Search results for "centers"

showing 10 items of 173 documents

Cardiac surgery outcomes in patients with coronavirus disease 2019 (COVID-19): A case-series report

2020

Abstract Objective The impact of coronavirus disease 2019 (COVID-19) on the postoperative course of patients after cardiac surgery is unknown. We experienced a major severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in our cardiac surgery unit, with several patients who tested positive early after surgery. Here we describe the characteristics, postoperative course, and laboratory findings of these patients, along with the fate of the health care workers. We also discuss how we reorganize and reallocate hospital resources to resume the surgical activity without further positive patients. Methods After diagnosis of the first symptomatic patient, surgery was suspended. Naso…

AdultMalePulmonary and Respiratory MedicineSIRS systemic inflammatory response syndromemedicine.medical_specialtyInfectious Disease Transmission Patient-to-ProfessionalCoronavirus disease 2019 (COVID-19)Sars-CoV-2medicine.medical_treatmentSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)cardiac surgery COVID-19 new coronavirus SARS-CoV-2CRP C-reaction protein030204 cardiovascular system & hematologyHealth Services AccessibilityArticleDisease OutbreaksTertiary Care Centers03 medical and health sciences0302 clinical medicinePostoperative ComplicationsValve replacementInterquartile rangeInternal medicineHealth caremedicineHumansIn patientCardiac Surgical ProceduresAgedAged 80 and overInfection ControlHealth Care RationingTAVR transcatheter aortic valve replacementbusiness.industrynew coronavirusExtracorporeal circulationCOVID-19Middle AgedCardiac surgery030228 respiratory systemItalyRT-PCR t real-time reverse transcription polymerase chain reactionFemaleSurgeryCOVID-19 / Sars-CoV-2 novel coronavirus 2businessCardiology and Cardiovascular Medicinecardiac surgeryFollow-Up Studies
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Effectiveness of opioid rotation in the control of cancer pain: The ROTODOL Study

2014

Objective: To assess the effectiveness of opioid rotation (OR) to manage cancer pain. To describe the adverse events (AEs) associated with OR. Setting: Thirty-nine tertiary hospital services.Patients: Sixty-seven oncological patients with cancer-related pain treated at outpatient clinics.Intervention: Prospective multicenter study. Pain intensity was scored using a Numerical Rating Scale (NRS) of 0-10. Average pain (AP) intensity in the last 24 hours, breakthrough pain (BTP), and the number of episodes of BTP on the days before and 1 week after OR were assessed. The pre-OR and post-OR opioid were recorded. The presence and intensity of any AEs occurring after OR were also recorded.Results: …

AdultMaleTime FactorsSeverity of Illness IndexDrug Administration ScheduleTertiary Care CentersBasal (phylogenetics)AnalgèsicsRating scaleOpioid rotationNeoplasmsHumansMedicineOutpatient clinicPharmacology (medical)Prospective StudiesAdverse effectAgedPain MeasurementAged 80 and overDrug Substitutionbusiness.industryBreakthrough PainGeneral MedicineMiddle AgedIntensity (physics)Analgesics OpioidTreatment OutcomeAnesthesiology and Pain MedicineOpioidSpainAnesthesiaFemaleChronic PainOpiDolor oncològicbusinessCancer painmedicine.drugJournal of Opioid Management
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Alternatives to Endotracheal Intubation for Patients with Neuromuscular Diseases

2005

To evaluate the usefulness of continuous noninvasive mechanical ventilation and mechanical coughing aids to avoid endotracheal intubation and tracheostomy during episodes of acute respiratory failure in patients with neuromuscular disease.We conducted a prospective cohort study at the respiratory medicine ward of a university hospital to study the success rate of the use of continuous noninvasive mechanical ventilation and manually and mechanically (CoughAssist) assisted coughing to avert endotracheal intubation in 24 consecutive episodes of acute respiratory failure for 17 patients with neuromuscular disease. The noninvasive mechanical ventilation and coughing aids were used to reverse dec…

