a systematic review of the literature, the available data on the impact of a diagnosis of DVT on hospital and ICU stay, duration of mechanical ventilation and mortality in critically ill patients. We also tried to determine whether currently adopted prophylactic measures need to be revised and improved in the ICU setting. Materials and methods. MEDLINE and EMBASE databases were searched up…

Evaluation of the effect of transcutaneous electrical nerve stimulation (TENS) on whole salivary flow rate

2015

Background: Saliva plays a critical role in maintaining oral homeostasis; it modulates the ecosystem through lubrication of the alimentary bolus, protection against microorganisms, buffer and repair of the oral mucosa, and helps in dental re-mineralization. Various local and systemic factors such as medications, radiation therapy, systemic conditions, etc. can lead to reduction in salivary flow. A decrease in salivary function, known as Xerostomia, increases a patient's risk for caries and other oral infections. Palliative management of Xerostomia includes wetting agents such as ice chips, drugs and saliva substitutes. Systemic agents stimulate salivary flow but often have unfavorable side …

Effects of Neuromuscular Electrical Stimulation (NMES) on salivary flow in healthy adults

2020

Background Neuromuscular electrical stimulation (NMES) is a method used for enhancing suprahyoid muscle activity and is widely applied as a treatment for dysphagia. Patients often complain of saliva pooling in the pharynx during NMES. Therefore, the purpose of this study was to investigate the changes in salivary flow during NMES. Material and methods Twenty healthy adults participated in this study. Electrical stimulation was applied at constant strength for 60 minutes to the suprahyoid muscles using VitalStim®. Participants were examined under three conditions of NMES: sensory threshold plus 75% of the difference between sensory and pain thresholds (75% Stim), SensoryStim, and Sham. Saliv…

Evaluation the oral hygiene conditions, oral Candida colonization and salivary Streptococcus mutans and Lactobacilli density in a group of β-thalasse…

2019

Background In this study, the prevalence and distribution of dental caries and oral hygiene conditions in a group of patients with β-TM are evaluated and the results compared to age-and gender-matched healthy patients. In addition, oral candida colonization and the density of Streptococcus mutans (S.mutans) and Lactobacilli in the total saliva are assessed. Material and Methods This study involved 59 β-TM patients between 6-16 years old (mean:11.59±3.22), who applied to the Department of Pedodontics, Faculty of Dentistry, Akdeniz University, with ongoing follow-up, treatment and regular blood transfusions. All enrolled patients were diagnosed with β-TM by the Department of Pediatric Hematol…

Psychometric Aspects of the Depressive Experiences Questionnaire: Implications for Clinical Assessment and Research

2018

The Depressive Experiences Questionnaire (DEQ) is a self-report measure that assesses self-criticism and dependency, 2 personality traits that confer vulnerability to depression (Blatt, 2004). Over several decades, different, shortened versions of the DEQ have been constructed to offer an alternative to the complex scoring procedure of the original DEQ. This study explores the factor structure as well as the construct and convergent validity of the DEQ by comparing a clinical and nonclinical sample. We also compared the original DEQ with 5 shortened versions. There were 621 participants (358 university students and 263 outpatients). Fit indexes for models of the original DEQ did not meet mi…