AdultMaleTime Factorsmedicine.medical_treatmentMEDLINEPhysical Therapy Sports Therapy and RehabilitationEndotracheal intubationIntermittent Positive-Pressure VentilationCohort StudiesConfidence IntervalsOdds RatiomedicineHumansProspective StudiesProspective cohort studyAgedMechanical ventilationAcademic Medical CentersRespiratory Distress Syndromebusiness.industryRehabilitationNeuromuscular DiseasesOdds ratioMiddle AgedConfidence intervalCoughAnesthesiaFemaleRespiratory InsufficiencybusinessCohort studyAmerican Journal of Physical Medicine & Rehabilitation
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Exploratory Factor Analysis and Validation Study of the Lifetime Severity Index for Cocaine, Spanish Version (LSI-C-Spanish)

2007

The purpose of the study was to do an exploratory factor analysis and to examine the criterion-related and discriminant validity of the Lifetime Severity Index for Cocaine (LSI-C), Spanish version. A sample of 171 outpatients from 10 drug centers in Spain participated in the study. We conducted the factor analysis with orthogonal rotation and examined correlations between the LSI-C total score and criterion variables as well as the score obtained by a quality of life measure. The factor analysis revealed 2 principal factors that explain 65.8% of the variance. Lower LSI-C scores were associated with taking medication, receiving social help, using cocaine fewer than 30 times during the previo…

AdultMaleValidation studymedicine.medical_specialtyIndex (economics)AdolescentPsychometricsPsychometricsPopulation DynamicsSeverity of Illness IndexCocaine-Related DisordersQuality of lifeSeverity of illnessmedicineHumansPsychiatryLanguagePsychiatric Status Rating ScalesDiscriminant validityReproducibility of ResultsSpanish versionMiddle AgedExploratory factor analysisHospitalizationPsychiatry and Mental healthSpainQuality of LifeFemaleSubstance Abuse Treatment CentersDrug OverdoseFactor Analysis StatisticalPsychologyDemographyJournal of Nervous & Mental Disease
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Being in transit and in transition The experience of time at the place, when living with severe incurable disease - a phenomenological study

2014

The aim of this study is to describe the experience of time as it presents itself at the place being situated when living with severe incurable disease and receiving palliative care. The empirical data consist of 26 open-ended interviews with 23 patients receiving palliative care at home, at a palliative day care; in a palliative bed unite in hospital or in a nursing home in Norway. A common meaning of a shifting space for living emerged from the analysis and was revealed through three different aspects: (i) Transition from a predictable to an unpredictable time: To live with severe incurable disease marks a transition to a changed life involving an ongoing weakened and altered body with bo…

AdultMaleWeaknessPsychotherapistPalliative caremedia_common.quotation_subjectDay careAdult Day Care CentersExistentialismPhenomenology (philosophy)NursingSituatedmedicineHumansTerminally IllAgedmedia_commonAged 80 and overNorwayAtmospherePalliative CarePublic Health Environmental and Occupational HealthMiddle AgedHome Care ServicesEmbodiedNursing HomesPlace of careDistressFeelingTransitionPalliative careFemalePhenomenologyExperience of timemedicine.symptomPsychologyScandinavian Journal of Caring Sciences
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Childhood Environment and Adult Height among Polish University Students

2010

The objective of the study is to assess whether the choice of a childcare type (i.e., a mother giving up a professional career to take care of her child, employing a childminder, day care centre and kindergarten) depends on a child's family socio-economic status and to investigate whether the childcare type affects an adult's height. The material for the study was gathered in the cross-section research carried out among 783 female students and 535 male students of universities in Krakow and Opole (southern Poland). The height was measured with standard anthropometric instruments. To assess a socio-economic status (SES), the following factors were analysed: a place of living before entering …

AdultMaleeducationChild Day Care CentersBody HeightMother-Child RelationsCross-Sectional Studiesheight; socio-economic status; childcare; studentsSocial ClassMultivariate AnalysisHumansFemalePolandChild CareChildCollegium antropologicum
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Detection of oncogenic human papillomavirus genotypes on spermatozoa from male partners of infertile couples

2013

Objective To evaluate the prevalence of human papillomavirus (HPV) sperm infection and its correlation with sperm parameters in patients who attended a fertility clinic. Design Cross-sectional clinical study. Setting University-affiliated reproductive medicine clinic. Patient(s) A total of 308 male partners of couples undergoing in vitro fertilization techniques. Intervention(s) Specimens of semen were collected from all patients. Main Outcome Measure(s) Sperm parameters were evaluated according to the World Health Organization manual. The presence of HPV DNA was researched by the combined use of two HPV assays and a highly sensitive nested polymerase chain reaction assay followed by HPV ge…

AdultMaleendocrine systemmedicine.medical_specialtyGenotypeReproductive medicineSemenFertilization in VitroBiologyPolymerase Chain ReactionHuman Papillomavirus DNA TestsMale infertilityAndrologySemen qualityPredictive Value of TestsRisk FactorsGenotypemedicineHumansPapillomaviridaeIn Situ HybridizationInfertility MaleAcademic Medical CentersSperm Counturogenital systemPapillomavirus InfectionsHPV infectionvirus diseasesObstetrics and Gynecologymedicine.diseaseSpermatozoaSpermSettore MED/40 - Ginecologia E Ostetriciafemale genital diseases and pregnancy complicationsFertilityReproductive MedicineCase-Control StudiesDNA ViralSperm MotilitySperm HeadHPV infection semen parameters IVF ICSINested polymerase chain reaction
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Academia in cardiovascular radiology: are we doing enough for the future of the subspecialty?

2021

Aim To explore barriers to academic activities that cardiovascular radiology-oriented radiology trainees face worldwide. Materials and methods An international call for participation in an online survey was distributed via social media and radiological societies to radiology trainees. Questions covered barriers and involvement in academic activities during radiology training. Participants interested in cardiovascular radiology were selected for analysis with appropriate statistical methods. Results Of the 892 respondents, 120 (13.5%) reported an interest in cardiovascular imaging. The majority (63.3%, 76/120) were from Europe and 57.5% (69/120) were men. There were gender discrepancies in a…

AdultMalemedicine.medical_specialtyAcademic Medical CentersCareer Choicebusiness.industryInternship and ResidencyGeneral MedicineSubspecialtyCareer MobilityMentorshipWork (electrical)Cardiovascular DiseasesEducation Medical GraduateSurveys and QuestionnairesmedicineHumansRadiology Nuclear Medicine and imagingSocial mediaFemaleRadiologybusinessRadiologyClinical radiology
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Retrospective analysis of fixed drug eruptions among patients attending a tertiary care center in Southern India

2014

AdultMalemedicine.medical_specialtyAdolescentIndiaDermatologyTertiary careTertiary Care CentersYoung Adultlcsh:DermatologyRetrospective analysisHumansMedicineCenter (algebra and category theory)Fixed drug eruptionsAgedRetrospective Studiesbusiness.industryAnti-Inflammatory Agents Non-SteroidalMiddle Agedlcsh:RL1-803medicine.diseaseAnti-Bacterial AgentsInfectious DiseasesEmergency medicineFemaleDrug EruptionsMedical emergencybusinessIndian Journal of Dermatology, Venereology, and Leprology
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Non-chemotherapy drug-induced agranulocytosis in a tertiary hospital

2015

Drug-induced agranulocytosis is a rare haematological disorder considered as severe adverse drug reaction. Due to its low incidence, the number of studies are low and the variability of clinical features and presentation in hospitalized patients is rarely described. Awe performed an observational, transversal and retrospective study in the haematology and toxicology unit in a tertiary hospital located in Spain (Valencia) (1996–2010) in order to assess its incidence, the drugs involved, the management and outcomes of drug-induced agranulocytosis. Twenty-one cases of agranulocytosis were retrieved. All of them presented severe and symptomatic agranulocytosis (fever and infection). The most c…

AdultMalemedicine.medical_specialtyDrug-Related Side Effects and Adverse ReactionsItraconazoleHealth Toxicology and Mutagenesis030204 cardiovascular system & hematologyToxicologyTertiary Care CentersLeukocyte Count03 medical and health sciences0302 clinical medicineSulfasalazineInternal medicineGranulocyte Colony-Stimulating FactormedicineHumans030212 general & internal medicineAgedAged 80 and overbusiness.industryIncidenceIncidence (epidemiology)Retrospective cohort studyGeneral MedicineMiddle Agedmedicine.diseaseMetamizoleSpainAbsolute neutrophil countFemalebusinessCefuroximeAdverse drug reactionAgranulocytosismedicine.drugHuman & Experimental Toxicology
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